1 of 123
ltxtiti ltxtiti
, 2 of 123 ltxtiti ltxtiti
ltxti TEST BANK FOR LPN TO RN TRANSITIONS 6TH ltxti ti ltxti ti ltxti ti ltxti ti ltxti ltxti ti ltxti ti
ti
ltxti EDITION BY CLAYWELL ltxti ti ltxti t
Chapter 01: Honoring Your Past, Planning Your Future
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
MULTIPLE CHOICE ltxtiti
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
that licensedpractical nurse/license vocational nurse (LPN/LVNs) who enter nursing school to
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
become RNs come into the learning environment with prior knowledge and understanding. Which
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
statement by the nursing advisor best describes her understanding of the effect experience may
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
have on learning?
ltxtiti ltxtiti ltxtiti
a. ―Experience may be a source of insight and motivation, or a barrier.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―Experience is usually a stumbling block for LPN/LVNs.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―Experience never makes learning more difficult.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―Once something is learned, it can never be truly modified.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: A ltxtiti
Experience accentuates differences among learners and serves as a source of insight and motivation, but it can
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
also bea barrier. Experience can serve as a foundation for defining the self.
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti ltxtiti
OBJ: Identify how experiences influence learning in adults.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti TOP: Adult Learning ltxtiti ltxtiti
2. There is a test on the cardiovascular system on
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti Friday morning, and it is now Wednesday night. The ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
student has already taken a vacation day from
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti work Thursday night so that she can stay home and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
study. She is consideringskipping her exercise
ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti class on Thursday morning to ltxtiti ltxtiti ltxtiti ltxtiti
N go to the ltxtiti ltxtiti ltxtiti ltxtiti library to prepare for the test. Which response best identifies
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
the ltxtiti
student‘s outcome priority? ltxtiti ltxtiti
a. Exercise class ltxtiti
b. Going to the library ltxtiti ltxtiti ltxtiti
c. Avoiding work by taking a vacation ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. Doing well on the test on Friday ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: D ltxtiti
The outcome priority is the essential issue or need to be addressed at any given time
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ltxtiti within aset of conditions or circumstances. ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
TOP:Motivation to Learn
ltxtiti tlix ltxtiti lt xtiti
3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
force for returning toschool? a. ―I‘ll need to schedule time to attend classes.‖
ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―I‘ll have to budget for paying tuition.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―I‘ll have to rearranging my schedule.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―There is a possibility of advancement into ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ltxtiti administration.‖ANS: D tlix ltxtiti
, 3 of 123 ltxtiti ltxtiti
Driving forces are those that push toward making the change, as opposed to restraining forces, which are those
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
thatusually present a challenge that needs to be overcome for the change to take place or present a
ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
negative effect the change may initiate.
ltxtiti ltxtiti ltxtiti ltxtiti ltxt iti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
TOP:Motivations for Change
ltxtiti tlix ltxtiti ltxtiti
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
been askingquestions about eating better. The nurse can interpret this behavior as which stage of Lewin‘s
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
Change Theory? a.
ltxtiti ltxtiti ltxtiti
Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing. This phase
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
involves determining that a change needs to occur and deciding to take action. Moving is the second phase and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
involves actively planning changes and taking action on them. Refreezing is the last stage, and it occurs
ltxtiti ltxtit tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
when the change has become apart of the person‘s life.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Analysis ltxtiti ltxtiti
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ChangeTheory
ltxtiti tlix
5. An LPN is talking with her clinical instructor about her decision to return to school to become an RN.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
The clinicalinstructor interprets the LPNs outcome priority based on which N statement?
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti lt xtiti ltxtiti
a. ―My family wanted me to go back to school.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―I want to better my financial situation.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―I really enjoy school.‖ ltxtiti ltxtiti ltxtiti
d. ―I would like to advance to a teaching role someday.‖
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
The outcome priority is the essential need that must be addressed, determined by internal and external factors,
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
such asneeding to better a financial situation. The other statements indicate reasons for returning to school,
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
but they are not essential needs or issues to be addressed.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Analysis ltxtiti ltxtiti ltxtiti OBJ: Identify how experiences influence learning in
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
adults.TOP: Adult Learning
ltxtiti tlix ltxtiti ltxtiti
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
moving phaseof Lewin‘s Change Theory, which statement reflects the action she is most likely to take?
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
a. Does nothing to obtain the position ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. Applies for the position ltxtiti ltxtiti ltxtiti
c. Identifies that change is needed ltxtiti ltxtiti ltxtiti ltxtiti
d. Settles into the routine of her job ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
Unfreezing begins when reasons for change are identified. The moving phase involves active planning and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
action. Moving also means you are dealing with both positive and negative forces as they ebb and flow, and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
you are makingmodifications to your plan as needed. Refreezing occurs after the change has become
ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti l txtiti ltxtiti
routine.
ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
, 4 of 123
ltxtiti ltxtiti
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ChangeTheory
ltxtiti tlix
7. An Orthopedic Nurse is contemplating changes in her professional life and identifying
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
goals. Which action should the nurse take if she is interested in pursuing a long-term
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
goal? a. Studies for atelemetry exam scheduled for next week
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti l t xt i ti
b. Enrolls in a Nurse Practitioner program ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. Attends a seminar to become a charge nurse ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. Continues to work on the orthopedic floor full-time ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
A short-term goal is one that can be attained in a period of 6 months or less. Short-term goals include
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
becoming a charge nurse and passing the telemetry exam. A long-term goal is attained in greater than 6
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
months and includes studying to become a Nurse Practitioner. Continuing to work on the orthopedic floor
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
does not represent either a short-term or a long-term goal.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
OBJ: Identify both short- and long-term personal and professional goals. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
SettingGoals
ltxtiti tlix
8. The RN is talking with the unit manager about ways to improve patient care. The manager introduces the
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
concept ofa cohort. Which statement by the RN indicates that the teaching has N
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti lt xti ti
been effective?
ltxtiti
a. ―A cohort is a web of connections‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―A cohort is a group of people who share common experiences with each other‖.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―A cohort is a group linked together for common purposes‖.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―A cohort consists of groups of individuals that make up a whole‖.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
A cohort is a group of people who share common experiences with each other. A scheme is a web of
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
connections, ateam is a group linked together for common purposes, and a unit consists of groups or
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
individuals that make up a whole.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Evaluationltxtiti ltxtiti ltxtiti
OBJ: Identify how experiences influence learning in adults.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti TOP: Adult Learning ltxtiti ltxtiti
9. The nurse educator is presenting a lecture to a group of new RNs. Which statement by one of the RNs
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
indicates thatteaching has been effective?
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti
a. ―Experience is a stepping stone to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―Experience can be a barrier to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―Experience can be an avenue to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―Experience can be a detour to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
Experience accentuates differences among learners, serves as a source of insight and motivation, can be
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
a barrier tonew learning, and serves as a foundation for defining the self.
ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti lt xtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Evaluation ltxtiti ltxtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
AdultLearning
ltxtiti tlix
10. The nurse educator is presenting a lecture on experience and learning to a group of RNs.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ltxtiti ltxtiti
, 2 of 123 ltxtiti ltxtiti
ltxti TEST BANK FOR LPN TO RN TRANSITIONS 6TH ltxti ti ltxti ti ltxti ti ltxti ti ltxti ltxti ti ltxti ti
ti
ltxti EDITION BY CLAYWELL ltxti ti ltxti t
Chapter 01: Honoring Your Past, Planning Your Future
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
MULTIPLE CHOICE ltxtiti
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
that licensedpractical nurse/license vocational nurse (LPN/LVNs) who enter nursing school to
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
become RNs come into the learning environment with prior knowledge and understanding. Which
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
statement by the nursing advisor best describes her understanding of the effect experience may
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
have on learning?
ltxtiti ltxtiti ltxtiti
a. ―Experience may be a source of insight and motivation, or a barrier.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―Experience is usually a stumbling block for LPN/LVNs.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―Experience never makes learning more difficult.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―Once something is learned, it can never be truly modified.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: A ltxtiti
Experience accentuates differences among learners and serves as a source of insight and motivation, but it can
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
also bea barrier. Experience can serve as a foundation for defining the self.
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti ltxtiti
OBJ: Identify how experiences influence learning in adults.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti TOP: Adult Learning ltxtiti ltxtiti
2. There is a test on the cardiovascular system on
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti Friday morning, and it is now Wednesday night. The ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
student has already taken a vacation day from
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti work Thursday night so that she can stay home and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
study. She is consideringskipping her exercise
ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti class on Thursday morning to ltxtiti ltxtiti ltxtiti ltxtiti
N go to the ltxtiti ltxtiti ltxtiti ltxtiti library to prepare for the test. Which response best identifies
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
the ltxtiti
student‘s outcome priority? ltxtiti ltxtiti
a. Exercise class ltxtiti
b. Going to the library ltxtiti ltxtiti ltxtiti
c. Avoiding work by taking a vacation ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. Doing well on the test on Friday ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: D ltxtiti
The outcome priority is the essential issue or need to be addressed at any given time
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ltxtiti within aset of conditions or circumstances. ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
TOP:Motivation to Learn
ltxtiti tlix ltxtiti lt xtiti
3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
force for returning toschool? a. ―I‘ll need to schedule time to attend classes.‖
ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―I‘ll have to budget for paying tuition.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―I‘ll have to rearranging my schedule.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―There is a possibility of advancement into ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ltxtiti administration.‖ANS: D tlix ltxtiti
, 3 of 123 ltxtiti ltxtiti
Driving forces are those that push toward making the change, as opposed to restraining forces, which are those
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
thatusually present a challenge that needs to be overcome for the change to take place or present a
ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
negative effect the change may initiate.
