Test Bank For LPN to RN Transitions 6th Edition by Lora Claywell all chapters included graded A+

,Chapter 01: Honoring Your Past, Planning Your Future
7 7 7 7 7 7 7



7Claywell: LPN to RN Transitions, 6th Edition
7 7 7 7 7 7




MULTIPLE CHOICE

1. A nursing advisor is meeting with a student who is interested in earning her RN
7 7 7 7 7 7 7 7 7 7 7 7 7 7


7 degree. She knows that licensed practical nurse/license vocational nurse (LPN/LVNs)
7 7 7 7 7 7 7 7 7


7 who enter nursing school to become RNs come into the learning environment
7 7 7 7 7 7 7 7 7 7 7


7 with prior knowledge and understanding. Which statement by the nursing advisor
7 7 7 7 7 7 7 7 7 7


7 best describes her understanding of the effect experience may have on learning?
7 7 7 7 7 7 7 7 7 7 7



a. ―Experience may be a source of insight and motivation, or a barrier.‖
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7



b. ―Experience is usually a stumbling block for LPN/LVNs.‖ 7 7 7 7 7 7 7 7 7 7 7 7 7 7



c. ―Experience never makes learning more difficult.‖ 7 7 7 7 7 7 7 7 7



d. ―Once something is learned, it can
7 never be truly modified.‖ 7 7 7 7 7 7 7 7 7 7 7 7 7 7




ANS: A
Experience accentuates differences among learners and serves as a source of insight
7 7 7 7 7 7 7 7 7 7 7


and motivation, but it can also be a barrier. Experience can serve as a foundation
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7


for defining the self.
7 7 7 7




DIF: Cognitive Level: Application 7 7 7 7



OBJ: Identify how experiences influence 7 7 7 7 7 7 7 7 learning 7 7 in 7 7 adults. TOP: Adult 7 7 7 Learning

2. There is a test on the cardiovascular system
7 7 on Friday morning, and it is now
7 7 7 7 7 7 7 7 7 7 7 7


7 Wednesday night. The student has already taken a vacation day from work
7 7 7 7 7 7 7 7 7 7 7


7 Thursday night so that she can stay home and study. She is considering
7 7 7 7 7 7 7 7 7 7 7 7


7 skipping her exercise class on Thursday morning to go to the library to
7 7 7 7 7 7 7 7 7 7 7 7


7 prepare for the test. Which response best identifies the student‘s outcome
7 7 7 7 7 7 7 7 7 7


7 priority?
a. Exercise class 7 7



b. Going to the library 7 7 7 7



c. Avoiding work by taking a vacation 7 7 7 7 7 7 7 7



d. Doing well on the test on Friday
7 7 7 7 7 7 7 7




ANS: D
The outcome priority is the essential issue or need
7 7 7 7 7 7 7 7 7 to 7 be 7 addressed 7 at 7 any 7 given
time within a set of conditions or circumstances.
7 7 7 7 7 7 7 7




DIF: Cognitive Level: Application 7 7 7 7


OBJ: Identify motivations and personal 7 7 7 7 outcome priorities 7 7 for 7 returning to 7


school. TOP:
7 Motivation
7 7 to Learn 7




3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7


7 discuss the possibility of taking classes to become an RN. The advisor interprets
7 7 7 7 7 7 7 7 7 7 7 7


7 which statement by the nurse as the driving force for returning to school?
7 7 7 7 7 7 7 7 7 7 7 7



a. ―I‘ll need to schedule time to attend classes.‖
7 7 7 7 7 7 7 7 7 7 7 7 7 7



b. ―I‘ll have to budget for paying tuition.‖
7 7 7 7 7 7 7 7 7 7 7 7



c. ―I‘ll have to rearranging my schedule.‖
7 7 7 7 7 7 7 7 7 7



d. ―There is a possibility of advancement into administration.‖
7 7 7 7 7 7 7 7 7 7 7 7 7 7




