which of the following statements? a. ―I am so nervous about being on
mm mm mm mm mm m m mm mm mm mm mm mm mm
my own as a nurse.‖
mm mm mm mm mm
b. ―This will be a great learning experience.‖ .
mm mm mm mm mm mm
c. ―I can‘t wait to have a steady paycheck.‖
mm mm mm mm mm mm mm
d. ―This job is perfect. I can finally do things my own way.‖
mm mm mm mm mm mm mm mm mm mm mm
ANS: D mm .
The honeymoon phase is when the student nurse sees the world of nursing as
mm mm mm mm mm mm mm mm mm mm mm mm mm
quite rosy. Often, the new graduate is fascinated with the thrill of arriving in
mm mm mm mm mm mm mm mm mm mm mm mm mm mm
the profession. Reality shock occurs when one moves into the workforce after
mm mm mm mm mm mm mm mm mm mm mm mm
several years of educational preparation. Recovery and resolution occur when the
mm mm mm mm mm mm mm mm mm mm mm
graduate nurse is able to laugh at . encountered situations. During this time,
mm mm mm mm mm mm mm mm mm mm mm mm mm
tension decreases, perception increases, and the nurse is able to grow as a
mm mm mm mm mm mm mm mm mm mm mm mm mm
person.
mm
.
PTS: 1 mm DIF: Cognitive Level: Application/Applying mm mm mm
REF: Table 1.1
mm OBJ: Identify the characteristics of reality shock.
mm mm mm mm mm mm mm
TOP: Reality shock
mm MSC: NCLEX®: Safe and effective care environment
mm mm mm mm mm mm mm
.
2. Which of the following actions by the graduate nurse is an inappropriate
mm mm mm mm mm mm mm mm mm mm mm
mm methodology to mm m m recover from reality shock?
mm mm mm
a. Networking .
b. Obtaining a mentor mm mm
c. Returning to school mm mm
d. Joining a support group mm mm mm
.
ANS: C mm
The transition period is successfully managed when the graduate is able to
mm mm mm mm mm mm mm mm mm mm mm
mmevaluate the work situation objectively and predict effectively the actions and
mm mm mm mm mm mm mm mm mm mm
reactions of other staff.
mm mm mm mm
Nurturing
the ability to see humor in a situation may be a first step. Returning to school
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmis a positive step . after the graduate has worked through role transition, has
mm mm mm mm mm mm mm mm mm mm mm mm mm
mmsome clinical experience, and is ready to focus on a new career objective.
mm mm mm mm mm mm mm mm mm mm mm mm
mmNetworking, obtaining a mentor, and joining a support group would give the
mm mm mm mm mm mm mm mm mm mm mm
mmgraduate nurse an opportunity to talk to others experiencing the .
mm mm mm mm mm mm mm mm mm m m
, stress associated with reality shock. The nurse would benefit from ―talking through‖
mm mm mm mm mm mm mm mm mm mm mm
mmissues and learning how to cope.
mm mm mm mm mm
PTS: 1 mm DIF: Cognitive Level: Application/Applying .
mm mm mm mm
REF: p. 9 mm mm OBJ: Describe methods to promote a successful
mm mm mm mm mm mm
transition. TOP: Reality shock
mm mm mm mm
MSC: NCLEX®: Safe and effective care environment Not applicable
mm mm mm mm mm mm mm mm
.
3. A nurse is trying to avoid burnout. Which of the following actions is a valid
mm mm mm mm mm mm mm mm mm mm mm mm mm mm
way to achieve this?
mm mm mm mm
a. Refusing to constantly work extra shifts
mm mm mm mm mm .
b. Withdrawing from peer support group mm mm mm mm
c. ―Going native‖ mm
d. Changing jobs every 6 to 12 months . mm mm mm mm mm mm mm
ANS: A mm
One of the quickest ways to experience burnout is to ―overwork the overtime.‖
mm mm mm mm mm mm mm mm mm mm mm mm
Set priorities with your mental and physical health being the highest priority.
mm mm mm mm mm mm mm mm mm mm mm mm
Learning to say ―no‖ to extra shifts is a positive means of coping of avoiding
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
burnout. ―Going native‖ is the term that . describes how recent graduates begin
mm mm mm mm mm mm mm mm mm mm mm mm mm
to copy and identify the reality of their role-transition experience by rejecting
mm mm mm mm mm mm mm mm mm mm mm mm
the values from nursing school and functioning more like a team member at
mm mm mm mm mm mm mm mm mm mm mm mm mm
their place of employment. Withdrawing from peer support groups, ―going
mm mm mm mm mm mm mm mm mm mm
native,‖ . and changing jobs every 6 to 12 months would increase the chance
mm mm mm mm mm mm mm mm mm mm mm mm mm mm
of the nurse experiencing
mm mm mm mm
burnout. The nurse should instead focus on his/her practice and seek out support
mm mm mm mm mm mm mm mm mm mm mm mm
from other nurses.
mm mm m m
.
