,Chapter 01: Honoring Your Past, Planning Your Future Claywel
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l: LPN to RN Transitions, 5th Edition
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MULTIPLEuCHOICE
1. AunursinguadvisoruisumeetinguwithuaustudentuwhouisuinteresteduinuearninguheruRNudegree.uSheuk
nowsuthatulicensedupracticalunurse/licenseuvocationalunurseu(LPN/LVNs)uwhouenterunursingusc
hoolutoubecomeuRNsucomeuintoutheulearninguenvironmentuwithuprioruknowledgeuanduundersta
nding.uWhichustatementubyutheunursinguadvisorubestudescribesuheruunderstandinguofutheueffect
uexperienceumayuhaveuonulearning?
a. “Experienceumayubeuausourceuofuinsightuandumotivation,uoruaubarrier.”
b. “ExperienceuisuusuallyuaustumblingublockuforuLPN/LVNs.”
c. “Experienceuneverumakesulearningumoreudifficult.”
d. “Onceusomethinguisulearned,uitucanuneverubeutrulyumodified.”
ANS:u A
Experienceuaccentuatesudifferencesuamongulearnersuanduservesuasuausourceuofuinsightuandumotiv
ation,ubutuitucanualsoubeuaubarrier.uExperienceucanuserveuasuaufoundationuforudefiningutheuself.
DIF: CognitiveuLevel:uApplication
OBJ:u u Identifyuhowuexperiencesuinfluenceulearninguinuadults. TOP:u AdultuLearning
2. ThereuisuautestuonutheucardiovascularusystemuonuFridayumorning,uanduituisunowuWednesdayunigh
t.uTheustudentuhasualreadyutakenuauvacationudayufromuworkuThursdayunightusouthatusheucanustayuh
omeuandustudy.uSheuisuconsideringuskippinguheruexerciseuclassuonuThursdayumorningutougoutout
heulibraryutouprepareuforutheutest.uWhichuresponseubestuidentifiesutheustudent’suoutcomeupriority
?
a. Exerciseuclass
b. Goingutoutheulibrary
c. Avoidinguworkubyutakinguauvacation
d. DoinguwelluonutheutestuonuFriday
ANS:u D
Theuoutcomeupriorityuisutheuessentialuissueuoruneedutoubeuaddresseduatuanyugivenutimeuwithinuauset
uofuconditionsuorucircumstances.
DIF: CognitiveuLevel:uApplication
OBJ:uIdentifyumotivationsuandupersonaluoutcomeuprioritiesuforureturningutouschool.uT
OP:u MotivationutouLearn
3. AunurseuwhouhasubeenuanuLPN/LVNuforu10uyearsuisumeetinguwithuanuadvisorutoudiscussutheupo
ssibilityuofutakinguclassesutoubecomeuanuRN.uTheuadvisoruinterpretsuwhichustatementubyutheunur
seuasutheudrivinguforceuforureturningutouschool?
a. “I’lluneedutouscheduleutimeutouattenduclasses.”
b. “I’lluhaveutoubudgetuforupayingutuition.”
c. “I’lluhaveutourearrangingumyuschedule.”
d. “Thereuisuaupossibilityuofuadvancementuintouadministration.”
ANS:u D
MedConnoisseur 2023 u
, Drivinguforcesuareuthoseuthatupushutowardumakingutheuchange,uasuopposedutourestraininguforces,uw
hichuareuthoseuthatuusuallyupresentuauchallengeuthatuneedsutoubeuovercomeuforutheuchangeutoutakeu
placeuorupresentuaunegativeueffectutheuchangeumayuinitiate.
