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, Chapter 01: Honoring Your Past, Planning Your Future
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Claywell:LPNtoRNTransitions,4thEdition
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Multiple choice questions
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1. A nursing advisor is meeting with a student who is interested in earning her RN degree.
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Sheknows that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter
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nursingschooltobecomeRNscomeintothelearning environmentwithpriorknowledge and
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understanding. Which statement by the nursing advisor best describes her understanding of
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the effect experience may haveon learning?
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a. “Experiencemay be asourceof insight andmotivation, orabarrier.” zx zx zx zx zx zx zx zx zx zx zx
b. “Experienceis usually astumblingblockforLPN/LVNs.” zx zx zx zx zx zx zx
c. “Experiencenevermakes learningmoredifficult.” zx zx zx zx zx
d. “Oncesomething is learned, it can neverbetruly modified.” zx zx zx zx zx zx zx zx zx
ANS: A z x
Experience accentuates differences among learners and serves as a source of insight and zx zx zx zx zx zx zx zx zx zx zx zx
motivation, but it can also be a barrier. Experience can serve as a foundation for defining theself.
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DIF: CognitiveLevel:Application z x zx zx
OBJ: Identifyhowexperiences influencelearninginadults.TOP: Adult Learning
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2. Thereis atest on the cardiovascularsystem on Fridaymorning, and it is now Wednesday night.
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The student has alreadytaken a vacation dayfrom work Thursdaynight so that she canstay
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home and study. She is considering skipping her exercise class on Thursday morning to go to
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the library to prepare for the test. Which response best identifies the student’s outcome
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priority?
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a. Exercise class zx
b. Going to the library zx zx zx
c. Avoidingwork bytaking avacation zx zx zx zx zx
d. Doingwell on thetest on Friday zx zx zx zx zx zx
ANS: D z x
The outcome priority is the essential issue or need to be addressed at any given time within aset of
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conditions or circumstances.
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, DIF: CognitiveLevel:Application
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OBJ:Identifymotivationsandpersonaloutcomeprioritiesfor
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returning to school.TOP: Motivation to Learn
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3. A nursewho has been an LPN/LVN for10 years is meetingwith an advisor to discuss the
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possibility of taking classes to become an RN. The advisor interpretswhich statement by
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thenurse as the driving force for returning to school?
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a. “I’llneed toschedule timeto attend classes.”
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b. “I’llhaveto budget for paying tuition.”
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c. “I’llhavetorearranging my schedule.”
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d. “Thereisapossibilityofadvancementintoadministration.”
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zx ANS: D zx
, Driving forces are those that push toward making the change, as opposed to restraining
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forces,which are those that usually present a challenge that needs to beovercome for the
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change to take place or present a negative effect the change may initiate.
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DIF: CognitiveLevel:Application z x zx zx
OBJ:Identifymotivationsandpersonaloutcomeprioritiesfor
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returning to school.TOP: Motivations for Change
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4. An RN is caring for a diabetic patient. The patient appears interested in changing her
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lifestyleand has been asking questions about eating better. The nurse can interpret this
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behavior as which stage of Lewin’s Change Theory?
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a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B z x
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
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second phase and involves actively planning changes and taking action on them. Refreezing isthe
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last stage, and it occurs when the change has become a partof the person’s life.
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DIF: CognitiveLevel: Analysis z x zx zx
OBJ:UnderstandChangeTheoryandhowitappliesto becoming
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an RN.TOP: Change Theory
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5. An LPN is talking with her clinical instructor about her decision to return to school to
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becomeanRN.TheclinicalinstructoriN
zx nterprets theLPNsoutcomeprioritybasedonwhich zx zx zx zx zx zx zx zx zx zx zx zx
statement?
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a. “Myfamily wanted metogo backto school.” zx zx zx zx zx zx zx zx
b. “Iwant to better myfinancial situation.”zx zx zx zx zx zx
c. “Ireally enjoy school.” zx zx zx
d. “Iwould liketoadvance to ateaching rolesomeday.”
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ANS: B z x
Theoutcomepriorityistheessentialneedthat must beaddressed,determined byinternal
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andexternal factors, such as needing to better a financial situation. The other statements indicate
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reasons for returning to school, but they are not essentialneeds or issues to be addressed.
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DIF: CognitiveLevel: Analysis z x zx zx
OBJ: Identifyhowexperiences influencelearninginadults.TOP: Adult Learning
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6. A nurse notices aposting for a management position for which she is qualified. If thenurse isinthe
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movingphaseofLewin’sChangeTheory, whichstatementreflects theaction sheis most likely to
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take?
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