https://www.stuvia.com/user/angelinas
, Chapter01:Honoring YourPast,PlanningYourFuture Claywell:
b b b b b b b b
LPN to RN Transitions, 5th Edition
b b b b b b
MULTIPLE CHOICE b
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She
b b b b b b b b b b b b b b b b
knowsthatlicensed practical nurse/licensevocational nurse(LPN/LVNs)who enternursing
b b b b b b b b b b b
school to become RNs come into the learning environment with prior knowledge and
b b b b b b b b b b b b b
understanding. Which statement by the nursing advisor best describes her understanding of the
b b b b b b b b b b b b b
effect experience may have on learning?
b b b b b b
a. “Experience may be a source of insight and motivation, or abarrier.” b b b b b b b b b b b
b. “Experience is usually a stumbling block for LPN/LVNs.” b b b b b b b
c. “Experience never makes learning more difficult.” b b b b b
d. “Once something is learned, it can never be truly modified.”
b b b b b b b b b
ANS: A b
Experience accentuates differences among learners and serves as a source of insight and
b b b b b b b b b b b b
motivation, but it can also be a barrier. Experience can serve as a foundation fordefining the self.
b b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application b b
OBJ: Identify how experiences influence learning in adults.
b b b b b b b b TOP: Adult Learning b b
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night.
b b b b b b b b b b b b b b b b
The student has alreadytaken a vacation day from work Thursday night so that she can stay home
b b b b b b b b b b b b b b b b b b
and study. She is considering skipping her exercise class on Thursday morning to go to the
b b b b b b b b b b b b b b b b
library to prepare for the test. Which response best identifies the student’s outcome priority?
b b b b b b b b b b b b b b
a. Exercise class b
b. Going to the library b b b
c. Avoiding work by taking a vacation b b b b b
d. Doing well on the test on Friday b b b b b b
ANS: D b
The outcome priority is theessential issue or need to be addressed at any given time within a set of
b b b b b b b b b b b b b b b b b b b
conditions or circumstances.
b b b
DIF: Cognitive Level: Application b b
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP:
b b b b b b b b b b b
Motivation to Learn
b b b
3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the
b b b b b b b b b b b b b b b b b
possibilityof taking classes to become an RN. The advisor interprets which statement bythe nurse
b b b b b b b b b b b b b b b b
as the driving force for returning to school?
b b b b b b b b
a. “I’ll need to schedule time to attend classes.”
b b b b b b b
b. “I’ll have to budget for paying tuition.” b b b b b b
c. “I’ll have to rearranging my schedule.” b b b b b
d. “There is a possibilityof advancement into administration.” b b b b b b b
ANS: D b
https://www.stuvia.com/user/angelinas
, Driving forces are those that push toward makingthechange, as opposed to restraining forces, which
b b b b b b b b b b b b b b b
are those that usually present a challenge that needs to be overcome for the change to take place or
b b b b b b b b b b b b b b b b b b b
present a negative effect the change may initiate.
b b b b b b b b
DIF: Cognitive Level: Application b b
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP:
b b b b b b b b b b b
Motivations for Change
b b b
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and
b b b b b b b b b b b b b b b b
has been asking questions about eating better. The nurse can interpret this behavior as
b b b b b b b b b b b b b b
which stage of Lewin’s Change Theory? b b b b b
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B b
The patient is in the first phase of Lewin’s Change Theory, known as unfreezing. This phase
b b b b b b b b b b b b b b b
involves determining that a change needs to occur and deciding to take action. Moving is the
b b b b b b b b b b b b b b b b
second phase and involves actively planning changes and taking action on them. Refreezing is the
b b b b b b b b b b b b b b b
last stage, and it occurs when the change has become a part of the person’s life.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analysis
b b b b
OBJ: Understand Change Theory and howit applies tobecoming an RN.
b b b b b b b b b b b
TOP: Change Theory
b b b
5. An LPN is talking with her clinical instructor about her decision to return to school to become an
b b b b b b b b b b b b b b b b b
b RN. The clinical instructor iN
b nterprets the LPNs outcome priority based on which statement?
b b b b b b b b b b b
a. “My family wanted me to go back to school.”
b b b b b b b b
b. “Iwant to better my financial situation.”
b b b b b b
c. “Ireally enjoy school.”
b b b
d. “Iwould like to advance to a teaching role someday.”
