1. 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...
Chapter 01: Reality Shock
MULTIPLE CHOICE
1. 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
The honeymoon phase is when the student nurse sees the world of musing 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
MSC: NCLEX@.• Safe and effective care environment—management of care
2. Which of the following actions by the graduate nurse IS an inappropriate methodology to
recover from reality shock?
a. a. Networking c. Retuming to school
b. b. Obtaining a mentor d. d. Joining a support group
CORRECT ANSWER: C
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 tlu•ough' 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
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3. A nurse is trying to avoid burnout. 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
One of the quickest ways to experience burnout is to overwork the overtime. Set pri01ities 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: NCI-EX@• Safe and effective care environment management of care
4. Which of the following statements by the graduate nurse snows 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
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 anew 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
native. Wen nurses move from one position to another, they have already experienced reality
shock. Becoming an experienced nurse takes time and is not part of the definition of reality
shock.
PTS: 1 DIF. Cognitive Level: Application REF: p. 6
3|Page
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OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
MSC: NCLEX@: Not applicable
5. A student in the last semester of nursing school has established a goal of making a successful
role transition to graduate nurse. Which statement by the student indicates his/her understanding
of how to achieve this goal?
a. I should care for increased numbers of patients to enhance work organization skills.
b. I will observe staff nurses as they perform musing procedures to refine technique.
c. I should seek increasingly close guidance from the nursing instructor to reduce errors.
d. I will evaluate my progress every 7 weeks or more to allow time for growth.
CORRECT ANSWER: A
It is important for the student to start taking care of increased numbers of patients to help with
time management and work organization. The student should also be able to function without
close guidance from the nursing instructor. Although it is good for students to observe staff, a
student in the final semester should be able to perform tasks with minimal observation and
should instead focus on implementing care and time management. Waiting 7 weeks to evaluate
progress would not be helpful to the student. Although regular self-evaluation is an important
process, it is the actual experience of taking realistic patient assignments and working typical
shift hours that assists with successful role transition.
PTS: 1 DIF. Cognitive Level: Application REF: p. 6
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
MSC: NCLEX@: Not applicable
6. A new graduate of less than 1 year describes his/her perception of a staff nurse position,
stating: It feels great to be a nurse! In fact, it's a snap! I can hardly believe there's no instructor
looking over my shoulder. What phase of reality shock is the graduate experiencing?
a. Recovery
b. Honeymoon
c. Shock and INJECTION.
d. Transition
CORRECT ANSWER: C
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is
thrilled with completing school and accepting the first job. Life is a bed of roses because
everyone knows nursing school is much harder than nursing practice. Shock and rejection occur
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