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Test Bank for LPN to RN Transitions 6th
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Edition by Lora Claywell
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All chapters with Rationales|A+ Graded
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ru Chapter 01: Honoring Your Past, Planning Your Future
MULTIPLE CHOICE
1.A nursing advisor is meeting with a student who is interested in earning her RN degree. She
knows that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing
school to become RNs come into the learning environment with prior knowledge and
understanding. Which statement by the nursing advisor best describes her understanding of the
effect experience may have on learning?
a. “Experience may be a source of insight and motivation, or a barrier.”
b. “Experience is usually a stumbling block for LPN/LVNs.”
c. “Experience never makes learning more difficult.”
d. “Once something is learned, it can never be truly modified.”
ANS: A
Experience accentuates differences among learners and serves as a source of insight and
motivation, but it can also be a barrier. Experience can serve as a foundation for defining the self.
2.There is a test on the cardiovascular system on Friday morning, and it is now Wednesday
night. The student has already taken a vacation day from work Thursday night so that she can
stay home and study. She is considering skipping her exercise class on Thursday morning to go
to the library to prepare for the test. Which response best identifies the student’s outcome
priority?
a. Exercise class
b. Going to the library
c. Avoiding work by taking a vacation
d. Doing well on the test on Friday
ANS: D
The outcome priority is the essential issue or need to be addressed at any given time within a set
of conditions or circumstances.
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3.A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the
possibility of taking classes to become an RN. The advisor interprets which statement by the
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nurse as the driving force for returning to school?
“I’ll need to schedule time to attend classes.”
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a.
b. “I’ll have to budget for paying tuition.”
c. “I’ll have to rearranging my schedule.”
d. “There is a possibility of advancement into administration.”
ANS: D
Driving forces are those that push toward making the change, as opposed to restraining forces,
which are those that usually present a challenge that needs to be overcome for the change to take
place or present a negative effect the change may initiate.
4.An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle
and has been asking questions about eating better. The nurse can interpret this behavior as which
stage of Lewin’s Change Theory?
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. This phase
involves determining that a change needs to occur and deciding to take action. Moving is the
second phase and involves actively planning changes and taking action on them. Refreezing is
the last stage, and it occurs when the change has become a part of the person’s life.
5.An LPN is talking with her clinical instructor about her decision to return to school to become
an RN. The clinical instructor iNnterprets the LPNs outcome priority based on which statement?
a. “My family wanted me to go back to school.”
b. “I want to better my financial situation.”
c. “I really enjoy school.”
d. “I would like to advance to a teaching role someday.”
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ANS: B
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The outcome priority is the essential need that must be addressed, determined by internal and
external 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 essential needs or issues to be addressed.
6.A nurse notices a posting for a management position for which she is qualified. If the nurse is
in the moving phase of Lewin’s Change Theory, which statement reflects the action she is most
likely to take?
a. Does nothing to obtain the position
b. Applies for the position
c. Identifies that change is needed
d. Settles into the routine of her job
ANS: B
Unfreezing begins when reasons for change are identified. The moving phase involves active
planning and action. Moving also means you are dealing with both positive and negative forces
as they ebb and flow, and you are making modifications to your plan as needed.
Refreezing occurs after the change has become routine.
7.The RN is talking with the unit manager about ways to improve patient care. The manager
introduces the concept of a cohNort. Which statement by the RN indicates that the teaching has
been effective?
a. “A cohort is a web of connections”.
b. “A cohort is a group of people who share common experiences with each other”.
c. “A cohort is a group linked together for common purposes”.
d. “A cohort consists of groups of individuals that make up a whole”.
ANS: B
A cohort is a group of people who share common experiences with each other. A scheme is a
web of connections, a team is a group linked together for common purposes, and a unit consists
of groups or individuals that make up a whole.
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