NURSINGTODAYTRANSITIONANDTRENDS9TH E
m
DITIONZERWEKHTESTBANK
TESTBANK
NURSING TEST BANKS
m m
, NURSINGmTODAYmTR ANSITIONm ANDmTRENDSm9TH mEDITIONm ZERWEKH mTE
ST
Chapterm01:mRealitymShockmMULTIP
LEmCHOICE
1. Amgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital. mThemnewmnursemisminmthemhoneymoonmph
asemofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. “Imammsom nervousmaboutmbeingmonmmym ownm asm amnurse.”
b. “This mwillmbemamgreatm learningm experience.”
c. “Imcan’tm waitm tomhavemamsteady mpaycheck.”
d. “This mjobm ismperfect.m Imcanm finallymdom things mmymownmway.”
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmas mquitemrosy. mOften, mthemnewmg
raduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession. mRealitymshockmoccursmwhenmonemmovesmin
tomthemworkforcemaftermseveralmyearsmofmeducationalmpreparation. mRecoverymandmresolutionmoccurmwhenmthemgr
aduatemnursemismablemtomlaughmatmencounteredmsituations. mDuringmthismtime, mtensionmdecreases, mperceptionminc
reases, mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mIdentifymthemcharacteristicsmofmrealitymshmo Nc mkU.mRTSOI PN : GRTeBa .l Ci t yO M
sh ock m
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—
management ofmcare
II
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecovermf
rommrealitymshock?
a. Networking c. Returningmtom school
b. Obtainingm am mentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtom evaluatemthem workmsituationmob
jectivelymandmpredictmeffectivelymthemactionsmandmreactionsmofmothermstaff. mNurturingmthemabilitymtomseemhumo
rm inmamsituationmmaymbemamfirstmstep. mReturningmtomschoolmismampositivemstep maftermthemgraduatemhasmworkedmt
hroughmrolemtransition, mhasmsomemclinicalmexperience, mandmismreadymtomfocusmonmamnewmcareermobjective. mNet
working, mobtainingmammentor, mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymt
omtalkmtomothersmexperiencingmthemstressmassociatedmwithmrealitymshock. mThemnursemwouldmbenefitmfromm‘talki
ngmthrough’ missues
andmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
, NURSINGmTODAYmTR ANSITIONm ANDmTRENDSm9TH mEDITIONm ZERWEKH mTE
ST
3. Amnursemismtryingmtomavoidmburnout. mWhichmofmthemfollowingmactionsmismamvalidmway mtomachievemthis?
a. Refusingmtom constantlymworkmextram shifts
b. Withdrawingmfrommpeermsupportmgroup
c. “Goingmnative”
d. Changingmjobs meverym6m tom 12m months
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom“overworkmthemovertime.”mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority. mLearningmtomsaym“no”mtomextramshifts mismampositivemmean
smofmcopingmofmavoidingmburnout. m“Goingmnative”mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtom
copymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschool
mandmfunctioningmmoremlikemamteammmember matmtheir mplacemof memployment. mWithdrawingmfrommpeer msupportm
groups, m“goingmnative,”mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchance mofmthemnurseme
xperiencingmburnout. mThemnursemshouldminsteadmfocusmonmhis/hermpracticemandmseekmout msupportmfrommothermn
urses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
4. Whichmofmthemfollowingmsgtraatedm
uaetnetns ubrysethsheow s m anmunderstandingofmrealitymshockmasmit
II II I
appliesmtomnursing?
a. “mRealitymshockmismthemperiodm whenm ampersonm moves mfrommschoolm intom themworkforce.
b. “Realitymshockmis mthemrealizationm thatmpractice mandm educationm aremnotm themsame.”
c. “Realitymshockmis mthemperiodm frommgraduationm tombecomingm anm experiencedm nurse.”
d. “Realitymshockmis mam transitionmphasem thatm new mgraduates mgom throughmbeforem changing mjobs.”
ANS:mA
“Realitymshock”mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmoves mintomthemworkfo
rcemaftermseveralmyearsmofmeducationalmpreparation. mThemnewmgraduatemismcaughtminmthem situationmofmmovingmf
rommamfamiliar, mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic. mThemrealizationmthatmpracticemandmnursingmschoolmar
emnotmthemsamemismoftenmassociatedmwithm“goingmnative.”mWhenmnurses mmovemfrommonempositionmtomanother, mt
heymhavemalreadymexperiencedmrealitymshock. mBecomingmanmexperiencedmnursemtakesmtimemand mismnot mpartmofmt
hemdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
, NURSINGmTODAYmTR ANSITIONm ANDmTRENDSm9TH mEDITIONm ZERWEKH mTE
ST
5. mAmstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtran
sitionmtomgraduatemnurse. mWhichmstatementmbymthemstudentmindicatesmhis/hermunderstandingmofmhowmtomachieve
mthismgoal?
a. “Imshouldmcaremformincreasedm numbers mofmpatients mtom enhance mworkmorganizationm skills.”
b. “Imwillm observemstaffmnurses masmtheymperformmnursingmprocedures mtom refinem technique.”
c. “Imshouldmseekmincreasinglymclosemguidance mfrommthemnursingm instructor mtom reducemerrors.”
d. “Imwillmevaluatem mymprogress mevery m7m weeks morm morem tom allowmtime mform growth.”