ANS: D

, Driving forces are those that push toward making the change, as opposed to restraining
7 7 7 7 7 7 7 7 7 7 7 7 7


forces, which are those that usually present a challenge that needs to be overcome
7 7 7 7 7 7 7 7 7 7 7 7 7 7


for the change to take place or present a negative effect the change may initiate.
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7




DIF: Cognitive Level: Application 7 7 7


OBJ: Identify motivations and personal outcome priorities 7 7 7 7 7 7 for 7 returning to 7


school. TOP:
7 Motivations for Change
7 7 7




4. An RN is caring for a diabetic patient. The patient appears interested in
7 7 7 7 7 7 7 7 7 7 7 7


changing her lifestyle and has been
7 7 7 7 7 7 7 asking questions 7 7 about 7 eating 7 better.
The nurse can interpret this behavior
7 7 7 7 7 7 as which 7


7stage of Lewin‘s Change Theory? 7 7 7 7



a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B
The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing.
7 7 7 7 7 7 7 7 7 7 7 7 7


This phase involves determining that a change needs to occur and deciding to take
7 7 7 7 7 7 7 7 7 7 7 7 7 7


action. Moving is the second phase and involves actively planning changes and taking
7 7 7 7 7 7 7 7 7 7 7 7 7


action on them. Refreezing is the last stage, and it occurs when the change has
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7


become a part of the person‘s life.
7 7 7 7 7 7 7




DIF: Cognitive Level: Analysis 7 7 7 7


OBJ: Understand Change Theory and how it 7 7 7 7 7 7 applies 7 to
becoming an RN. TOP:
7 Change Theory 7 7 7 7




5. An LPN 7 is talking with her clinical instructor about her decision to return to
7 7 7 7 7 7 7 7 7 7 7 7


7 school to become an RN. The clinical instructor iN
7 n terprets the LPNs outcome priority
7 7 7 7 7 7 7 7 7 7 7


7 based on which statement? 7 7 7



a. ―My family wanted me to go back to school.‖
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7



b. ―I want to better my financial
7 situation.‖ 7 7 7 7 7 7 7 7



c. ―I really enjoy school.‖
7



d. ―I would like to advance
7 to a teaching role someday.‖ 7 7 7 7 7 7 7 7 7 7




ANS: B
The outcome priority is the essential need that must be addressed, determined by internal and
7 7 7 7 7 7 7 7 7 7 7 7 7 7


external factors, such as needing to better a financial situation. The other statements
7 7 7 7 7 7 7 7 7 7 7 7 7


indicate reasons for returning to school, but they are not essential needs or issues
7 7 7 7 7 7 7 7 7 7 7 7 7 7


to be addressed.
7 7 7




DIF: Cognitive Level: Analysis 7 7 7


OBJ: Identify how experiences influence learning in adults. TOP:
Adult 7 Learning

6. A 7 nurse notices a posting for a management position for which she is qualified. If
7 7 7 7 7 7 7 7 7 7 7 7 7


7 the nurse is in the moving phase of Lewin‘s Change Theory, which statement
7 7 7 7 7 7 7 7 7 7 7 7


7 reflects the action she is most likely to take? 7 7 7 7 7 7 7 7



a. Does nothing to obtain the position7 7 7 7 7 7 7 7 7 7



b. Applies for the position 7 7 7 7 7 7



c. Identifies that change is needed 7 7 7 7 7 7 7 7



d. Settles into the routine of her job 7 7 7 7 7 7 7 7 7 7 7 7




ANS: B

, Unfreezing begins when reasons for change are identified. The moving phase involves
7 7 7 7 7 7 7 7 7 7 7


active planning and action. Moving also means you are dealing with both positive
7 7 7 7 7 7 7 7 7 7 7 7 7


and negative forces as they ebb and flow, and you are making modifications to
7 7 7 7 7 7 7 7 7 7 7 7 7 7


your plan as needed.
7 7 7 7


Refreezing occurs after the change has become routine.
7 7 7 7 7 7 7 7 7 7 7 7 7 7




