6th Edition
• Author(s)Lora Claywell
TEST BANK
1.
• Reference: Ch. 1, Section: Reviewing the Past and Present
• Stem: An LPN with five years of experience in long-term
care is beginning an RN program. They feel confident in
their clinical skills but are anxious about the increased
academic workload. Which initial action best demonstrates
the self-awareness needed for a successful role transition?
• Options:
A. Immediately volunteer to lead a study group to establish
authority.
B. Create a detailed time management plan that
acknowledges the need to balance work, life, and study.
C. Focus solely on new RN-level content and disregard
reviewing foundational LPN knowledge.
D. Avoid discussing their LPN background with instructors
to ensure a fresh start.
• Correct Answer: B
• Rationales:
, o Correct: Successful transition requires honest self-
assessment and planning. A time management plan
that acknowledges existing commitments and the
new demands of the RN program demonstrates
proactive self-awareness and planning, which are
critical for managing the stress of role transition.
o Incorrect A: While leadership is a valuable RN skill,
immediately volunteering to lead without first
assessing the new demands and one's own capacity
can lead to overwhelm and is not the best initial step.
Incorrect C: Honoring one's past means building
upon, not disregarding, existing LPN knowledge and
experience. This approach creates a fragmented
knowledge base.
Incorrect D: A fresh start does not require ignoring
one's past. Instructors can often help students
connect their existing experience to new learning,
making the transition more meaningful.
• Teaching Point: Effective role transition begins with honest
self-assessment and proactive planning.
• Citation: Claywell, L. (2022). LPN to RN Transitions (6th
ed.). Elsevier.
2.
• Reference: Ch. 1, Section: Change Theory and Learning
,• Stem: An LPN student, comfortable with their current
routine, feels significant anxiety about the upcoming
changes involved in becoming an RN. According to Kurt
Lewin's change theory, in which phase is the student, and
what is the appropriate initial focus?
• Options:
A. Moving; focus on learning new skills quickly.
B. Unfreezing; focus on understanding the need for
change and reducing restraining forces.
C. Refreezing; focus on integrating new behaviors into a
stable pattern.
D. Transforming; focus on the final outcome of being an
RN.
• Correct Answer: B
• Rationales:
o Correct: In Lewin's model, unfreezing is the first
phase, characterized by discomfort and resistance as
the individual recognizes the need for change. The
focus should be on overcoming inertia and reducing
the forces resisting the change.
o Incorrect A: The "moving" phase occurs after
unfreezing, when the individual actively learns and
adopts new behaviors.
o Incorrect C: "Refreezing" is the final phase, where
new behaviors are stabilized and integrated.
, o Incorrect D: "Transforming" is not a phase in Lewin's
classic three-step model of change.
• Teaching Point: Lewin's unfreezing phase involves
recognizing the need for change and reducing resistance.
• Citation: Claywell, 2022, Ch. 1
3.
• Reference: Ch. 1, Section: Key Terms / Components of
Continuing Education
• Stem: A nursing student creates a concise document that
lists their prior work experiences and formal training to
help faculty advisors understand their background. This
document is best described as a(n):
• Options:
A. professional portfolio.
B. experiential resume.
C. advanced skills checklist.
D. articulation agreement.
• Correct Answer: B
• Rationales:
o Correct: An experiential resume is specifically defined
as a concise list of a student's prior learning and work
experiences, used to outline their background for
planning purposes.