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemmana
gementmandmworkmorganization. mThemstudentmshouldmalsombemablemtomfunctionmwithoutmclosemguidancemfrommt
hemnursingminstructor. mAlthoughmitmismgoodmformstudentsmtomobservemstaff, mamstudentminmthemfinalmsemestermsho
uldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcareman
dmtimemmanagement. mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent. mAlthoughmr
egularmself-
mevaluationmismanmimportant mprocess, mitmismthemactualmexperiencemof mtakingmrealisticmpatientmassignmentsmandm
workingmtypicalmshiftmhoursmthatmassistsmwithmsuccessfulmrolemtransition.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
6. mAmnewmgraduatemofmlessmthanm1myearmdescribes mhis/hermperceptionmofmam staffmnursemposition, mstating:m“It
mfeelsmgreatmtombemamnurse! mInmfact, mit’smamsnap! mI mcanmhardlymbelievemthere’smnominstructor mlookingmover mm
ymshoulder.”mWhatmphasemofmrealitymshockmismthemgraduatemexperiencing?
a. Recovery c. Honeymoon
b. Shockmandm rejection d. Transition
ANS:mC
Inmthemfirstmphasemofmthemrolemtransitionmprocessm(themhoneymoonmphase), mthemgraduatemnursemismthrilledmwithm
completingmschoolmandmacceptingmthemfirstmjob. mLifemismambedmofmrosesmbecausemeveryonemknows mnursingmschoo
lmismmuchmhardermthanmnursingmpractice. mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstand mhowmnur
singmschoolmandmthem“realmworld”mcomemtogether. mTransitionmoccursmasmthemnursembegins mthemmovemfrommstud
entmtomnursemandmrefersmtomthementiremprocess, mnotmjustmamparticularmphase. mThemrecoverymphasemis mwhenmthemn
ursemcanmlaughmatmsituationsmthatmhe/shemisminmandmism ablemtomcope mwithmthemsituationsmthatmarembeingmfaced.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
m
DITIONZERWEKHTESTBANK
TESTBANK
NURSING TEST BANKS
m m
, NURSINGmTODAYmTR ANSITIONm ANDmTRENDSm9TH mEDITIONm ZERWEKH mTE
ST
Chapterm01:mRealitymShockmMULTIP
LEmCHOICE
1. Amgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital. mThemnewmnursemisminmthemhoneymoonmph
asemofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. “Imammsom nervousmaboutmbeingmonmmym ownm asm amnurse.”
b. “This mwillmbemamgreatm learningm experience.”
c. “Imcan’tm waitm tomhavemamsteady mpaycheck.”
d. “This mjobm ismperfect.m Imcanm finallymdom things mmymownmway.”
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmas mquitemrosy. mOften, mthemnewmg
raduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession. mRealitymshockmoccursmwhenmonemmovesmin
tomthemworkforcemaftermseveralmyearsmofmeducationalmpreparation. mRecoverymandmresolutionmoccurmwhenmthemgr
aduatemnursemismablemtomlaughmatmencounteredmsituations. mDuringmthismtime, mtensionmdecreases, mperceptionminc
reases, mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mIdentifymthemcharacteristicsmofmrealitymshmo Nc mkU.mRTSOI PN : GRTeBa .l Ci t yO M
sh ock m
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—
management ofmcare
II
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecovermf
rommrealitymshock?
a. Networking c. Returningmtom school
b. Obtainingm am mentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtom evaluatemthem workmsituationmob
jectivelymandmpredictmeffectivelymthemactionsmandmreactionsmofmothermstaff. mNurturingmthemabilitymtomseemhumo
rm inmamsituationmmaymbemamfirstmstep. mReturningmtomschoolmismampositivemstep maftermthemgraduatemhasmworkedmt
hroughmrolemtransition, mhasmsomemclinicalmexperience, mandmismreadymtomfocusmonmamnewmcareermobjective. mNet
working, mobtainingmammentor, mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymt
omtalkmtomothersmexperiencingmthemstressmassociatedmwithmrealitymshock. mThemnursemwouldmbenefitmfromm‘talki