DIF: CognitiveuLevel:uApplication
OBJ:uIdentifyumotivationsuandupersonaluoutcomeuprioritiesuforureturningutouschool.uT
OP:u MotivationsuforuChange
4. AnuRNuisucaringuforuaudiabeticupatient.uTheupatientuappearsuinteresteduinuchanginguherulifestyleua
nduhasubeenuaskinguquestionsuaboutueatingubetter.uTheunurseucanuinterpretuthisubehavioruasuwhic
hustageuofuLewin’suChangeuTheory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS:u B
TheupatientuisuinutheufirstuphaseuofuLewin’suChangeuTheory,uknownuasuunfreezing.uThisuphaseuin
volvesudetermininguthatuauchangeuneedsutouoccuruandudecidingutoutakeuaction.uMovinguisutheusec
onduphaseuanduinvolvesuactivelyuplanninguchangesuandutakinguactionuonuthem.uRefreezinguisutheul
astustage,uanduituoccursuwhenutheuchangeuhasubecomeuaupartuofutheuperson’sulife.
DIF: CognitiveuLevel:uAnalysis
OBJ:u UnderstanduChangeuTheoryuanduhowuituappliesutoubecominguanuRN.u
TOP:u ChangeuTheory
5. AnuLPNuisutalkinguwithuheruclinicaluinstructoruaboutuherudecisionutoureturnutouschoolutoubecomeua
nuRN.uTheuclinicaluinstructoruiN
nterprets utheuLPNsuoutcomeupriorityubaseduonuwhichustatement?
a. “Myufamilyuwantedumeutougoubackutouschool.”
b. “Iuwantutoubetterumyufinancialusituation.”
c. “Iureallyuenjoyuschool.”
d. “Iuwouldulikeutouadvanceutouauteachinguroleusomeday.”
ANS:u B
Theuoutcomeupriorityuisutheuessentialuneeduthatumustubeuaddressed,udeterminedubyuinternaluandue
xternalufactors,usuchuasuneedingutoubetteruaufinancialusituation.uTheuotherustatementsuindicateure
asonsuforureturningutouschool,ubututheyuareunotuessentialuneedsuoruissuesutoubeuaddressed.
DIF:u CognitiveuLevel:uAnalysis
OBJ:u u Identifyuhowuexperiencesuinfluenceulearninguinuadults.u u u TOP:u AdultuLearning
6. Aunurseunoticesuaupostinguforuaumanagementupositionuforuwhichusheuisuqualified.uIfutheunurseuisui
nutheumovinguphaseuofuLewin’suChangeuTheory,uwhichustatementureflectsutheuactionusheuisumos
tulikelyutoutake?
a. Doesunothingutouobtainutheuposition
b. Appliesuforutheuposition
c. Identifiesuthatuchangeuisuneeded
d. Settlesuintoutheuroutineuofuherujob
ANS:u B
MedConnoisseur 2023 u
, Unfreezingubeginsuwhenureasonsuforuchangeuareuidentified.uTheumovinguphaseuinvolvesuactiveupl
anninguanduaction.uMovingualsoumeansuyouuareudealinguwithubothupositiveuandunegativeuforcesua
sutheyuebbuanduflow,uanduyouuareumakingumodificationsutouyouruplanuasuneeded.
Refreezinguoccursuafterutheuchangeuhasubecomeuroutine.
DIF: CognitiveuLevel:uApplication
OBJ:u UnderstanduChangeuTheoryuanduhowuituappliesutoubecominguanuRN.u
TOP:u ChangeuTheory
7. AnuOrthopedicuNurseuisucontemplatinguchangesuinuheruprofessionalulifeuanduidentifyingugoals.u
Whichuactionushouldutheunurseutakeuifusheuisuinteresteduinupursuinguaulong-termugoal?
a.Studiesuforuautelemetryuexamuscheduleduforunextuweek
b.EnrollsuinuauNurseuPractitioneruprogram
c.Attendsuauseminarutoubecomeuauchargeunurse
d.Continuesutouworkuonutheuorthopedicufloorufull-time
ANS:u B
Aushort-termugoaluisuoneuthatucanubeuattaineduinuauperioduofu6umonthsuoruless.uShort-
termugoalsuincludeubecominguauchargeunurseuandupassingutheutelemetryuexam.uAulong-
termugoaluisuattaineduinugreateruthanu6umonthsuanduincludesustudyingutoubecomeuauNurseuPractiti
oner.uContinuingutouworkuonutheuorthopedicufloorudoesunoturepresentueitheruaushort-
termuoruaulong-termugoal.
