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.”
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?
a. Networking c. Returning to school
b. Obtaining a mentor d. Joining a support group
3. 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
4. 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.”
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 nursing 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.”
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 c. Honeymoon
b. Shock and rejection d. Transition
7. A new graduate has worked on a busy unit for 6 months since graduating from nursing school. The graduate tells a friend, “I’ve never been so upset in all my life! The care that some of the staff give our patients is outrageously bad. There’s practically no attention to the principles of asepsis the way I learned them! The staff tells me that we have to cut corners if we’re going to get all the work done. I can’t stand it!” What phase of reality shock is this graduate experiencing?
a. Honeymoon c. Recovery
b. Shock and rejection d. Role transformation
8. A graduate nurse has been out of school for 3 months and working in a staff nurse position for the past 2 months. What type of transition is the nurse experiencing?
a. A developmental transition c. A health-oriented transition
b. An organizational transition d. A situational transition
9. The graduate nurse understands that transitions occur throughout life. What major factor does the nurse identify as influential in a successful transition from school to practice?
a. Level of new knowledge and skills required in the new environment
b. Amount of classwork required to obtain a degree
c. Personal history of previous developmental transitions
d. Influence of classmates and their transitional experiences
10. A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements?
a. “A graduate nurse should be able to perform as independently as was demonstrated the last semester of nursing.”
b. “A graduate nurse should be able to function competently as a registered nurse at the entry level.”
c. “A graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing.”
d. “A graduate nurse should be able to be able to function independently with ability to make clinical nursing judgments.”
11. Which action by the graduate nurse shows that a successful transition to nursing has been made?
a. The nurse begins to work with the nursing team and functions as others expect.
b. The nurse begins to objectively evaluate work experiences and enjoy the humor of clinical situations.
c. The nurse believes everything is great, patients are wonderful, and the new unit is so nice.
d. The nurse meets regularly with other new graduates to compare and discuss problems.
12. A student nurse is in the last semester of nursing school. Which action by the nursing student indicates appropriate preparation for the transition experience?
a. The nursing student requests additional experiences in performing skills and procedures.
b. The nursing student maintains close contact with a nursing instructor to observe nursing procedures.
c. The nursing student practices nursing assessments and care on one or two patients to become more competent.
d. The nursing student increases communication with a nursing instructor to maintain a resource person after graduation.
13. A graduate nurse has been reviewing the NCSBN’s Transition to Practice model. The graduate nurse understands the intention of the model when making which of the following statements?
a. “The intention of the model is to mandate that all state boards of nursing provide a regulatory model for transition to practice.”
b. “The intention of the model is to provide educational modules so that the new graduate does not need to work with a preceptor.”
c. “The intention of the model is to have the new graduate take and pass the NCLEX® Exam, obtain employment, and then enter a transition program.”
d. “The intention of the model is to complete the formalized transition program within 6 weeks.”
14. The nurse has an adequate understanding of transitions when making which statement about situational transitions?
a. “This type of transition can occur with leadership change.”
b. “This type of transition occurs only when one is dealing with a chronic illness.”
c. “This type of transition can occur when one has a career change.”
d. “This type of transition occurs during a midlife crises.”
15. A student in the last semester of nursing school wants to be sure of adequate preparation for the transition experience. Which patient should be added on to the clinical assignment to assist in this process?
a. A 48-year-old man with heart failure who has oral and IV medications due and needs a new IV started
b. A 38-year-old woman who cares for herself independently and is going home later today
c. A 25-year-old man who is leaving the hospital against medical advice
d. A 40-year-old man who needs education on diabetes management
16. A student nurse is interested in improving his/her nursing skills. What action would be the best for the student nurse to take?
a. Ask his/her instructor for extra skills practice during clinical hours.
b. Watch videos on how to perform the nursing skills that he/she needs to practice.
c. Review his/her nursing textbooks.
d. Observe nurses perform skills in his/her clinical setting.
17. A nursing student is nearing the end of his/her clinical experience. The student would like to care for patients who are typically challenging for students in the first year of practice. Which patient would be the best choice for this student?
a. A 62-year-old man with diabetes who needs outpatient care set up
b. A 30-year old woman with a kidney stone requiring IV pain medications
c. A 45-year old man with chest tubes recovering from a car accident
d. A 25-year old woman who received blood yesterday
18. Which statement by the nursing student indicates an understanding of the importance of constructive feedback?
a. “I will wait until my clinical evaluation and then make any changes to my practice that are needed.”
b. “I will request routine feedback from my instructor so I can make any changes needed to improve my skills.”
c. “My instructor will let me know if I need to change anything.”
d. “I will ask my colleagues if I needed to make any changes to my practice.”
19. A graduate nurse has clocked in for his/her second shift on a busy orthopedic unit. After accepting the assignment, the graduate nurse notices a fellow nurse complaining loudly at the nurse’s station to other staff members. This fellow nurse is typically upset with floor assignments and thinks that the “new nurses get all the easy assignments.” Which action would be best for the graduate nurse to take?
a. Join the conversation and tell the fellow nurse that he/she does not care for the assignment either.
b. Begin a conversation with another staff member about the fellow nurse who is complaining.
c. Steer clear of the nurse who is complaining and try to focus on the positive.
d. Begin complaining about his/her own assignment.
20. A new nurse is caring for five patients on a busy surgical floor. While hanging blood for a patient, the nurse receives notice that another assigned patient is being taken for surgery. The nurse has not obtained informed consent from the patient. What action should the new nurse take?
a. Immediately leave the room he/she is in and obtain informed consent from the patient.
b. Allow the patient to go to surgery without obtaining informed consent.
c. Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.
d. Ask the transporter to obtain informed consent from the patient.
21. The new graduate has an understanding of the nursing journey ahead when stating:
a. “It is not acceptable for me to make any mistakes at all.”
b. “I am not worried about issues with transition. I am tough. I will do just fine!”
c. “I know that I will make some mistakes, but I will learn and grow from them.”
d. “I am going to keep studying so that I am always right.”
22. A nurse has worked the past 5 days in a row to make some extra money. Today is a scheduled day off. Which of the following actions would be the best for this nurse to take?
a. Call the unit to see if they need the nurse to work.
b. Read nursing articles and take practice quizzes to stay up to date.
c. Take his/her small children to the zoo.
d. Work on a continuing education requirement.
1. A nurse manager is preparing a group of newly hired nurses to work on the unit. After educating them on reality shock, a student raises their hand and asks what physical and psychological symptoms the nurse may experience? The nurse manager replies: (Select all that apply.)
a. “It is not possible to experience any physical or psychological symptoms from reality shock.”
b. “You may experience headaches.”
c. “It is possible that you will experience gastrointestinal upset.”
d. “You could experience insomnia.”
e. “Women may experience menorrhagia.”
2. A new nurse wants to make personal lifestyle changes to become a healthier individual. Which actions would help with reaching this goal? (Select all that apply.)
a. Begin an exercise routine.
b. Eat snacks late at night.
c. Incorporate relaxation into his/her schedule.
d. Begin eating nutritious meals and snacks.
3. Which action would greatly help the graduate nurse when seeking out employment? (Select all that apply.)
a. Plan out interviews.
b. Ask to speak to nurses who work on the unit.
c. Wait until the interview to gather all of the information.
d. Find out what type of nursing care is delivered.
e. Determine the length of orientation.