b b b b b b b b b
ANS: B b
The outcome priority is the essential need that must be addressed, determined by internal and
b b b b b b b b b b b b b b
external factors, such as needing to better a financial situation. The other statements indicate
b b b b b b b b b b b b b b
reasons for returning to school, but they are not essential needs or issues to be addressed.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analysis b b b
OBJ: Identify how experiences influence learning in adults.
b b b b b b b b b b b TOP: Adult Learning b b
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the
b b b b b b b b b b b b b b b b b b b
moving phase of Lewin’s Change Theory, which statement reflects the action she is most likely
b b b b b b b b b b b b b b b
to take?
b b
a. Does nothing to obtain the position b b b b b
b. Applies for the position b b b
c. Identifies that change is needed b b b b
d. Settles into the routine of her job b b b b b b
ANS: B b
https://www.stuvia.com/user/angelinas
, Unfreezing begins when reasons for change are identified. The movingphase involves active
b b b b b b b b b b b b
planning and action. Moving also means you are dealing with both positive and negative forces as
b b b b b b b b b b b b b b b b
they ebb and flow, and you are making modifications to your plan as needed.
b b b b b b b b b b b b b b
Refreezing occurs after the change has become routine. b b b b b b b
DIF: Cognitive Level: Application b b
OBJ: Understand Change Theory and howit applies tobecoming an RN.
b b b b b b b b b b b
TOP: Change Theory
b b b
7. An Orthopedic Nurse is contemplating changes in herprofessional life and identifying goals.
b b b b b b b b b b b b
Which action should the nurse take if she is interested in pursuing a long-term goal?
b b b b b b b b b b b b b b b
a. Studies for a telemetry exam scheduled for next week b b b b b b b b
b. Enrolls in a Nurse Practitioner program b b b b b
c. Attends a seminar to become a charge nurse b b b b b b b
d. Continues to work on the orthopedic floor full-time b b b b b b b
ANS: B b
A short-term goal is one that can be attained in a period of 6 months or less. Short-term goals
b b b b b b b b b b b b b b b b b b
include becoming a charge nurse and passing the telemetry exam. A long-term goal is attained in
b b b b b b b b b b b b b b b b
greater than 6 months and includes studying to become a Nurse Practitioner. Continuing to work
b b b b b b b b b b b b b b b
on the orthopedic floor does not represent either a short-term or a long-term goal.
b b b b b b b b b b b b b b
DIF: Cognitive Level: Application
b b b
OBJ: Identify both short-and long-term personal and professional goals.
b b b b b b b b b
TOP: Setting Goals
b b b
8. The RN is talking with the unit manager about ways to improve patient care. The manager
b b b b b b b b b b b b b b b
introduces theconcept of acohNort. Which statement bytheRNindicates that theteaching has been
b b b b b b b b b b b b b b b b b
effective?
b
a. “A cohort is a web of connections”. b b b b b b
b. “Acohort is a group of people who share common experiences with each other”.
b b b b b b b b b b b b b
c. “Acohort is a group linked together for common purposes”.
b b b b b b b b b
d. “A cohort consists of groups of individuals that make up a whole”.
b b b b b b b b b b b
ANS: B b
A cohort is a group of people who share common experiences with each other. A scheme is a web of
b b b b b b b b b b b b b b b b b b b
connections, a team is a group linked together for common purposes, and a unit consists of groups
b b b b b b b b b b b b b b b b b
or individuals that make up a whole.
b b b b b b b
DIF: Cognitive Level: Evaluation
b b b b
OBJ: Identify how experiences influence learning in adults.
b b b b b b b b b b b b TOP: Adult Learning b b
9. The nurse educator is presenting a lecture to a group of new RNs. Which statement byoneof the
b b b b b b b b b b b b b b b b b b
RNs indicates that teaching has been effective?
b b b b b b b
a. “Experience is astepping stone to new learning”. b b b b b b b
b. “Experience can be a barrier to new learning”. b b b b b b b
c. “Experience can be an avenue to new learning”. b b b b b b b
d. “Experience can be a detour to new learning”. b b b b b b b
ANS: B b
Experience accentuates differences among learners, serves as a source of insight and motivation,
b b b b b b b b b b b b
can be a barrier to new learning, and serves as a foundation for defining the self.
b b b b b b b b b b b b b b b b
https://www.stuvia.com/user/angelinas