DIF:u CognitiveuLevel:uApplication
OBJ:uIdentifyubothushort-uandulong-
termupersonaluanduprofessionalugoals.uTOP:u SettinguGoals
8. TheuRNuisutalkinguwithutheuunitumanageruaboutuwaysutouimproveupatientucare.uTheumanageruintr
oducesutheuconceptuofuaucohNort. uWhichustatementubyutheuRNuindicatesuthatutheuteachinguhasubeen
ueffective?
a. “Aucohortuisuauwebuofuconnections”.
b. “Aucohortuisuaugroupuofupeopleuwhoushareucommonuexperiencesuwithueachuother”.
c. “Aucohortuisuaugroupulinkedutogetheruforucommonupurposes”.
d. “Aucohortuconsistsuofugroupsuofuindividualsuthatumakeuupuauwhole”.
ANS:u B
Aucohortuisuaugroupuofupeopleuwhoushareucommonuexperiencesuwithueachuother.uAuschemeuisuauwe
buofuconnections,uauteamuisuaugroupulinkedutogetheruforucommonupurposes,uanduauunituconsistsuofu
groupsuoruindividualsuthatumakeuupuauwhole.
DIF: CognitiveuLevel:uEvaluation
OBJ:u u Identifyuhowuexperiencesuinfluenceulearninguinuadults. TOP:u AdultuLearning
9. TheunurseueducatoruisupresentinguaulectureutouaugroupuofunewuRNs.uWhichustatementubyuoneuofut
heuRNsuindicatesuthatuteachinguhasubeenueffective?
a. “Experienceuisuausteppingustoneutounewulearning”.
b. “Experienceucanubeuaubarrierutounewulearning”.
c. “Experienceucanubeuanuavenueutounewulearning”.
d. “Experienceucanubeuaudetourutounewulearning”.
ANS:u B
Experienceuaccentuatesudifferencesuamongulearners,uservesuasuausourceuofuinsightuandumotivatio
n,ucanubeuaubarrierutounewulearning,uanduservesuasuaufoundationuforudefiningutheuself.
MedConnoisseur 2023 u
u u u u u u u u
l: LPN to RN Transitions, 5th Edition
u u u u u u
MULTIPLEuCHOICE
1. AunursinguadvisoruisumeetinguwithuaustudentuwhouisuinteresteduinuearninguheruRNudegree.uSheuk
nowsuthatulicensedupracticalunurse/licenseuvocationalunurseu(LPN/LVNs)uwhouenterunursingusc
hoolutoubecomeuRNsucomeuintoutheulearninguenvironmentuwithuprioruknowledgeuanduundersta
nding.uWhichustatementubyutheunursinguadvisorubestudescribesuheruunderstandinguofutheueffect
uexperienceumayuhaveuonulearning?
a. “Experienceumayubeuausourceuofuinsightuandumotivation,uoruaubarrier.”
b. “ExperienceuisuusuallyuaustumblingublockuforuLPN/LVNs.”
c. “Experienceuneverumakesulearningumoreudifficult.”
d. “Onceusomethinguisulearned,uitucanuneverubeutrulyumodified.”
ANS:u A
Experienceuaccentuatesudifferencesuamongulearnersuanduservesuasuausourceuofuinsightuandumotiv
ation,ubutuitucanualsoubeuaubarrier.uExperienceucanuserveuasuaufoundationuforudefiningutheuself.
DIF: CognitiveuLevel:uApplication
OBJ:u u Identifyuhowuexperiencesuinfluenceulearninguinuadults. TOP:u AdultuLearning
2. ThereuisuautestuonutheucardiovascularusystemuonuFridayumorning,uanduituisunowuWednesdayunigh
t.uTheustudentuhasualreadyutakenuauvacationudayufromuworkuThursdayunightusouthatusheucanustayuh
omeuandustudy.uSheuisuconsideringuskippinguheruexerciseuclassuonuThursdayumorningutougoutout
heulibraryutouprepareuforutheutest.uWhichuresponseubestuidentifiesutheustudent’suoutcomeupriority
?
a. Exerciseuclass
b. Goingutoutheulibrary
c. Avoidinguworkubyutakinguauvacation
d. DoinguwelluonutheutestuonuFriday
ANS:u D
Theuoutcomeupriorityuisutheuessentialuissueuoruneedutoubeuaddresseduatuanyugivenutimeuwithinuauset
uofuconditionsuorucircumstances.
