LPN to RN Transitions
6th Edition
• Author(s)Lora Claywell
TEST BANK
Change Theory and Learning
1. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: An LPN/LVN returning to school to become
an RN is initially anxious about managing academic
workload. They start by acknowledging the need for
change and then create a structured study plan. Finally, the
new study habits become a consistent part of their
routine. Which change theory model does this process
exemplify?
Options:
A. Transtheoretical Model
B. Kurt Lewin's Change Theory
C. Rogers' Diffusion of Innovations
D. Kotter's 8-Step Change Model
Correct Answer: B
Rationales:
o Correct: Kurt Lewin's Change Theory consists of three
phases: unfreezing (acknowledging the need for
change), moving (implementing the change), and
refreezing (stabilizing the new behavior) .
, o Incorrect A: The Transtheoretical Model focuses on
stages of individual health behavior change, not
organizational or role change.
o Incorrect C: Rogers' model describes how new ideas
and technologies spread through populations, which
is not the best fit for this individual learning process.
o Incorrect D: Kotter's model is an extensive, step-by-
step process designed for leading large-scale
organizational change.
Teaching Point: Lewin's model provides a simple,
three-stage framework for understanding personal
change.
2. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: An LPN/LVN is motivated to become an RN
for greater professional autonomy (a driving force) but is
concerned about the financial cost of tuition (a restraining
force). According to Lewin's change theory, what must
happen for this student to progress toward their goal?
Options:
A. The driving forces must be strengthened until they
outweigh the restraining forces.
B. The student must seek a program with no tuition costs.
C. The restraining forces must be completely eliminated
before moving forward.
D. The student should focus only on the driving forces and
ignore the restraining forces.
, Correct Answer: A
Rationales:
o Correct: In Lewin's model, behavior is a dynamic
balance of driving and restraining forces. Change
occurs by strengthening driving forces or weakening
restraining forces until the equilibrium shifts .
o Incorrect B: While seeking affordable education is
good, it is not the only way to address the force field.
o Incorrect C: Restraining forces rarely need to be
completely eliminated, only managed or outweighed.
o Incorrect D: Ignoring real concerns like financial cost
is an unrealistic and potentially harmful strategy.
Teaching Point: Successful change involves managing
both the positive motivations and the real or
perceived barriers.
3. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: A nursing student who is a concrete
random learner, according to the Gregorc Style Delineator,
is designing a study plan. Which approach would best suit
this learner's preferences?
Options:
A. Following a highly structured, sequential study guide
created by their instructor.
B. Studying alone in a quiet room, using trial-and-error
with different learning methods.
, C. Attending a large, interactive study group with a fixed
agenda.
D. Listening to detailed lectures and memorizing facts
through repetition.
Correct Answer: B
Rationales:
o Correct: A concrete random learner prefers to work
independently, often in a trial-and-error fashion, and
does not like imposed structure or routine .
o Incorrect A: This approach is better suited for a
concrete sequential learner who thrives on order and
structure.
o Incorrect C: While interactive, a fixed agenda may feel
restrictive to a concrete random learner.
o Incorrect D: This method aligns with an abstract
sequential learner who values logical, structured
information.
Teaching Point: Understanding one's learning style
allows for creating effective, personalized study
strategies.
Self-Assessment and Awareness
4. Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: A nursing student makes a list of personal
strengths and challenges and draws a self-portrait
representing their professional journey. What is the
6th Edition
• Author(s)Lora Claywell
TEST BANK
Change Theory and Learning
1. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: An LPN/LVN returning to school to become
an RN is initially anxious about managing academic
workload. They start by acknowledging the need for
change and then create a structured study plan. Finally, the
new study habits become a consistent part of their
routine. Which change theory model does this process
exemplify?
Options:
A. Transtheoretical Model
B. Kurt Lewin's Change Theory
C. Rogers' Diffusion of Innovations
D. Kotter's 8-Step Change Model
Correct Answer: B
Rationales:
o Correct: Kurt Lewin's Change Theory consists of three
phases: unfreezing (acknowledging the need for
change), moving (implementing the change), and
refreezing (stabilizing the new behavior) .
, o Incorrect A: The Transtheoretical Model focuses on
stages of individual health behavior change, not
organizational or role change.
o Incorrect C: Rogers' model describes how new ideas
and technologies spread through populations, which
is not the best fit for this individual learning process.
o Incorrect D: Kotter's model is an extensive, step-by-
step process designed for leading large-scale
organizational change.
Teaching Point: Lewin's model provides a simple,
three-stage framework for understanding personal
change.
2. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: An LPN/LVN is motivated to become an RN
for greater professional autonomy (a driving force) but is
concerned about the financial cost of tuition (a restraining
force). According to Lewin's change theory, what must
happen for this student to progress toward their goal?
Options:
A. The driving forces must be strengthened until they
outweigh the restraining forces.
B. The student must seek a program with no tuition costs.
C. The restraining forces must be completely eliminated
before moving forward.
D. The student should focus only on the driving forces and
ignore the restraining forces.
, Correct Answer: A
Rationales:
o Correct: In Lewin's model, behavior is a dynamic
balance of driving and restraining forces. Change
occurs by strengthening driving forces or weakening
restraining forces until the equilibrium shifts .
o Incorrect B: While seeking affordable education is
good, it is not the only way to address the force field.
o Incorrect C: Restraining forces rarely need to be
completely eliminated, only managed or outweighed.
o Incorrect D: Ignoring real concerns like financial cost
is an unrealistic and potentially harmful strategy.
Teaching Point: Successful change involves managing
both the positive motivations and the real or
perceived barriers.
3. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: A nursing student who is a concrete
random learner, according to the Gregorc Style Delineator,
is designing a study plan. Which approach would best suit
this learner's preferences?
Options:
A. Following a highly structured, sequential study guide
created by their instructor.
B. Studying alone in a quiet room, using trial-and-error
with different learning methods.
, C. Attending a large, interactive study group with a fixed
agenda.
D. Listening to detailed lectures and memorizing facts
through repetition.
Correct Answer: B
Rationales:
o Correct: A concrete random learner prefers to work
independently, often in a trial-and-error fashion, and
does not like imposed structure or routine .
o Incorrect A: This approach is better suited for a
concrete sequential learner who thrives on order and
structure.
o Incorrect C: While interactive, a fixed agenda may feel
restrictive to a concrete random learner.
o Incorrect D: This method aligns with an abstract
sequential learner who values logical, structured
information.
Teaching Point: Understanding one's learning style
allows for creating effective, personalized study
strategies.
Self-Assessment and Awareness
4. Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: A nursing student makes a list of personal
strengths and challenges and draws a self-portrait
representing their professional journey. What is the