PTS: 1 mm DIF: Cognitive Level: Application/Applying mm mm mm
REF: p. 7 mm OBJ: Describe methods to promote a successful
mm mm mm mm mm mm mm
transition. TOP: Reality shock
mm mm mm mm
MSC: NCLEX®: Safe and effective care environment Not applicable
mm mm mm mm mm mm mm mm .
mm
4. Which of the following statements by the graduate nurse shows an
mm mm mm mm mm mm mm mm mm mm
understanding of reality shock as it applies to nursing? .
mm mm mm m m mm mm mm mm mm mm
a. ―Reality shock is the period when a person moves from school into the
mm mm mm mm mm mm mm mm mm mm mm mm
b. workforce.‖―Reality shock is the realization that practice and education are
mm mm mm mm mm mm mm mm mm
mm not the same.‖
mm mm
c. ―Reality shock is the period from graduation to becoming an experienced
mm mm mm mm mm mm mm mm mm mm
nurse.‖.
mm
d. ―Reality shock is a transition phase that new graduates go through before
mm mm mm mm mm mm mm mm mm mm mm
changing jobs.‖
mm mm
ANS: A mm .
, ―Reality shock‖ is a term often used to describe the reaction experienced when
mm mm mm mm mm mm mm mm mm mm mm mm
one moves into the workforce after several years of educational preparation.
mm mm mm mm mm mm mm mm mm mm mm
The new graduate is caught in the situation of moving from a familiar,
mm mm mm mm mm mm mm mm mm mm mm mm mm
comfortable educational environment into a new role in . the workforce where
mm mm mm mm mm mm mm mm mm mm mm mm
the expectations are not clearly defined or may not even be realistic. The
mm mm mm mm mm mm mm mm mm mm mm mm mm
realization that practice and nursing school are not the same is often
mm mm mm mm mm mm mm mm mm mm mm mm
associated with ―going native.‖ When nurses move from one position to
mm mm mm mm mm mm mm mm mm mm mm
another, they have already experienced
mm mm mm mm mm
reality shock. Becoming an experienced nurse takes time and is not part of the
mm mm mm mm mm mm mm mm mm mm mm mm mm
definition of . reality shock.
mm mm mm mm mm
PTS: 1 DIF: Cognitive Level: Application/Applying
mm mm mm mm mm mm. REF:
mm p. 5 OBJ: Identify the characteristics of reality shock.
mm mm mm mm mm mm mm mm
TOP: Reality shock mm mm MSC: NCLEX®: Not applicable
mm mm mm
5. A new graduate of less than 1 year describes his/her perception of a staff
mm mm mm mm mm mm mm mm mm mm mm mm mm
nurse position, stating: ―It feels great to be a nurse! In fact, it‘s a snap! I
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
can hardly believe there‘s no . instructor looking over my shoulder.‖ What
mm mm mm mm mm mm mm mm mm mm mm mm
phase of reality shock is the graduate experiencing?
mm mm mm mm mm mm mm mm
a. Recovery .
b. Shock and rejection mm mm
c. Honeymoon
d. Transition .
ANS: C mm
In the first phase of the role transition process (the honeymoon phase), the graduate
mm mm mm mm mm mm mm mm mm mm mm mm mm
nurse is thrilled with completing school and accepting the first job. Life is a bed
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
of roses because everyone knows nursing school is much harder than nursing
mm mm mm mm mm mm mm mm mm mm mm mm
practice. Shock and rejection . occur as the nurse tries to understand how nursing
mm mm mm mm mm
mm
mm mm mm mm mm mm mm mm
school and the ―real world‖ come together. Transition occurs as the nurse begins
mm mm mm mm mm mm mm mm mm mm mm mm mm
the move from student to nurse and refers to the entire process, not just a
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
particular phase. The recovery phase is when the nurse can laugh at . situations
mm mm mm mm mm mm mm mm mm mm mm mm mm mm
that he/she is in and is able to cope with the situations that are being faced.
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
PTS: 1 mm DIF: Cognitive Level: Application/Applying mm mm mm
REF: p. 7 mm OBJ: Compare and contrast the phases of reality shock.
mm mm mm mm mm mm mm mm mm .
mm
TOP: Reality shock
mm MSC: NCLEX®: Not applicable
mm mm mm mm
6. A student in the last semester of nursing school has established a goal of
mm mm mm mm mm mm mm mm mm mm mm mm mm
making a successful . role transition to graduate nurse. Which statement by
mm mm mm m m mm mm mm mm mm mm mm mm
the student indicates his/her understanding of how to achieve this goal?
mm mm mm mm m m mm mm mm mm mm mm
a. ―I should care for increased numbers of patients to enhance work
mm mm mm mm mm mm mm mm mm mm
organization skills.‖ .
mm mm
b. ―I will observe staff nurses as they perform nursing procedures
mm mm mm mm mm mm mm mm mm
mmto refine technique.‖
mm mm
c. ―I should seek increasingly close guidance from the nursing instructor to reduce
mm mm mm mm mm mm mm mm mm mm mm
mm .
errors.‖
d. ―I will evaluate my progress every 7 weeks or more to allow time for
mm mm mm mm mm mm mm mm mm mm mm mm mm
growth.‖ mm
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