vv vv vv vv vv vv vv
Edition by Lora Claywell
vv vv vv vv
ALL CHAPTERS 1-18 WITH RATIONALES| A+ PASS
vv vv vv vv vv vv
1|P a g
vv vv vv vv
e
vv
, Chapter 01: Honoring Your Past, Planning Your Future
vv vv vv vv vv vv vv
vv MULTIPLE CHOICE vv
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
knows that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing school
vv vv vv vv vv vv vv vv vv vv vv vv
to become RNs come into the learning environment with prior knowledge and understanding.
vv vv vv vv vv vv vv vv vv vv vv vv vv
Which statement by the nursing advisor best describes her understanding of the effect experience
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
may have on learning?
vv vv vv vv
a. ―Experience may be a source of insight and motivation, or a barrier.‖
vv vv vv vv vv vv vv vv vv vv vv
b. ―Experience is usually a stumbling block for LPN/LVNs.‖
vv vv vv vv vv vv vv
c. ―Experience never makes learning more difficult.‖
vv vv vv vv vv
d. ―Once something is learned, it can never be truly modified.‖
vv vv vv vv vv vv vv vv vv
ANS: A vv
Experience accentuates differences among learners and serves as a source of insight and motivation,
vv vv vv vv vv vv vv vv vv vv vv vv vv
but it can also be a barrier. Experience can serve as a foundation for defining the self.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Application vv vv
OBJ: Identify how experiences influence learning in adults.
vv vv vv vv vv vv vv TOP: Adult Learning vv vv
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
night. The student has already taken a vacation day from work Thursday night so that she can
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
stay home and study. She is considering skipping her exercise class on Thursday morning to go
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
to the library to prepare for the test. Which response best identifies the student‘s outcome
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
priority?
vv
a. Exercise class vv
b. Going to the library vv vv vv
c. Avoiding work by taking a vacation
vv vv vv vv vv
d. Doing well on the test on Friday ANS: D
vv vv vv vv vv vv vv vv
The outcome priority is the essential issue or need to be addressed at any given time within a set
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
of conditions or circumstances.
vv vv vv vv
DIF: Cognitive Level: Application vv vv
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP: Motivation
vv vv vv vv vv vv vv vv vv vv vv vv
to Learn
vv vv
2|P a g
vv vv vv vv
e
vv
,3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
possibility of taking classes to become an RN. The advisor interprets which statement by the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
nurse as the driving force for returning to school?
vv vv vv vv vv vv vv vv vv
a. ―I‘ll need to schedule time to attend classes.‖
vv vv vv vv vv vv vv
b. ―I‘ll have to budget for paying tuition.‖
vv vv vv vv vv vv
c. ―I‘ll have to rearranging my schedule.‖
vv vv vv vv vv
d. ―There is a possibility of advancement into administration.‖
vv vv vv vv vv vv vv
ANS: D vv
Driving forces are those that push toward making the change, as opposed to restraining forces,
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
which are those that usually present a challenge that needs to be overcome for the change to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
take place or present a negative effect the change may initiate.
vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Application vv vv
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP:
vv vv vv vv vv vv vv vv vv vv vv
Motivations for Change
vv vv vv
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and has been asking questions about eating better. The nurse can interpret this behavior as which
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
stage of Lewin‘s Change Theory?
vv vv vv vv vv
a. Moving
b. Unfreezing
c. Action
d. Refreezing ANS: B vv vv
The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing. This phase
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
involves determining that a change needs to occur and deciding to take action. Moving is the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
second phase and involves actively planning changes and taking action on them. Refreezing is the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
last stage, and it occurs when the change has become a part of the person‘s life.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Analysis vv vv
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP: Change Theory
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
3|P a g
vv vv vv vv
e
vv
, 5. An LPN is talking with her clinical instructor about her decision to return to school to become
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
an RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
a. ―My family wanted me to go back to school.‖
vv vv vv vv vv vv vv vv
b. ―I want to better my financial situation.‖
vv vv vv vv vv vv
c. ―I really enjoy school.‖
vv vv vv
d. ―I would like to advance to a teaching role someday.‖
vv vv vv vv vv vv vv vv vv
ANS: B vv
The outcome priority is the essential need that must be addressed, determined by internal and
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
external factors, such as needing to better a financial situation. The other statements indicate
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
reasons for returning to school, but they are not essential needs or issues to be addressed.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Analysis vv vv
OBJ: Identify how experiences influence learning in adults.
vv vv vv vv vv vv vv TOP: Adult Learning
vv vv
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
moving phase of Lewin‘s Change Theory, which statement reflects the action she is most likely to take?
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
a. Does nothing to obtain the position
vv vv vv vv vv
b. Applies for the position vv vv vv
c. Identifies that change is needed vv vv vv vv
d. Settles into the routine of her job ANS: B
vv vv vv vv vv vv vv vv
Unfreezing begins when reasons for change are identified. The moving phase involves active
vv vv vv vv vv vv vv vv vv vv vv vv
planning and action. Moving also means you are dealing with both positive and negative
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
forces as they ebb and flow, and you are making modifications to your plan as needed.
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Refreezing occurs after the change has become
vv vv vv vv vv vv
routine. DIF: Cognitive Level: Application
vv vv vv vv
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP: Change Theory
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
7. An Orthopedic Nurse is contemplating changes in her professional life and identifying goals.
vv vv vv vv vv vv vv vv vv vv vv vv
Which action should the nurse take if she is interested in pursuing a long-term goal?
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
a. Studies for a telemetry exam scheduled for next week
vv vv vv vv vv vv vv vv
4|P a g vv vv vv vv
e
vv