DIF: CognitiveuLevel:uApplication
OBJ:uIdentifyumotivationsuandupersonaluoutcomeuprioritiesuforureturningutouschool.uT
OP:u MotivationutouLearn
3. AunurseuwhouhasubeenuanuLPN/LVNuforu10uyearsuisumeetinguwithuanuadvisorutoudiscussutheupo
ssibilityuofutakinguclassesutoubecomeuanuRN.uTheuadvisoruinterpretsuwhichustatementubyutheunur
seuasutheudrivinguforceuforureturningutouschool?
a. “I’lluneedutouscheduleutimeutouattenduclasses.”
b. “I’lluhaveutoubudgetuforupayingutuition.”
c. “I’lluhaveutourearrangingumyuschedule.”
d. “Thereuisuaupossibilityuofuadvancementuintouadministration.”
ANS:u D
MedConnoisseur 2023 u
, Drivinguforcesuareuthoseuthatupushutowardumakingutheuchange,uasuopposedutourestraininguforces,uw
hichuareuthoseuthatuusuallyupresentuauchallengeuthatuneedsutoubeuovercomeuforutheuchangeutoutakeu
placeuorupresentuaunegativeueffectutheuchangeumayuinitiate.
DIF: CognitiveuLevel:uApplication
OBJ:uIdentifyumotivationsuandupersonaluoutcomeuprioritiesuforureturningutouschool.uT
OP:u MotivationsuforuChange
4. AnuRNuisucaringuforuaudiabeticupatient.uTheupatientuappearsuinteresteduinuchanginguherulifestyleua
nduhasubeenuaskinguquestionsuaboutueatingubetter.uTheunurseucanuinterpretuthisubehavioruasuwhic
hustageuofuLewin’suChangeuTheory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS:u B
TheupatientuisuinutheufirstuphaseuofuLewin’suChangeuTheory,uknownuasuunfreezing.uThisuphaseuin
volvesudetermininguthatuauchangeuneedsutouoccuruandudecidingutoutakeuaction.uMovinguisutheusec
onduphaseuanduinvolvesuactivelyuplanninguchangesuandutakinguactionuonuthem.uRefreezinguisutheul
astustage,uanduituoccursuwhenutheuchangeuhasubecomeuaupartuofutheuperson’sulife.
DIF: CognitiveuLevel:uAnalysis
OBJ:u UnderstanduChangeuTheoryuanduhowuituappliesutoubecominguanuRN.u
TOP:u ChangeuTheory
5. AnuLPNuisutalkinguwithuheruclinicaluinstructoruaboutuherudecisionutoureturnutouschoolutoubecomeua
nuRN.uTheuclinicaluinstructoruiN
nterprets utheuLPNsuoutcomeupriorityubaseduonuwhichustatement?
a. “Myufamilyuwantedumeutougoubackutouschool.”
b. “Iuwantutoubetterumyufinancialusituation.”
c. “Iureallyuenjoyuschool.”
d. “Iuwouldulikeutouadvanceutouauteachinguroleusomeday.”
ANS:u B
Theuoutcomeupriorityuisutheuessentialuneeduthatumustubeuaddressed,udeterminedubyuinternaluandue
xternalufactors,usuchuasuneedingutoubetteruaufinancialusituation.uTheuotherustatementsuindicateure
asonsuforureturningutouschool,ubututheyuareunotuessentialuneedsuoruissuesutoubeuaddressed.