DIF: Cognitive Level: Application 7 7 7 7


OBJ: Understand Change Theory and how it 7 7 7 7 7 7 applies 7 to
becoming an RN. TOP:
7 Change Theory 7 7 7 7




7. An Orthopedic Nurse is contemplating changes in her professional life and identifying
7 7 7 7 7 7 7 7 7 7 7


goals. Which action should the nurse take if 7 7 7 7 7 7 7 7 she 7 is 7 interested 7 in
7 pursuing a long-term goal? 7 7 7



a. Studies for a telemetry exam scheduled for next week
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7



b. Enrolls in a Nurse Practitioner program
7 7 7 7 7 7 7 7



c. Attends a seminar to become a charge nurse 7 7 7 7 7 7 7 7 7 7 7 7 7 7



d. Continues to work on the orthopedic floor full-time 7 7 7 7 7 7 7 7 7 7 7 7 7 7




ANS: B
A short-term goal is one that can be attained in a period of 6 months or
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7


7less. Short-term goals include becoming a charge nurse and passing the telemetry
7 7 7 7 7 7 7 7 7 7 7


7 exam. A long-term goal is attained in greater than 6 months and includes
7 7 7 7 7 7 7 7 7 7 7 7


7 studying to become a Nurse Practitioner. 7 7 7 7 7


Continuing to work on the orthopedic floor does not represent either a short- term
7 7 7 7 7 7 7 7 7 7 7 7 7


7 or a long- term goal.
7 7 7 7




DIF: Cognitive Level: Application 7 7 7 7


OBJ: Identify both short- and long-term personal 7 7 7 7 7 7 and
professional goals. TOP:
7 Setting Goals 7 7 7




8. The RN is talking with the unit manager about ways to improve patient care. The
7 7 7 7 7 7 7 7 7 7 7 7 7 7


manager introduces the concept of a c o hNo rt . Which statement by the RN indicates that
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7


the teaching has been effective?
7 7 7 7 7



a. ―A cohort is a web of connections‖.
7 7 7 7 7 7 7 7 7 7 7 7


b. ―A cohort is a group of people who share common experiences with
7 7 7 7 7 7 7 7 7 7 7 7 each
other‖. 7



c. ―A cohort is a group linked together for common purposes‖.
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7



d. ―A cohort consists of groups of individuals that make up a whole‖.
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7




ANS: B
A 7cohort is a 7 7 7 group of people who share common experiences with each other. A
7 7 7 7 7 7 7 7 7 7


7 scheme is a 7 7 7 web of connections, a team is a group linked together for common
7 7 7 7 7 7 7 7 7 7 7


7 purposes, and 7 7 a unit consists of groups or individuals that make up a whole.
7 7 7 7 7 7 7 7 7 7 7




DIF: Cognitive Level: Evaluation 7 7 7 7


OBJ: Identify how experiences influence 7 7 7 7 7 7 7 learning 7 7 in 7 7 adults. TOP: Adult 7 7 7 Learning

9. The nurse educator is presenting a lecture to a group of new RNs. Which
7 7 7 7 7 7 7 7 7 7 7 7 7


7 statement by 7 one of the RNs indicates that teaching
7 7 7 7 7 7 7 7 has 7 been 7 effective?
a. ―Experience 7 7 is a stepping stone to new learning‖.
7 7 7 7 7 7 7 7 7 7 7 7



b. ―Experience 7 7 can be a barrier to new learning‖.
7 7 7 7 7 7 7 7 7 7 7 7



c. ―Experience 7 7 can be an avenue to new learning‖. 7 7 7 7 7 7 7 7 7 7 7 7



d. ―Experience 7 7 can be a detour to new learning‖. 7 7 7 7 7 7 7 7 7 7




ANS: B