, Chapter 01: Role Transitions.
MULTIPLE CHOICE
1. A newly graduated nurse has started working at a local hospital.
During the honeymoon phase of their role transition, which of the
following statements might they make?
a. “I feel so anxious about practicing as an independent nurse.”
b. “This is going to be an amazing learning opportunity.”
c. “I can’t wait to start receiving a regular salary.”
d. “This position is ideal. I can finally implement my own ideas.”
ANS: D
The honeymoon phase is characterized by an optimistic view of nursing,
where the new graduate is excited about entering the profession. This initial
thrill often fades when the nurse confronts the realities of their new role,
leading to a period of reality shock after years of education. Recovery
occurs when the nurse can laugh about challenges they face, leading to
reduced tension and enhanced personal growth.
PTS: 1
DIF: Cognitive Level: Application/Applying
REF: Table 1.1
OBJ: Identify the characteristics of reality shock.
TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment.
2. Which action taken by the graduate nurse is considered an ineffective
method for recovering from reality shock?
a. Networking with other professionals.
b. Seeking guidance from a mentor.
c. Enrolling in further education immediately.
d. Participating in a support group.
ANS: C
Successfully navigating the transition involves the graduate objectively
assessing their work environment and anticipating the responses of
colleagues. Developing a sense of humor can be beneficial during this
phase. However, pursuing further education is best after the nurse has
gained some clinical experience and has a clearer focus on their career
objectives. Networking, mentorship, and support groups offer valuable
opportunities to share experiences and develop coping strategies.
PTS: 1
DIF: Cognitive Level: Application/Applying
REF: p. 9
,OBJ: Describe methods to promote a successful transition.
TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment.
3. A nurse is seeking ways to prevent burnout. Which of the following
strategies is effective for achieving this?
a. Declining to take on additional shifts.
b. Isolating from peer support networks.
c. Adopting a “going native” mentality.
d. Frequently changing jobs every few months.
ANS: A
One of the quickest paths to burnout is overextending oneself by
consistently working overtime. Prioritizing mental and physical well-being is
essential, and learning to say "no" to extra shifts is a constructive
approach. The term “going native” refers to recent graduates who start to
emulate their workplace rather than adhering to their educational values.
Isolating from peers or frequently changing jobs can exacerbate burnout
rather than mitigate it, as support from colleagues is crucial.
PTS: 1
DIF: Cognitive Level: Application/Applying
REF: p. 7
OBJ: Describe methods to promote a successful transition.
TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment.
4. Which statement made by the graduate nurse demonstrates an
understanding of reality shock in nursing?
a. “Reality shock occurs when someone transitions from education to
employment.”
b. “Reality shock is the realization that clinical practice differs from
classroom learning.”
c. “Reality shock is the time frame from graduation until becoming
proficient as a nurse.”
d. “Reality shock is a transitional phase encountered by new nurses
before changing jobs.”
ANS: A
The term “reality shock” describes the feelings experienced by new
graduates entering the workforce after extensive educational training. They
often face a stark contrast between their familiar academic environment
and the unpredictable nature of their new role, where expectations may not
, align with reality. The recognition that nursing practice and education
diverge is often linked to the phenomenon of “going native.” Transitioning
between jobs reflects a different experience than reality shock, which
encompasses the challenges faced in the initial stages of practice.
PTS: 1
DIF: Cognitive Level: Application/Applying
REF: p. 5
OBJ: Identify the characteristics of reality shock.
TOP: Reality shock
MSC: NCLEX®: Not applicable.
5. A nursing student in their final semester has set a goal to transition
successfully into a graduate nurse role. Which statement reflects their
understanding of how to achieve this goal?
a. “I should manage a larger patient load to improve my
organizational skills.”
b. “I will observe experienced nurses performing procedures to
enhance my technique.”
c. “I should rely more on my instructor for close guidance to minimize
errors.”
d. “I will assess my progress every two months to allow sufficient time
for development.”
ANS: A
It is crucial for students to gradually take on more patient responsibilities to
improve time management and organizational skills. The final semester
should be a period of increasing independence from the instructor. While
observing skilled nurses is valuable, the focus should be on implementing
care autonomously. Evaluating progress over an extended period may
hinder immediate growth; therefore, students should seek regular feedback
through practical experiences to facilitate a successful transition into
nursing.
PTS: 1
DIF: Cognitive Level: Application/Applying
REF: p. 13
OBJ: Describe methods to promote a successful transition.
TOP: Reality shock
MSC: NCLEX®: Not applicable.
6. A recent nursing graduate with less than a year of experience
expresses, “Being a nurse is fantastic! It’s so easy! I can’t believe
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