ngmthrough’ missues
andmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
, NURSINGmTODAYmTR ANSITIONm ANDmTRENDSm9TH mEDITIONm ZERWEKH mTE
ST
3. Amnursemismtryingmtomavoidmburnout. mWhichmofmthemfollowingmactionsmismamvalidmway mtomachievemthis?
a. Refusingmtom constantlymworkmextram shifts
b. Withdrawingmfrommpeermsupportmgroup
c. “Goingmnative”
d. Changingmjobs meverym6m tom 12m months
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom“overworkmthemovertime.”mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority. mLearningmtomsaym“no”mtomextramshifts mismampositivemmean
smofmcopingmofmavoidingmburnout. m“Goingmnative”mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtom
copymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschool
mandmfunctioningmmoremlikemamteammmember matmtheir mplacemof memployment. mWithdrawingmfrommpeer msupportm
groups, m“goingmnative,”mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchance mofmthemnurseme
xperiencingmburnout. mThemnursemshouldminsteadmfocusmonmhis/hermpracticemandmseekmout msupportmfrommothermn
urses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
4. Whichmofmthemfollowingmsgtraatedm
uaetnetns ubrysethsheow s m anmunderstandingofmrealitymshockmasmit
II II I
appliesmtomnursing?
a. “mRealitymshockmismthemperiodm whenm ampersonm moves mfrommschoolm intom themworkforce.
b. “Realitymshockmis mthemrealizationm thatmpractice mandm educationm aremnotm themsame.”
c. “Realitymshockmis mthemperiodm frommgraduationm tombecomingm anm experiencedm nurse.”
d. “Realitymshockmis mam transitionmphasem thatm new mgraduates mgom throughmbeforem changing mjobs.”
ANS:mA
“Realitymshock”mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmoves mintomthemworkfo
rcemaftermseveralmyearsmofmeducationalmpreparation. mThemnewmgraduatemismcaughtminmthem situationmofmmovingmf
rommamfamiliar, mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic. mThemrealizationmthatmpracticemandmnursingmschoolmar
emnotmthemsamemismoftenmassociatedmwithm“goingmnative.”mWhenmnurses mmovemfrommonempositionmtomanother, mt
heymhavemalreadymexperiencedmrealitymshock. mBecomingmanmexperiencedmnursemtakesmtimemand mismnot mpartmofmt
hemdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
, NURSINGmTODAYmTR ANSITIONm ANDmTRENDSm9TH mEDITIONm ZERWEKH mTE
ST
5. mAmstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtran
sitionmtomgraduatemnurse. mWhichmstatementmbymthemstudentmindicatesmhis/hermunderstandingmofmhowmtomachieve
mthismgoal?
a. “Imshouldmcaremformincreasedm numbers mofmpatients mtom enhance mworkmorganizationm skills.”
b. “Imwillm observemstaffmnurses masmtheymperformmnursingmprocedures mtom refinem technique.”
c. “Imshouldmseekmincreasinglymclosemguidance mfrommthemnursingm instructor mtom reducemerrors.”
d. “Imwillmevaluatem mymprogress mevery m7m weeks morm morem tom allowmtime mform growth.”
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemmana
gementmandmworkmorganization. mThemstudentmshouldmalsombemablemtomfunctionmwithoutmclosemguidancemfrommt
hemnursingminstructor. mAlthoughmitmismgoodmformstudentsmtomobservemstaff, mamstudentminmthemfinalmsemestermsho
uldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcareman
dmtimemmanagement. mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent. mAlthoughmr
egularmself-
mevaluationmismanmimportant mprocess, mitmismthemactualmexperiencemof mtakingmrealisticmpatientmassignmentsmandm
workingmtypicalmshiftmhoursmthatmassistsmwithmsuccessfulmrolemtransition.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
6. mAmnewmgraduatemofmlessmthanm1myearmdescribes mhis/hermperceptionmofmam staffmnursemposition, mstating:m“It
mfeelsmgreatmtombemamnurse! mInmfact, mit’smamsnap! mI mcanmhardlymbelievemthere’smnominstructor mlookingmover mm
ymshoulder.”mWhatmphasemofmrealitymshockmismthemgraduatemexperiencing?
a. Recovery c. Honeymoon
b. Shockmandm rejection d. Transition
ANS:mC
Inmthemfirstmphasemofmthemrolemtransitionmprocessm(themhoneymoonmphase), mthemgraduatemnursemismthrilledmwithm
completingmschoolmandmacceptingmthemfirstmjob. mLifemismambedmofmrosesmbecausemeveryonemknows mnursingmschoo
lmismmuchmhardermthanmnursingmpractice. mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstand mhowmnur
singmschoolmandmthem“realmworld”mcomemtogether. mTransitionmoccursmasmthemnursembegins mthemmovemfrommstud
entmtomnursemandmrefersmtomthementiremprocess, mnotmjustmamparticularmphase. mThemrecoverymphasemis mwhenmthemn
ursemcanmlaughmatmsituationsmthatmhe/shemisminmandmism ablemtomcope mwithmthemsituationsmthatmarembeingmfaced.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
