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LPN TO RN TRANSITIONS 4th EDITION BY CLAYWELL
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Chapter 01: Honoring Your Past, Planning Your
FutureClaywell: LPN to RN Transitions, 4th
Edition
MULTIPLE
CHOICE
1. A nursing advisor is meeting with a student who is interested in earning her RN
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degree. Sheknows that licensed practical nurse/license vocational nurse
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(LPN/LVNs) who enter nursingschool to become RNs come into the learning J J J J J J J J J J J
environment with prior knowledge and understanding. Which statement by the J J J J J J J J J J
nursing advisor best describes her understanding of the effect experience may have on
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learning?
a. “Experience may be a source of insight and motivation, or a barrier.” J J J J J J J J J J J
b. “Experience is usually a stumbling block for LPN/LVNs.” J J J J J J J
c. “Experience never makes learning more difficult.” J J J J J
d. “Once something is learned, it can never be truly modified.”
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ANS: A J
Experience accentuates differences among learners and serves as a source of insight
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and motivation, but it can also be a barrier. Experience can serve as a foundation for
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defining theself. J
DIF: Cognitive Level: Application
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OBJ: Identify how experiences influence learning in adults. TOP: Adult Learning
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2. There is a test on the cardiovascular system on Friday morning, and it is now
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Wednesday night. The student has already taken a vacation day from work Thursday
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night so that she canstay home and study. She is considering skipping her exercise class
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on Thursday morning to go to the library to prepare for the test. Which
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response best identifies the student’s outcome priority?
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a. Exercise class J
b. Going to the library J J J
c. Avoiding work by taking a vacation J J J J J
d. Doing well on the test on Friday J J J J J J
ANS: D J
The outcome priority is the essential issue or need to be addressed at any given time
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within aset of conditions or circumstances.
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DIF: Cognitive Level: Application
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OBJ: Identify motivations and personal outcome priorities for
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returning to school.TOP: Motivation to Learn J J J J J
3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to
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discuss the possibility of taking classes to become an RN. The advisor interprets
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which statement by thenurse as the driving force for returning to school?
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a. “I’ll need to schedule time to attend classes.”
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b. “I’ll have to budget for paying tuition.”
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c. “I’ll have to rearranging my schedule.”
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d. “There is a possibility of advancement into administration.” J J J J J J J
ANS: D J
Driving forces are those that push toward making the change, as opposed to restraining
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forces,which are those that usually present a challenge that needs to be overcome for the J J J J J J J J J J J J J J J
change to take place or present a negative effect the change may initiate.
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DIF: Cognitive Level: Application
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OBJ: Identify motivations and personal outcome priorities for
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returning to school.TOP: Motivations for Change J J J J J
4. An RN is caring for a diabetic patient. The patient appears interested in changing her
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lifestyleand has been asking questions about eating better. The nurse can interpret this
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behavior as which stage of Lewin’s Change Theory? J J J J J J J
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B J
The patient is in the first phase of Lewin’s Change Theory, known as unfreezing. This
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phase involves determining that a change needs to occur and deciding to take action.
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Moving is the second phase and involves actively planning changes and taking action on
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them. Refreezing isthe last stage, and it occurs when the change has become a part of the
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person’s life. J
DIF: Cognitive Level: Analysis
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OBJ: Understand Change Theory and howit applies to becoming
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an RN.TOP: Change Theory
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5. An LPN is talking with her clinical instructor about her decision to return to school to
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becomean RN. The clinical instructor iN nterprets the LPNs outcome priority based on
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which statement? J
a. “My family wanted me to go back to school.”J J J J J J J J
b. “I want to better my financial situation.”
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c. “I really enjoy school.”
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d. “I would like to advance to a teaching role someday.”
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ANS: B J
The outcome priority is the essential need that must be addressed, determined by
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internal andexternal factors, such as needing to better a financial situation. The other
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statements indicate reasons for returning to school, but they are not essential needs or
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issues to be addressed. J J J
DIF: Cognitive Level: Analysis
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OBJ: Identify how experiences influence learning in adults. TOP: Adult Learning
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6. A nurse notices a posting for a management position for which she is qualified. If the
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nurse isin the moving phase of Lewin’s Change Theory, which statement reflects the
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action she is most likely to take? J J J J J J
a. Does nothing to obtain the position
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b. Applies for the position J J J
c. Identifies that change is needed J J J J
d. Settles into the routine of her job J J J J J J J
ANS: B J
Unfreezing begins when reasons for change are identified. The moving phase involves
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activeplanning and action. Moving also means you are dealing with both positive and J J J J J J J J J J J J J
negative forces as they ebb and flow, and you are making modifications to your plan as
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needed.
Refreezing occurs after the change has become routine. J J J J J J J
DIF: Cognitive Level: Application
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OBJ: Understand Change Theory and howit applies to becoming
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an RN.TOP: Change Theory
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7. An Orthopedic Nurse is contemplating changes in her professional life and identifying
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goals.Which action should the nursetake if she is interested in pursuing a long-term
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goal?
a. Studies for a telemetry exam scheduled for next week J J J J J J J J
b. Enrolls in a Nurse Practitioner program J J J J J
c. Attends a seminar to become a charge nurse J J J J J J J
d. Continues to work on the orthopedic floor full-time J J J J J J J
ANS: B J
A short-term goal is one that can be attained in a period of 6 months or less. Short- term
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goals include becoming a charge nurse and passing the telemetry exam. A long- term goal
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is attainedin greater than 6 months and includes studying to become a Nurse
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Practitioner. Continuing to work on the orthopedic floor does not represent either a J J J J J J J J J J J J J
short-term or a long-term goal. J J J J
DIF: Cognitive Level: Application
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OBJ: Identify both short- and long-term personal and
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