4TH EDITION CLAYWELL.
, TEST7 BANK7 FOR7 LPN7 TO7 RN7 TRANSITIONS7 4TH7 EDITION7 BY7 CLAY
Chapter701:7Honoring7Your7Past,7Planning7Your7Future7Clay
well:7LPN7to7RN7Transitions,74th7Edition
MULTIPLE7CHOICE
1. A7nursing7advisor7is7meeting7with7a7student7who7is7interested7in7earning7her7RN7degree.7
She7knows7that7licensed7practical7nurse/license7vocational7nurse7(LPN/LVNs)7who7enter7n
ursing7school7to7become7RNs7come7into7the7learning7environment7with7prior7knowledge7
and7understanding.7Which7statement7by7the7nursing7advisor7best7describes7her7understan
ding7of7the7effect7experience7may7have7on7learning?
a. “Experience7may7be7a7source7of7insight7and7motivation,7or7a7barrier.”
b. “Experience7is7usually7a7stumbling7block7for7LPN/LVNs.”
c. “Experience7never7makes7learning7more7difficult.”
d. “Once7something7is7learned,7it7can7never7be7truly7modified.”
ANS:7 A
Experience7accentuates7differences7among7learners7and7serves7as7a7source7of7insight7and7m
otivation,7but7it7can7also7be7a7barrier.7Experience7can7serve7as7a7foundation7for7defining7the7
self.
DIF: Cognitive7Level:7Application
OBJ:7 7 Identify7how7experiences7influence7learning7in7adults. TOP:7 Adult7Learning
2. There7 is7 a7 test7 on7 the7 cardiovascular7 system7 on7 Friday7 morning,7 and7 it7 is7 now7
Wed7nesday7 night.7 The7 student7 has7 already7 taken7 a7 vacation7 day7 from7 work7 Thursd
ayjknigh7t7 so7 that7 she7 can7 stay7 home7 and7 study.7 She7 is7 considering7 skipping7 her7 e
xercise7 clas7s7 on7 Thursday7 morning7 to7 go7 to7 the7 library7 to7 prepare7 for7 the7 test.7
Which7 response7best7 identifies7 the7 student’s7 outcome7 priority?
a. Exercise7 class
b. Going7 to7 the7 library
c. Avoiding7 work7 by7 taking7 a7 vacation
d. Doing7 well7 on7 the7 test7 on7 Friday
ANS:7 D
The7 outcome7 priority7 is7 the7 essential7 issue7 or7 need7 to7 be7 addressed7 at7 any7 given7 time
7within7 a7 set7 of7 conditions7 or7 circumstances.
DIF: Cognitive7 Level:7 Application
OBJ:7 Identify7 motivations7 and7 personal7 outcome7 priorities7 for7 returning7 to7 s
c7hool.7 TOP: Motivation7 to7 Learn
3. A7 nurse7 who7 has7 been7 an7 LPN/LVN7 for7 107 years7 is7 meeting7 with7 an7 advisor7 to7 di
7scuss7 the7 possibility7 of7 taking7 classes7 to7 become7 an7 RN.7 The7 advisor7 interprets7 w
hic7h7 statement7 by7 the7 nurse7 as7 the7 driving7 force7 for7 returning7 to7 school?
a. “I’ll7 need7 to7 schedule7 time7 to7 attend7 classes.”
b. “I’ll7 have7 to7 budget7 for7 paying7 tuition.”
c. “I’ll7 have7 to7 rearranging7 my7 schedule.”
d. “There7 is7 a7 possibility7 of7 advancement7 into7 administration.”
ANS:7 D
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, TEST7 BANK7 FOR7 LPN7 TO7 RN7 TRANSITIONS7 4TH7 EDITION7 BY7 CLAY
Driving7forces7are7those7that7push7toward7making7the7change,7as7opposed7to7restraining7 for
ces,7 which7 are7 those7 that7 usually7 present7 a7 challenge7 that7 needs7 to7 be7 overcome7 f
7or7 the7 change7 to7 take7 place7 or7 present7 a7 negative7 effect7 the7 change7 may7 initiate.