DIF:u CognitiveuLevel:uAnalysis
OBJ:u u Identifyuhowuexperiencesuinfluenceulearninguinuadults.u u u TOP:u AdultuLearning
6. Aunurseunoticesuaupostinguforuaumanagementupositionuforuwhichusheuisuqualified.uIfutheunurseuisui
nutheumovinguphaseuofuLewin’suChangeuTheory,uwhichustatementureflectsutheuactionusheuisumos
tulikelyutoutake?
a. Doesunothingutouobtainutheuposition
b. Appliesuforutheuposition
c. Identifiesuthatuchangeuisuneeded
d. Settlesuintoutheuroutineuofuherujob
ANS:u B
MedConnoisseur 2023 u
, Unfreezingubeginsuwhenureasonsuforuchangeuareuidentified.uTheumovinguphaseuinvolvesuactiveupl
anninguanduaction.uMovingualsoumeansuyouuareudealinguwithubothupositiveuandunegativeuforcesua
sutheyuebbuanduflow,uanduyouuareumakingumodificationsutouyouruplanuasuneeded.
Refreezinguoccursuafterutheuchangeuhasubecomeuroutine.
DIF: CognitiveuLevel:uApplication
OBJ:u UnderstanduChangeuTheoryuanduhowuituappliesutoubecominguanuRN.u
TOP:u ChangeuTheory
7. AnuOrthopedicuNurseuisucontemplatinguchangesuinuheruprofessionalulifeuanduidentifyingugoals.u
Whichuactionushouldutheunurseutakeuifusheuisuinteresteduinupursuinguaulong-termugoal?
a.Studiesuforuautelemetryuexamuscheduleduforunextuweek
b.EnrollsuinuauNurseuPractitioneruprogram
c.Attendsuauseminarutoubecomeuauchargeunurse
d.Continuesutouworkuonutheuorthopedicufloorufull-time
ANS:u B
Aushort-termugoaluisuoneuthatucanubeuattaineduinuauperioduofu6umonthsuoruless.uShort-
termugoalsuincludeubecominguauchargeunurseuandupassingutheutelemetryuexam.uAulong-
termugoaluisuattaineduinugreateruthanu6umonthsuanduincludesustudyingutoubecomeuauNurseuPractiti
oner.uContinuingutouworkuonutheuorthopedicufloorudoesunoturepresentueitheruaushort-
termuoruaulong-termugoal.
DIF:u CognitiveuLevel:uApplication
OBJ:uIdentifyubothushort-uandulong-
termupersonaluanduprofessionalugoals.uTOP:u SettinguGoals
8. TheuRNuisutalkinguwithutheuunitumanageruaboutuwaysutouimproveupatientucare.uTheumanageruintr
oducesutheuconceptuofuaucohNort. uWhichustatementubyutheuRNuindicatesuthatutheuteachinguhasubeen
ueffective?
a. “Aucohortuisuauwebuofuconnections”.
b. “Aucohortuisuaugroupuofupeopleuwhoushareucommonuexperiencesuwithueachuother”.
c. “Aucohortuisuaugroupulinkedutogetheruforucommonupurposes”.
d. “Aucohortuconsistsuofugroupsuofuindividualsuthatumakeuupuauwhole”.
ANS:u B
Aucohortuisuaugroupuofupeopleuwhoushareucommonuexperiencesuwithueachuother.uAuschemeuisuauwe
buofuconnections,uauteamuisuaugroupulinkedutogetheruforucommonupurposes,uanduauunituconsistsuofu
groupsuoruindividualsuthatumakeuupuauwhole.
DIF: CognitiveuLevel:uEvaluation
OBJ:u u Identifyuhowuexperiencesuinfluenceulearninguinuadults. TOP:u AdultuLearning
9. TheunurseueducatoruisupresentinguaulectureutouaugroupuofunewuRNs.uWhichustatementubyuoneuofut
heuRNsuindicatesuthatuteachinguhasubeenueffective?
a. “Experienceuisuausteppingustoneutounewulearning”.
b. “Experienceucanubeuaubarrierutounewulearning”.
c. “Experienceucanubeuanuavenueutounewulearning”.
d. “Experienceucanubeuaudetourutounewulearning”.
ANS:u B
Experienceuaccentuatesudifferencesuamongulearners,uservesuasuausourceuofuinsightuandumotivatio
n,ucanubeuaubarrierutounewulearning,uanduservesuasuaufoundationuforudefiningutheuself.
MedConnoisseur 2023 u
