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TEST BANK for Nursing Today: Transition and Trends 8th Edition by Zerwekh, Ashley Garneau | All 26 Chapters

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Nursing Today: Transition and Trends

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Nursing Today: Transition And Trends

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Nursing Today

TEST BANK for Nursing Today: Transition and Trends 8th Edition by JoAnn Zerwekh, Ashley Garneau. (All 26 Chapters).

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,Item Bank: Zerwekh Nursing Today 8th ED
Objective: CH 01: Role Transitions

1. Question Name: 0001 Type: MC Objective: CH 01: Role Transitions Item Bank: Zerwekh Nursing Today
8th ED
A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon
phase of role transition when making which of the following statements?
A. “I am so nervous about being on my own as a nurse.”
B. “This will be a great learning experience.”
C. “I can’t wait to have a steady paycheck.”
* D. “This job is perfect. I can finally do things my own way.”
Correct Answer: D

Explanation/Rationale:
ANS: D
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the
new graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when
one moves into the workforce after several years of educational preparation. Recovery and
resolution occur when the graduate nurse is able to laugh at encountered situations. During this
time, tension decreases, perception increases, and the nurse is able to grow as a person.

PTS: 1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment-management of care
Reference/Notes:

Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 08/09/14 00:22:11 Date Modified: 08/09/14 00:22:11 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00

2. Question Name: 0002 Type: MC Objective: CH 01: Role Transitions Item Bank: Zerwekh Nursing Today
8th ED
Which of the following actions by the graduate nurse is an inappropriate methodology to recover
from reality shock?

, A. Networking
* B. Obtaining a mentor
C. Returning to school
D. Joining a support group
Correct Answer: B

Explanation/Rationale:
ANS: B
The transition period is successfully managed when the graduate is able to evaluate the work
situation objectively and predict effectively the actions and reactions of other staff. Nurturing the
ability to see humor in a situation may be a first step. Returning to school is a positive step after the
graduate has worked through role transition, has some clinical experience, and is ready to focus on
a new career objective. Networking, obtaining a mentor, and joining a support group would give
the graduate nurse an opportunity to talk to others experiencing the stress associated with reality
shock. The nurse would benefit from ‘talking through’ issues and learning how to cope.

PTS: 1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment-management of care
Reference/Notes:

Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 08/09/14 00:22:11 Date Modified: 08/10/14 20:22:15 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00

3. Question Name: 0003 Type: MC Objective: CH 01: Role Transitions Item Bank: Zerwekh Nursing Today
8th ED
A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
* A. Refusing to constantly work extra shifts
B. Withdrawing from peer support group
C. “Going native”
D. Changing jobs every 6 to 12 months
Correct Answer: A

Explanation/Rationale:

, ANS: A
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with
your mental and physical health being the highest priority. Learning to say “no” to extra shifts is a
positive means of coping of avoiding burnout. “Going native” is the term that describes how recent
graduates begin to copy and identify the reality of their role transition experience by rejecting the
values from nursing school and functioning more like a team member at their place of
employment. Withdrawing from peer support groups, “going native,” and changing jobs every 6 to
12 months would increase the chance of the nurse experiencing burnout. The nurse should instead
focus on his/her practice and seek out support from other nurses.

PTS: 1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment-management of care
Reference/Notes:

Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 08/09/14 00:22:11 Date Modified: 08/09/14 00:22:11 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00

4. Question Name: 0004 Type: MC Objective: CH 01: Role Transitions Item Bank: Zerwekh Nursing Today
8th ED
Which of the following statements by the graduate nurse shows an understanding of reality shock as
it applies to nursing?
* A. “ Reality shock is the period when a person moves from school into the workforce.
B. “Reality shock is the realization that practice and education are not the same.”
C. “Reality shock is the period from graduation to becoming an experienced nurse.”
D. “Reality shock is a transition phase that new graduates go through before changing jobs.”
Correct Answer: A

Explanation/Rationale:
ANS: A
“Reality shock” is a term often used to describe the reaction experienced when one moves into the
workforce after several years of educational preparation. The new graduate is caught in the
situation of moving from a familiar, comfortable educational environment into a new role in the
workforce where the expectations are not clearly defined or may not even be realistic. The
realization that practice and nursing school are not the same is often associated with “going

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Exam (elaborations)

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