DIF:7 7 Cognitive7 Level:7 Application
OBJ:7 Identify7 motivations7 and7 personal7 outcome7 priorities7 for7 returning7 to7 s
c7hool.7 TOP: Motivations7 for7 Change
4. An7 RN7 is7 caring7 for7 a7 diabetic7 patient.7 The7 patient7 appears7 interested7 in7 changing7 h
er7lifestyle7 and7 has7 been7 asking7 questions7 about7 eating7 better.7 The7 nurse7 can7 inte
rpret7this7 behavior7 as7 which7 stage7 of7 Lewin’s7 Change7 Theory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS:7 B
The7 patient7 is7 in7 the7 first7 phase7 of7 Lewin’s7 Change7 Theory,7 known7 as7 unfreezing.7
Th7is7 phase7 involves7 determining7 that7 a7 change7 needs7 to7 occur7 and7 deciding7 to7 take
7 acti7on.7 Moving7 is7 the7 second7 phase7 and7 involves7 actively7 planning7 changes7 and7 taki
ng7 act7ion7 on7 them.7 Refreezing7 is7 the7 last7 stage,7 and7 it7 occurs7 when7 the7 change7 ha
s7 become7a7 part7 of7 the7 person’s7 life.
DIF: Cognitive7 Level:7 Analysis
OBJ:7 Understand7 Change7 Theory7 and7 how7 it7 applies7 to7 becomin
g7an7 RN.7 TOP: Change7 Theory
5. An7 LPN7 is7 talking7 with7 her7 clinical7 instructor7 about7 her7 decision7 to7 return7 to7 school
N
7 t7o7 become7 an7 RN.7 The7 clinical7 instructor7 i nterprets7
the7 LPNs7 outcome7 priority7 b
ased7on7 which7 statement?
a. “My7 family7 wanted7 me7 to7 go7 back7 to7 school.”
b. “I7 want7 to7 better7 my7 financial7 situation.”
c. “I7 really7 enjoy7 school.”
d. “I7 would7 like7 to7 advance7 to7 a7 teaching7 role7 someday.”
ANS:7 B
The7 outcome7 priority7 is7 the7 essential7 need7 that7 must7 be7 addressed,7 determined7 by7 int
e7rnal7and7external7factors,7such7as7needing7to7better7a7financial7situation.7The7other7s7tate
ments7 indicate7 reasons7 for7 returning7 to7 school,7 but7 they7 are7 not7 essential7 needs7 o7
r7 issues7 to7 be7 addressed.
DIF:7 7 7 Cognitive7 Level:7 Analysis
OBJ:7 7 7 Identify7 how7 experiences7 influence7 learning7 in7 adults. TOP:7 7 Adult7 Learning
6. A7 nurse7 notices7 a7 posting7 for7 a7 management7 position7 for7 which7 she7 is7 qualified.7 If7
th7e7 nurse7 is7 in7 the7 moving7 phase7 of7 Lewin’s7 Change7 Theory,7 which7 statement7 refle
cts7the7 action7 she7 is7 most7 likely7 to7 take?
a. Does7 nothing7 to7 obtain7 the7 position
b. Applies7 for7 the7 position
c. Identifies7 that7 change7 is7 needed
d. Settles7 into7 the7 routine7 of7 her7 job
ANS:7 B
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, TEST7 BANK7 FOR7 LPN7 TO7 RN7 TRANSITIONS7 4TH7 EDITION7 BY7 CLAY
Unfreezing7 begins7 when7 reasons7 for7 change7 are7 identified.7 The7 moving7 phase7 involves
7active7 planning7 and7 action.7 Moving7 also7 means7 you7 are7 dealing7 with7 both7 positive
7 an7d7 negative7 forces7 as7 they7 ebb7 and7 flow,7 and7 you7 are7 making7 modifications7 to7
your7 p7lan7 as7 needed.
