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, TestBank-LPNtoRNTransitions,5thEdition
Chapter01:HonoringYourPast,PlanningYourFuture
Claywell:LPNtoRNTransitions,5thEdition
MULTIPLECHOICE
1. AnursingadvisorismeetingwithastudentwhoisinterestedinearningherRNdegree.Sheknowstha
tlicensedpracticalnurse/licensevocationalnurse(LPN/LVNs)whoenternursingschooltobecom
eRNscomeintothelearningenvironmentwithpriorknowledgeandunderstanding.Whichstateme
ntbythenursingadvisorbestdescribesherunderstandingoftheeffectexperiencemayhaveonlearni
ng?
a. ―Experiencemaybeasourceofinsightandmotivation,orabarrier.‖
b. ―ExperienceisusuallyastumblingblockforLPN/LVNs.‖
c. ―Experiencenevermakeslearningmoredifficult.‖
d. ―Oncesomethingislearned,itcanneverbetrulymodified.‖
ANS:A
Experienceaccentuatesdifferencesamonglearnersandservesasasourceofinsightandmotivation,
butitcanalsobeabarrier.Experiencecanserveasafoundationfordefiningtheself.
DIF: CognitiveLevel:Application
OBJ: Identifyhowexperiencesinfluencelearninginadults. TOP: AdultLearning
2. ThereisatestonthecardiovascularsystemonFridaymorning,anditisnowWednesdaynight.Th
estudenthasalreadytakenavacationdayfromworkThursdaynightsothatshecanstayhomeand
study.SheiW
sW
coWn.
sidTeBriS
ngM.
skW
ipSpingherexerciseclassonThursdaymorningtogotothelibrarytopr
epareforthetest.Whichresponsebestidentifiesthestudent‘soutcomepriority?
a. Exerciseclass
b. Goingtothelibrary
c. Avoidingworkbytakingavacation
d. DoingwellonthetestonFriday
ANS:D
Theoutcomepriorityistheessentialissueorneedtobeaddressedatanygiventimewithinasetofcon
ditionsorcircumstances.
DIF: CognitiveLevel:Application
OBJ: Identifymotivationsandpersonaloutcomeprioritiesforreturningtoschool.TOP:
MotivationtoLearn
3. AnursewhohasbeenanLPN/LVNfor10yearsismeetingwithanadvisortodiscussthepossibilityof
takingclassestobecomeanRN.Theadvisorinterpretswhichstatementbythenurseasthedrivingfor
ceforreturningtoschool?
a. ―I‘llneedtoscheduletimetoattendclasses.‖
b. ―I‘llhavetobudgetforpayingtuition.‖
c. ―I‘llhavetorearrangingmyschedule.‖
d. ―Thereisapossibilityofadvancementintoadministration.‖
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ANS:D
Drivingforcesarethosethatpushtowardmakingthechange,asopposedtorestrainingforces,which
arethosethatusuallypresentachallengethatneedstobeovercomeforthechangetotakeplaceorpres
entanegativeeffectthechangemayinitiate.
DIF: CognitiveLevel:Application
OBJ: Identifymotivationsandpersonaloutcomeprioritiesforreturningtoschool.TOP:
MotivationsforChange
4. AnRNiscaringforadiabeticpatient.Thepatientappearsinterestedinchangingherlifestylea
ndhasbeenaskingquestionsabouteatingbetter.Thenursecaninterpretthisbehavioraswhich
stageofLewin‘sChangeTheory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS:B
ThepatientisinthefirstphaseofLewin‘sChangeTheory,knownasunfreezing.Thisphaseinvolves
determiningthatachangeneedstooccuranddecidingtotakeaction.Movingisthesecondphaseandi
nvolvesactivelyplanningchangesandtakingactiononthem.Refreezingisthelaststage,anditoccur
swhenthechangehasbecomeapartoftheperson‘slife.
DIF: CognitiveLevel:Analysis
OBJ: UnderstandChangeTheoryandhowitappliestobecominganRN.TOP:
ChangeTheory
WWW.TBSM.WS
5. AnLPNistalkingwithherclinicalinstructoraboutherdecisiontoreturntoschoolto
becomeanRN.TheclinicalinstructorinterpretstheLPNsoutcomeprioritybasedonwhichstatement?
a. ―Myfamilywantedmetogobacktoschool.‖
b. ―Iwanttobettermyfinancialsituation.‖
c. ―Ireallyenjoyschool.‖
d. ―Iwouldliketoadvancetoateachingrolesomeday.‖
ANS:B
Theoutcomepriorityistheessentialneedthatmustbeaddressed,determinedbyinternalandextern
alfactors,suchasneedingtobetterafinancialsituation.Theotherstatementsindicatereasonsforret
urningtoschool,buttheyarenotessentialneedsorissuestobeaddressed.
DIF: CognitiveLevel:Analysis
OBJ: Identifyhowexperiencesinfluencelearninginadults. TOP: AdultLearning
6. Anursenoticesapostingforamanagementpositionforwhichsheisqualified.Ifthenurseisinthemo
vingphaseofLewin‘sChangeTheory,whichstatementreflectstheactionsheismostlikelytotake?
a. Doesnothingtoobtaintheposition
b. Appliesfortheposition
c. Identifiesthatchangeisneeded
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