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txti TEST BANK FOR LPN TO RN TRANSITIONS 6TH
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txti EDITION BY CLAYWELL txti ti txti t
Chapter 01: Honoring Your Past, Planning Your Future
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MULTIPLE CHOICE txtiti
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows that
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licensedpractical nurse/license vocational nurse (LPN/LVNs) who enter nursing school to become RNs
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come into the learning environment with prior knowledge and understanding. Which statement by the
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nursing advisor best describes her understanding of the effect experience may have on learning?
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a. ―Experience may be a source of insight and motivation, or a barrier.‖ txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
b. ―Experience is usually a stumbling block for LPN/LVNs.‖ txtiti txtiti txtiti txtiti txtiti txtiti txtiti
c. ―Experience never makes learning more difficult.‖ txtiti txtiti txtiti txtiti txtiti
d. ―Once something is learned, it can never be truly modified.‖ txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
ANS: A txtiti
Experience accentuates differences among learners and serves as a source of insight and motivation, but it can
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also bea barrier. Experience can serve as a foundation for defining the self.
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DIF: Cognitive Level: Application txtiti txtiti txtiti
OBJ: Identify how experiences influence learning in adults. txtiti txtiti txtiti txtiti txtiti txtiti txtiti TOP: Adult Learning txtiti txtiti
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night. The
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student has already taken a vacation day from work Thursday night so that she can stay home and study.
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She is consideringskipping her exercise class on Thursday morning to
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N go to the library to prepare for the test. Which response best identifies the txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
student‘s outcome priority? txtiti txtiti
a. Exercise class txtiti
b. Going to the library txtiti txtiti txtiti
c. Avoiding work by taking a vacation txtiti txtiti txtiti txtiti txtiti
d. Doing well on the test on Friday txtiti txtiti txtiti txtiti txtiti txtiti
ANS: D txtiti
The outcome priority is the essential issue or need to be addressed at any given time
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txtiti within aset of conditions or circumstances. txtiti tix txtiti txtiti txtiti txtiti
DIF: Cognitive Level: Application txtiti txtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
TOP:Motivation to Learn
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3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility of
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taking classes to become an RN. The advisor interprets which statement by the nurse as the driving force
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for returning toschool? a. ―I‘ll need to schedule time to attend classes.‖
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b. ―I‘ll have to budget for paying tuition.‖ txtiti txtiti txtiti txtiti txtiti txtiti
c. ―I‘ll have to rearranging my schedule.‖ txtiti txtiti txtiti txtiti txtiti
d. ―There is a possibility of advancement into txtiti txtiti txtiti txtiti txtiti txtiti
txtiti administration.‖ANS: D tix txtiti
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Driving forces are those that push toward making the change, as opposed to restraining forces, which are those
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thatusually present a challenge that needs to be overcome for the change to take place or present a negative
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effect the change may initiate.
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DIF: Cognitive Level: Application txtiti txtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
TOP:Motivations for Change
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4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has been
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askingquestions about eating better. The nurse can interpret this behavior as which stage of Lewin‘s Change
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Theory? a.
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Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing. This phase
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involves determining that a change needs to occur and deciding to take action. Moving is the second phase and involves
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actively planning changes and taking action on them. Refreezing is the last stage, and it occurs when the
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change has become apart of the person‘s life.
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DIF: Cognitive Level: Analysis txtiti txtiti
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
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ChangeTheory
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5. An LPN is talking with her clinical instructor about her decision to return to school to become an RN. The
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clinicalinstructor interprets the LPNs outcome priority based on which N statement?
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a. ―My family wanted me to go back to school.‖ txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
b. ―I want to better my financial situation.‖ txtiti txtiti txtiti txtiti txtiti txtiti
c. ―I really enjoy school.‖ txtiti txtiti txtiti
d. ―I would like to advance to a teaching role someday.‖ txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
ANS: B txtiti
The outcome priority is the essential need that must be addressed, determined by internal and external factors, such
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asneeding to better a financial situation. The other statements indicate reasons for returning to school, but they
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are not essential needs or issues to be addressed.