Refreezing7 occurs7 after7 the7 change7 has7 become7 routine.
DIF: Cognitive7 Level:7 Application
OBJ:7 Understand7 Change7 Theory7 and7 how7 it7 applies7 to7 becomin
g7an7 RN.7 TOP: Change7 Theory
7. An7 Orthopedic7 Nurse7 is7 contemplating7 changes7 in7 her7 professional7 life7 and7 identifyin
g7goals.7 Which7 action7 should7 the7 nurse7 take7 if7 she7 is7 interested7 in7 pursuing7 a7 l
ong-7term7 goal?
a. Studies7 for7 a7 telemetry7 exam7 scheduled7 for7 next7 week
b. Enrolls7 in7 a7 Nurse7 Practitioner7 program
c. Attends7 a7 seminar7 to7 become7 a7 charge7 nurse
d. Continues7 to7 work7 on7 the7 orthopedic7 floor7 full-time
ANS:7 B
A7 short-
term7 goal7 is7 one7 that7 can7 be7 attained7 in7 a7 period7 of7 67 months7 or7 less.7 Short-
term7 goals7 include7 becoming7 a7 charge7 nurse7 and7 passing7 the7 telemetry7 exam.7 A7 long-
7term7 goal7 is7 attained7 in7 greater7 than7 67 months7 and7 includes7 studying7 to7 become7 a7
Nu7rse7 Practitioner.7 Continuing7 to7 work7 on7 the7 orthopedic7 floor7 does7 not7 represent7
eitherj7 a7 short-term7 or7 a7 long-term7 goal.
DIF:
Cognitive7 Level:7 Applicatio
n7OBJ:7 Identify7 both7 short-
7 and7 long-
term7 personal7 and7 professional7 goals.7 TOP: Setting7 Goals
8. The7 RN7 is7 talking7 with7 the7 unit7 manager7 about7 ways7 to7 improve7 patient7 care.7 Th
e7manager7 introduces7 the7 concept7 ofj7a7 c o hNo 7rt. 7 Which7 statement7 by7 the7 RN7 indicates
7 thatj7 the7 teaching7 has7 been7 effective?
a. “A7 cohort7 is7 a7 web7 of7 connections”.
b. “A7 cohort7 is7 a7 group7 of7 people7 who7 share7 common7 experiences7 with7 each7 other”.
c. “A7 cohort7 is7 a7 group7 linked7 together7 for7 common7 purposes”.
d. “A7 cohort7 consists7 of7 groups7 of7 individuals7 that7 make7 up7 a7 whole”.
ANS:7 B
A7 cohort7 is7 a7 group7 of7 people7 who7 share7 common7 experiences7 with7 each7 other.7 A7 sc
h7eme7 is7 a7 web7 of7 connections,7 a7 team7 is7 a7 group7 linked7 together7 for7 common7 pu
rpose7s,7 and7 a7 unit7 consists7 of7 groups7 or7 individuals7 that7 make7 up7 a7 whole.
DIF:7 7 Cognitive7 Level:7 Evaluation
OBJ:7 7 7 Identify7 how7 experiences7 influence7 learning7 in7 adults.7 7 TOP:7 7 Adult7 Learning
9. The7 nurse7 educator7 is7 presenting7 a7 lecture7 to7 a7 group7 of7 new7 RNs.7 Which7 stateme
nt7by7 one7 of7 the7 RNs7 indicates7 that7 teaching7 has7 been7 effective?
a. “Experience7 is7 a7 stepping7 stone7 to7 new7 learning”.
b. “Experience7 can7 be7 a7 barrier7 to7 new7 learning”.
c. “Experience7 can7 be7 an7 avenue7 to7 new7 learning”.
d. “Experience7 can7 be7 a7 detour7 to7 new7 learning”.
ANS:7 B
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