LPN to RN Transitions
6th Edition
• Author(s)Lora Claywell
TEST BANK
Question 1
• Reference: Ch. 1, Section: Change Theory and Learning
• Question Stem: A nurse educator is using Afaf Meleis's
Transitions Theory to explain the LPN to RN journey to a
group of students. Which statement by the educator best
defines the concept of "change" according to this theory?
• Options:
A. Change is a disruptive event that creates prolonged
periods of instability.
B. Change is the catalyst that causes a person to move
from one fairly stable state to another fairly stable state.
C. Change is a linear process that follows a strict,
predictable sequence of stages.
D. Change is primarily an internal psychological process
unrelated to external factors.
• Correct Answer: B
• Rationales:
, o Correct: B accurately reflects Meleis's definition of
change as the catalyst for transition between stable
states.
o Incorrect A: Transitions Theory does not define
change as solely disruptive or as creating prolonged
instability.
o Incorrect C: While some change theories are linear,
this is not the definition provided by Meleis.
o Incorrect D: The theory explicitly considers multiple
external factors, such as culture and community, that
influence a transition.
• Teaching Point: Change initiates the transition between
stable states.
Question 2
• Reference: Ch. 1, Section: Components of Continuing
Education
• Question Stem: An LPN with 10 years of experience in
long-term care is beginning an RN program. They feel
confident in their clinical skills but are struggling to adapt
to the deeper pathophysiological content. Which
underlying principle of adult learning (andragogy) best
explains why this student might find their past experience
a barrier?
, • Options:
A. Adults are internally motivated to learn.
B. Adults need to know the reason for learning.
C. Adults' accumulated experience can be a rigid mold that
resists new learning.
D. Adults are oriented to the immediate application of
knowledge.
• Correct Answer: C
• Rationales:
o Correct: C identifies that past experience, while a
resource, can also act as a barrier if it prevents the
integration of new concepts, a key assumption in
andragogy.
o Incorrect A: While often true, this does not directly
address the challenge described.
o Incorrect B: Understanding the reason for learning is
a separate assumption and does not explain the
resistance.
o Incorrect D: Orientation to application is a motivating
factor, not the cause of the barrier.
• Teaching Point: Past experience can sometimes hinder the
integration of new knowledge.
Question 3
• Reference: Ch. 1, Section: Change Theory and Learning
, • Question Stem: When planning a support program for
LPN-to-RN students, which factor should a program
coordinator recognize as a potential influence on the
students' transition, based on transitions theory?
• Options:
A. The brand of stethoscope used by the student.
B. The student's cultural beliefs and previous healthcare
experience.
C. The color of the uniforms in the clinical setting.
D. The model of car the student drives.
• Correct Answer: B
• Rationales:
o Correct: B includes factors such as culture and
previous experience, which are explicitly noted as
influencing a transition.
o Incorrect A, C, and D: These are personal equipment
or style choices that are not identified in the
theoretical framework as meaningful influencers of
the role transition.
• Teaching Point: Personal, cultural, and experiential factors
significantly shape the transition experience.
Question 4
• Reference: Ch. 1, Section: Components of Continuing
Education
6th Edition
• Author(s)Lora Claywell
TEST BANK
Question 1
• Reference: Ch. 1, Section: Change Theory and Learning
• Question Stem: A nurse educator is using Afaf Meleis's
Transitions Theory to explain the LPN to RN journey to a
group of students. Which statement by the educator best
defines the concept of "change" according to this theory?
• Options:
A. Change is a disruptive event that creates prolonged
periods of instability.
B. Change is the catalyst that causes a person to move
from one fairly stable state to another fairly stable state.
C. Change is a linear process that follows a strict,
predictable sequence of stages.
D. Change is primarily an internal psychological process
unrelated to external factors.
• Correct Answer: B
• Rationales:
, o Correct: B accurately reflects Meleis's definition of
change as the catalyst for transition between stable
states.
o Incorrect A: Transitions Theory does not define
change as solely disruptive or as creating prolonged
instability.
o Incorrect C: While some change theories are linear,
this is not the definition provided by Meleis.
o Incorrect D: The theory explicitly considers multiple
external factors, such as culture and community, that
influence a transition.
• Teaching Point: Change initiates the transition between
stable states.
Question 2
• Reference: Ch. 1, Section: Components of Continuing
Education
• Question Stem: An LPN with 10 years of experience in
long-term care is beginning an RN program. They feel
confident in their clinical skills but are struggling to adapt
to the deeper pathophysiological content. Which
underlying principle of adult learning (andragogy) best
explains why this student might find their past experience
a barrier?
, • Options:
A. Adults are internally motivated to learn.
B. Adults need to know the reason for learning.
C. Adults' accumulated experience can be a rigid mold that
resists new learning.
D. Adults are oriented to the immediate application of
knowledge.
• Correct Answer: C
• Rationales:
o Correct: C identifies that past experience, while a
resource, can also act as a barrier if it prevents the
integration of new concepts, a key assumption in
andragogy.
o Incorrect A: While often true, this does not directly
address the challenge described.
o Incorrect B: Understanding the reason for learning is
a separate assumption and does not explain the
resistance.
o Incorrect D: Orientation to application is a motivating
factor, not the cause of the barrier.
• Teaching Point: Past experience can sometimes hinder the
integration of new knowledge.
Question 3
• Reference: Ch. 1, Section: Change Theory and Learning
, • Question Stem: When planning a support program for
LPN-to-RN students, which factor should a program
coordinator recognize as a potential influence on the
students' transition, based on transitions theory?
• Options:
A. The brand of stethoscope used by the student.
B. The student's cultural beliefs and previous healthcare
experience.
C. The color of the uniforms in the clinical setting.
D. The model of car the student drives.
• Correct Answer: B
• Rationales:
o Correct: B includes factors such as culture and
previous experience, which are explicitly noted as
influencing a transition.
o Incorrect A, C, and D: These are personal equipment
or style choices that are not identified in the
theoretical framework as meaningful influencers of
the role transition.
• Teaching Point: Personal, cultural, and experiential factors
significantly shape the transition experience.
Question 4
• Reference: Ch. 1, Section: Components of Continuing
Education