ltxtiti ltxtiti ltxtiti ltxtiti ltxt iti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
TOP:Motivations for Change
ltxtiti tlix ltxtiti ltxtiti
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
been askingquestions about eating better. The nurse can interpret this behavior as which stage of Lewin‘s
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
Change Theory? a.
ltxtiti ltxtiti ltxtiti
Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing. This phase
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
involves determining that a change needs to occur and deciding to take action. Moving is the second phase and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
involves actively planning changes and taking action on them. Refreezing is the last stage, and it occurs
ltxtiti ltxtit tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
when the change has become apart of the person‘s life.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Analysis ltxtiti ltxtiti
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ChangeTheory
ltxtiti tlix
5. An LPN is talking with her clinical instructor about her decision to return to school to become an RN.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
The clinicalinstructor interprets the LPNs outcome priority based on which N statement?
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti lt xtiti ltxtiti
a. ―My family wanted me to go back to school.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―I want to better my financial situation.‖ ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―I really enjoy school.‖ ltxtiti ltxtiti ltxtiti
d. ―I would like to advance to a teaching role someday.‖
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
The outcome priority is the essential need that must be addressed, determined by internal and external factors,
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
such asneeding to better a financial situation. The other statements indicate reasons for returning to school,
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
but they are not essential needs or issues to be addressed.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Analysis ltxtiti ltxtiti ltxtiti OBJ: Identify how experiences influence learning in
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
adults.TOP: Adult Learning
ltxtiti tlix ltxtiti ltxtiti
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
moving phaseof Lewin‘s Change Theory, which statement reflects the action she is most likely to take?
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
a. Does nothing to obtain the position ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. Applies for the position ltxtiti ltxtiti ltxtiti
c. Identifies that change is needed ltxtiti ltxtiti ltxtiti ltxtiti
d. Settles into the routine of her job ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
Unfreezing begins when reasons for change are identified. The moving phase involves active planning and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
action. Moving also means you are dealing with both positive and negative forces as they ebb and flow, and
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
you are makingmodifications to your plan as needed. Refreezing occurs after the change has become
ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti l txtiti ltxtiti
routine.
ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
, 4 of 123
ltxtiti ltxtiti
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ChangeTheory
ltxtiti tlix
7. An Orthopedic Nurse is contemplating changes in her professional life and identifying
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
goals. Which action should the nurse take if she is interested in pursuing a long-term
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
goal? a. Studies for atelemetry exam scheduled for next week
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti l t xt i ti
b. Enrolls in a Nurse Practitioner program ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. Attends a seminar to become a charge nurse ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. Continues to work on the orthopedic floor full-time ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
A short-term goal is one that can be attained in a period of 6 months or less. Short-term goals include
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
becoming a charge nurse and passing the telemetry exam. A long-term goal is attained in greater than 6
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
months and includes studying to become a Nurse Practitioner. Continuing to work on the orthopedic floor
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
does not represent either a short-term or a long-term goal.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Application ltxtiti ltxtiti
OBJ: Identify both short- and long-term personal and professional goals. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
SettingGoals
ltxtiti tlix
8. The RN is talking with the unit manager about ways to improve patient care. The manager introduces the
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
concept ofa cohort. Which statement by the RN indicates that the teaching has N
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti lt xti ti
been effective?
ltxtiti
a. ―A cohort is a web of connections‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―A cohort is a group of people who share common experiences with each other‖.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―A cohort is a group linked together for common purposes‖.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―A cohort consists of groups of individuals that make up a whole‖.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
A cohort is a group of people who share common experiences with each other. A scheme is a web of
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
connections, ateam is a group linked together for common purposes, and a unit consists of groups or
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
individuals that make up a whole.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Evaluationltxtiti ltxtiti ltxtiti
OBJ: Identify how experiences influence learning in adults.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti TOP: Adult Learning ltxtiti ltxtiti
9. The nurse educator is presenting a lecture to a group of new RNs. Which statement by one of the RNs
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
indicates thatteaching has been effective?
ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti
a. ―Experience is a stepping stone to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
b. ―Experience can be a barrier to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
c. ―Experience can be an avenue to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
d. ―Experience can be a detour to new learning‖. ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
ANS: B ltxtiti
Experience accentuates differences among learners, serves as a source of insight and motivation, can be
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
a barrier tonew learning, and serves as a foundation for defining the self.
ltxtiti ltxtiti ltxtiti tlix ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti lt xtiti ltxtiti ltxtiti ltxtiti ltxtiti
DIF: Cognitive Level: Evaluation ltxtiti ltxtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP:
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
AdultLearning
ltxtiti tlix
10. The nurse educator is presenting a lecture on experience and learning to a group of RNs.
ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti ltxtiti
