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TABLEOF CONTENTS v v
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MULTIPLE CHOICE v
1. Agraduate nurse has been hired as a nurse at a local hospital. The new nurse is in the .
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honeymoon phase ofrole transition when making which ofthe following statements? a. “I
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amso nervous about being on my ownas a nurse.”
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b. “This will be a great learning experience.” . v v v v v v
c. “I can’t wait to have a steadypaycheck.” v v v v v v v
d. “This job is perfect. Ican finallydo things myown way.” v v v v v v v v v v v
ANSWER: D v .
The honeymoon phase is when the student nurse sees the world ofnursing as quite rosy. Often,
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the new graduate is fascinated withthe thrillofarriving in the profession. Reality shock occurs
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when one moves into the workforceafter severalyears ofeducational preparation. Recoveryand
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resolution occur when the graduate nurse is able to laugh at . encountered situations. During this
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time, tension decreases, perception increases, and the nurse is able to grow as a person.
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PTS: 1 v DIF:CognitiveLevel: Application/Applying v v v
REF:Table1.1 v v OBJ: Identifythecharacteristics of realityshock.v v v v v v
TOP:Realityshock v v MSC: NCLEX®: Safeand effectivecare environment v v v v v v
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2. Which ofthe following actions by the graduate nurse is an inappropriate methodology to
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recover fromrealityshock?
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a. Networking .
b. Obtaining a mentor v v
c. Returning to school v v
d. Joining a support group v v v
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ANSWER: C v
The transition period is successfully managed when the graduate is able to evaluate the work
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situation objectivelyand predict effectivelythe actions and reactions ofother staff.
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Nurturing
the ability to see humor in a situation may be a first step. Returning to school is a positive step . after the
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graduate has worked through role transition, has some clinicalexperience, and is readyto focuson a
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new career objective. Networking, obtaining a mentor, and joining a support group would give the
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graduate nurse an opportunityto talk to others experiencing the .
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, stress associated with reality shock. The nurse would benefit from “talking through” issues
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and learning how to cope.
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PTS: 1 v DIF:CognitiveLevel: Application/Applying . v v v v
REF: p. 9 v v OBJ: Describe methods to promotea successful transition. v v v v v v v
TOP:Realityshock
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MSC: NCLEX®: Safeand effectivecare environment Not applicable
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3. A nurse is trying to avoid burnout. Which ofthe following actions is a valid wayto achieve this?
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a. Refusing to constantlywork extra shifts v v v v v
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b. Withdrawing frompeer support group v v v v
c. “Going native” v
d. Changing jobs every6 to 12 months . v v v v v v v
ANSWER: A v
One ofthe quickest ways to experience burnout is to “overwork theovertime.” Set priorities with
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your mentaland physical health being the highest priority. Learning to say “no” to extra shifts is a
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positive means ofcoping ofavoiding burnout. “Going native” is thetermthat . describes how recent
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graduates beginto copyand identifythe realityoftheir role-transition experience byrejecting the
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values fromnursing schooland functioning more like a team member at their place ofemployment.
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Withdrawing frompeer support groups, “going native,” . and changing jobs every6 to 12 months
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would increase the chance ofthe nurse experiencing
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burnout. The nurse should instead focus on his/her practice and seek out support from other
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nurses.
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PTS: 1 DIF:CognitiveLevel: Application/Applying
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REF: p. 7 OBJ: Describe methods to promotea successful transition.
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TOP:Realityshock
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MSC: NCLEX®: Safeand effectivecare environment Not applicable .
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4. Which ofthe following statements bythe graduate nurse shows an understanding of reality
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shock as it applies to nursing? .
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a. “Realityshock is the period when a person moves fromschool into the v v v v v v v v v v v v
b. workforce.”“Reality shock is the realization that practice and education are not the same.” v v v v v v v v v v v v
c. “Realityshock is the period fromgraduation to becoming an experienced nurse.”. v v v v v v v v v v v
d. “Reality shock is a transitionphase that new graduates go through before changing jobs.” v v v v v v v v v v v v v
ANSWER: A v
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