\
,\
,Chapter 01: Honoring Your Past, Planning Your Future
n n n n n n n
Claywell: LPN to RN Transitions, 6th Edition
n n n n n n n
MULTIPLE CHOICE n
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She
n n n n n n n n n n n n n n n n
knows that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing
n n n n n n n n n n n
school to become RNs come into the learning environment with prior knowledge and
n n n n n n n n n n n n n
understanding. Which statement by the nursing advisor best describes her understanding of
n n n n n n n n n n n n
the effect experience may have on learning?
n n n n n n n
a. “Experience may be a source of insight and motivation, or a barrier.” n n n n n n n n n n n
b. “Experience is usually a stumbling block for LPN/LVNs.” n n n n n n n
c. “Experience never makes learning more difficult.” n n n n n
d. “Once something is learned, it can never be truly modified.”
n n n n n n n n n
ANS: A n
Experience accentuates differences among learners and serves as a source of insight and
n n n n n n n n n n n n
motivation, but it can also be a barrier. Experience can serve as a foundation for defining the
n n n n n n n n n n n n n n n n n
self.
n
DIF: Cognitive Level: Application n n
OBJ: Identify how experiences influence learning in adults.
n n n n n n n n TOP: Adult Learning n n
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday
n n n n n n n n n n n n n n n
night. The student has already taken a vacation day from work Thursday night so that she can
n n n n n n n n n n n n n n n n n
stay home and study. She is considering skipping her exercise class on Thursday morning to
n n n n n n n n n n n n n n n
go to the library to prepare for the test. Which response best identifies the student’s outcome
n n n n n n n n n n n n n n n n
priority?
n
a. Exercise class n
b. Going to the library n n n
c. Avoiding work by taking a vacation n n n n n
d. Doing well on the test on Friday n n n n n n
ANS: D n
The outcome priority is the essential issue or need to be addressed at any given time within a
n n n n n n n n n n n n n n n n n
set of conditions or circumstances.
n n n n n
DIF: Cognitive Level: Application n n
OBJ: Identify motivations and personal outcome priorities for returning to school.
n n n n n n n n n n
TOP: Motivation to Learn
n n n n
3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the
n n n n n n n n n n n n n n n n n
possibility of taking classes to become an RN. The advisor interprets which statement by the
n n n n n n n n n n n n n n n
nurse as the driving force for returning to school?
n n n n n n n n n
a. “I’ll need to schedule time to attend classes.”
n n n n n n n
b. “I’ll have to budget for paying tuition.”
n n n n n n
c. “I’ll have to rearranging my schedule.”
n n n n n
d. “There is a possibility of advancement into administration.”
n n n n n n n
ANS: D n
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, Driving forces are those that push toward making the change, as opposed to restraining forces,
n n n n n n n n n n n n n n
which are those that usually present a challenge that needs to be overcome for the change to
n n n n n n n n n n n n n n n n n
take place or present a negative effect the change may initiate.
n n n n n n n n n n n
DIF: Cognitive Level: Application n n
OBJ: Identify motivations and personal outcome priorities for returning to school.
n n n n n n n n n n
TOP: Motivations for Change
n n n n
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle
n n n n n n n n n n n n n n n
and has been asking questions about eating better. The nurse can interpret this behavior as
n n n n n n n n n n n n n n n
which stage of Lewin’s Change Theory?
n n n n n n
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B n
The patient is in the first phase of Lewin’s Change Theory, known as unfreezing. This phase
n n n n n n n n n n n n n n n
involves determining that a change needs to occur and deciding to take action. Moving is the
n n n n n n n n n n n n n n n n
second phase and involves actively planning changes and taking action on them. Refreezing is
n n n n n n n n n n n n n n
the last stage, and it occurs when the change has become a part of the person’s life.
n n n n n n n n n n n n n n n n n
DIF: Cognitive Level: Analysis n n
OBJ: Understand Change Theory and how it applies to becoming an RN.
n n n n n n n n n n n
TOP: Change Theory
n n n
5. An LPN is talking with her clinical instructor about her decision to return to school to become
n n n n n n n n n n n n n n n n
n an RN. The clinical instructor iN
n nterprets the LPNs outcome priority based on which statement?
n n n n n n n n n n n n
a. “My family wanted me to go back to school.”
n n n n n n n n
b. “I want to better my financial situation.”
n n n n n n
c. “I really enjoy school.”
n n n
d. “I would like to advance to a teaching role someday.”
n n n n n n n n n
ANS: B n
The outcome priority is the essential need that must be addressed, determined by internal and
n n n n n n n n n n n n n n
external factors, such as needing to better a financial situation. The other statements indicate
n n n n n n n n n n n n n n
reasons for returning to school, but they are not essential needs or issues to be addressed.
n n n n n n n n n n n n n n n n
DIF: n nCognitive Level: Analysis n n
OBJ: n n Identify how experiences influence learning in adults.
n n n n n n n n n n TOP: Adult Learning n n
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is
n n n n n n n n n n n n n n n n n
in the moving phase of Lewin’s Change Theory, which statement reflects the action she is
n n n n n n n n n n n n n n n
most likely to take?