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DIF: Cognitive Level: Analysis txtiti txtiti txtiti OBJ: Identify how experiences influence learning in
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adults.TOP: Adult Learning
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6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the moving
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phaseof Lewin‘s Change Theory, which statement reflects the action she is most likely to take?
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a. Does nothing to obtain the position txtiti txtiti txtiti txtiti txtiti
b. Applies for the position txtiti txtiti txtiti
c. Identifies that change is needed txtiti txtiti txtiti txtiti
d. Settles into the routine of her job txtiti txtiti txtiti txtiti txtiti txtiti
ANS: B txtiti
Unfreezing begins when reasons for change are identified. The moving phase involves active planning and txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti txtiti
action. Moving also means you are dealing with both positive and negative forces as they ebb and flow, and you
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are makingmodifications to your plan as needed. Refreezing occurs after the change has become routine.
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DIF: Cognitive Level: Application txtiti txtiti
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OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
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ChangeTheory
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7. An Orthopedic Nurse is contemplating changes in her professional life and identifying
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goals. Which action should the nurse take if she is interested in pursuing a long-term goal? a.
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Studies for atelemetry exam scheduled for next week
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b. Enrolls in a Nurse Practitioner program txtiti txtiti txtiti txtiti txtiti
c. Attends a seminar to become a charge nurse txtiti txtiti txtiti txtiti txtiti txtiti txtiti
d. Continues to work on the orthopedic floor full-time txtiti txtiti txtiti txtiti txtiti txtiti txtiti
ANS: B txtiti
A short-term goal is one that can be attained in a period of 6 months or less. Short-term goals include
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becoming a charge nurse and passing the telemetry exam. A long-term goal is attained in greater than 6
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months and includes studying to become a Nurse Practitioner. Continuing to work on the orthopedic floor
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does not represent either a short-term or a long-term goal.
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DIF: Cognitive Level: Application txtiti txtiti
OBJ: Identify both short- and long-term personal and professional goals. TOP:
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SettingGoals
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8. The RN is talking with the unit manager about ways to improve patient care. The manager introduces the
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concept ofa cohort. Which statement by the RN indicates that the teaching has N
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been effective?
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a. ―A cohort is a web of connections‖. txtiti txtiti txtiti txtiti txtiti txtiti
b. ―A cohort is a group of people who share common experiences with each other‖.
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c. ―A cohort is a group linked together for common purposes‖.
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d. ―A cohort consists of groups of individuals that make up a whole‖.
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ANS: B txtiti
A cohort is a group of people who share common experiences with each other. A scheme is a web of
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connections, ateam is a group linked together for common purposes, and a unit consists of groups or
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individuals that make up a whole.
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DIF: Cognitive Level: Evaluation
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OBJ: Identify how experiences influence learning in adults.
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9. The nurse educator is presenting a lecture to a group of new RNs. Which statement by one of the RNs
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indicates thatteaching has been effective?
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a. ―Experience is a stepping stone to new learning‖. txtiti txtiti txtiti txtiti txtiti txtiti txtiti
b. ―Experience can be a barrier to new learning‖. txtiti txtiti txtiti txtiti txtiti txtiti txtiti
c. ―Experience can be an avenue to new learning‖. txtiti txtiti txtiti txtiti txtiti txtiti txtiti
d. ―Experience can be a detour to new learning‖. txtiti txtiti txtiti txtiti txtiti txtiti txtiti
ANS: B txtiti
Experience accentuates differences among learners, serves as a source of insight and motivation, can be a
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barrier tonew learning, and serves as a foundation for defining the self.
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DIF: Cognitive Level: Evaluation txtiti txtiti
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP:
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AdultLearning
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10. The nurse educator is presenting a lecture on experience and learning to a group of RNs.
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