n n n n
a. Does nothing to obtain the position n n n n n
b. Applies for the position n n n
c. Identifies that change is needed n n n n
d. Settles into the routine of her job n n n n n n
ANS: B n
\
,\
,Chapter 01: Honoring Your Past, Planning Your Future
n n n n n n n
Claywell: LPN to RN Transitions, 6th Edition
n n n n n n n
MULTIPLE CHOICE n
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She
n n n n n n n n n n n n n n n n
knows that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing
n n n n n n n n n n n
school to become RNs come into the learning environment with prior knowledge and
n n n n n n n n n n n n n
understanding. Which statement by the nursing advisor best describes her understanding of
n n n n n n n n n n n n
the effect experience may have on learning?
n n n n n n n
a. “Experience may be a source of insight and motivation, or a barrier.” n n n n n n n n n n n
b. “Experience is usually a stumbling block for LPN/LVNs.” n n n n n n n
c. “Experience never makes learning more difficult.” n n n n n
d. “Once something is learned, it can never be truly modified.”
n n n n n n n n n
ANS: A n
Experience accentuates differences among learners and serves as a source of insight and
n n n n n n n n n n n n
motivation, but it can also be a barrier. Experience can serve as a foundation for defining the
n n n n n n n n n n n n n n n n n
self.
n
DIF: Cognitive Level: Application n n
OBJ: Identify how experiences influence learning in adults.
n n n n n n n n TOP: Adult Learning n n
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday
n n n n n n n n n n n n n n n
night. The student has already taken a vacation day from work Thursday night so that she can
n n n n n n n n n n n n n n n n n
stay home and study. She is considering skipping her exercise class on Thursday morning to
n n n n n n n n n n n n n n n
go to the library to prepare for the test. Which response best identifies the student’s outcome
n n n n n n n n n n n n n n n n
priority?
n
a. Exercise class n
b. Going to the library n n n
c. Avoiding work by taking a vacation n n n n n
d. Doing well on the test on Friday n n n n n n
ANS: D n
The outcome priority is the essential issue or need to be addressed at any given time within a
n n n n n n n n n n n n n n n n n
set of conditions or circumstances.
n n n n n
DIF: Cognitive Level: Application n n
OBJ: Identify motivations and personal outcome priorities for returning to school.
n n n n n n n n n n
TOP: Motivation to Learn
n n n n
3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the
n n n n n n n n n n n n n n n n n
possibility of taking classes to become an RN. The advisor interprets which statement by the
n n n n n n n n n n n n n n n
nurse as the driving force for returning to school?
n n n n n n n n n
a. “I’ll need to schedule time to attend classes.”
n n n n n n n
b. “I’ll have to budget for paying tuition.”
n n n n n n
c. “I’ll have to rearranging my schedule.”
n n n n n
d. “There is a possibility of advancement into administration.”
n n n n n n n
ANS: D n
\
, Driving forces are those that push toward making the change, as opposed to restraining forces,
n n n n n n n n n n n n n n
which are those that usually present a challenge that needs to be overcome for the change to
n n n n n n n n n n n n n n n n n
take place or present a negative effect the change may initiate.
n n n n n n n n n n n
DIF: Cognitive Level: Application n n
OBJ: Identify motivations and personal outcome priorities for returning to school.
n n n n n n n n n n
TOP: Motivations for Change
n n n n
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle
n n n n n n n n n n n n n n n
and has been asking questions about eating better. The nurse can interpret this behavior as
n n n n n n n n n n n n n n n
which stage of Lewin’s Change Theory?
n n n n n n
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B n
The patient is in the first phase of Lewin’s Change Theory, known as unfreezing. This phase
n n n n n n n n n n n n n n n
involves determining that a change needs to occur and deciding to take action. Moving is the
n n n n n n n n n n n n n n n n
second phase and involves actively planning changes and taking action on them. Refreezing is
n n n n n n n n n n n n n n
the last stage, and it occurs when the change has become a part of the person’s life.
n n n n n n n n n n n n n n n n n
DIF: Cognitive Level: Analysis n n
OBJ: Understand Change Theory and how it applies to becoming an RN.
n n n n n n n n n n n
TOP: Change Theory
n n n
5. An LPN is talking with her clinical instructor about her decision to return to school to become
n n n n n n n n n n n n n n n n
n an RN. The clinical instructor iN
n nterprets the LPNs outcome priority based on which statement?
n n n n n n n n n n n n
a. “My family wanted me to go back to school.”
n n n n n n n n
b. “I want to better my financial situation.”
n n n n n n
c. “I really enjoy school.”
n n n
d. “I would like to advance to a teaching role someday.”
n n n n n n n n n
ANS: B n
The outcome priority is the essential need that must be addressed, determined by internal and
n n n n n n n n n n n n n n
external factors, such as needing to better a financial situation. The other statements indicate
n n n n n n n n n n n n n n
reasons for returning to school, but they are not essential needs or issues to be addressed.
n n n n n n n n n n n n n n n n
DIF: n nCognitive Level: Analysis n n
OBJ: n n Identify how experiences influence learning in adults.
n n n n n n n n n n TOP: Adult Learning n n
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is
n n n n n n n n n n n n n n n n n
in the moving phase of Lewin’s Change Theory, which statement reflects the action she is
n n n n n n n n n n n n n n n
most likely to take?
n n n n
a. Does nothing to obtain the position n n n n n
b. Applies for the position n n n
c. Identifies that change is needed n n n n
d. Settles into the routine of her job n n n n n n
ANS: B n
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