,Chapter 01: Honoring Your Past, Planning Your Future Claywel
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l: LPN to RN Transitions, 5th Edition
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MULTIPLE CHOICE JK
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. Sh
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e knows that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursi
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ng school to become RNs come into the learning environment with prior knowledge and u
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nderstanding. Which statement by the nursing advisor best describes her understanding of t
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he effect experience may have on learning?
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a. “Experience may be a source of insight and motivation, or a barrier.” JK JK JK JK JK JK JK JK JK JK JK
b. “Experience is usually a stumbling block for LPN/LVNs.” JK JK JK JK JK JK JK
c. “Experience never makes learning more difficult.” JK JK JK JK JK
d. “Once something is learned, it can never be truly modified.”
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ANS: A JK
Experience accentuates differences among learners and serves as a source of insight and moti
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vation, but it can also be a barrier. Experience can serve as a foundation for defining the self.
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DIF: Cognitive Level: Application JK JK
OBJ: Identify how experiences influence learning in adults.
J K J K JK JK JK JK JK JK TOP: Adult Learning J K JK
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday ni
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ght. The student has already taken a vacation day from work Thursday night so that she can s
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tay home and study. She is considering skipping her exercise class on Thursday morning to
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go to the library to prepare for the test. Which response best identifies the student’s outcom
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e priority?
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a. Exercise class JK
b. Going to the library JK JK JK
c. Avoiding work by taking a vacation JK JK JK JK JK
d. Doing well on the test on Friday JK JK JK JK JK JK
ANS: D JK
The outcome priority is the essential issue or need to be addressed at any given time within a
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set of conditions or circumstances.
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DIF: Cognitive Level: Application JK JK
OBJ: Identify motivations and personal outcome priorities for returning to school.
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TOP: Motivation to Learn
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3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the
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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?
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a. “I’ll need to schedule time to attend classes.”
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b. “I’ll have to budget for paying tuition.”
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c. “I’ll have to rearranging my schedule.”
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d. “There is a possibility of advancement into administration.”
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ANS: D JK
, Driving forces are those that push toward making the change, as opposed to restraining forces,
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which are those that usually present a challenge that needs to be overcome for the change to
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take place or present a negative effect the change may initiate.
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DIF: Cognitive Level: Application JK JK
OBJ: Identify motivations and personal outcome priorities for returning to school.
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TOP: Motivations for Change
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4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyl
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e and has been asking questions about eating better. The nurse can interpret this behavior as
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which stage of Lewin’s Change Theory?
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a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B JK
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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Ksecond phase and involves actively planning changes and taking action on them. Refreezing i
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s the last stage, and it occurs when the change has become a part of the person’s life.
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DIF: Cognitive Level: Analysis JK JK
OBJ: Understand Change Theory and how it applies to becoming an RN.
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TOP: Change Theory J K JK
5. An LPN is talking with her clinical instructor about her decision to return to school to becom
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e an RN. The clinical instructor iN
JK JK nterprets the LPNs outcome priority based on which statemen
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t?
a. “My family wanted me to go back to school.”
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b. “I want to better my financial situation.”
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c. “I really enjoy school.”
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d. “I would like to advance to a teaching role someday.”
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ANS: B JK
The outcome priority is the essential need that must be addressed, determined by internal and
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external factors, such as needing to better a financial situation. The other statements indicat
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e reasons for returning to school, but they are not essential needs or issues to be addressed.
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DIF: J K J K Cognitive Level: Analysis JK JK
OBJ: J K J K Identify how experiences influence learning in adults.
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6. A nurse notices a posting for a management position for which she is qualified. If the nurse i
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s in the moving phase of Lewin’s Change Theory, which statement reflects the action she is
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most likely to take? JK JK JK
a. Does nothing to obtain the position JK JK JK JK JK
b. Applies for the position JK JK JK
c. Identifies that change is needed JK JK JK JK
d. Settles into the routine of her job JK JK JK JK JK JK
ANS: B JK
, Unfreezing begins when reasons for change are identified. The moving phase involves active
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planning and action. Moving also means you are dealing with both positive and negative forc
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es as they ebb and flow, and you are making modifications to your plan as needed.
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Refreezing occurs after the change has become routine. JK JK JK JK JK JK JK
DIF: Cognitive Level: Application JK JK
OBJ: Understand Change Theory and how it applies to becoming an RN.
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TOP: Change Theory J K JK
7. The RN is talking with the unit manager about ways to improve patient care. The manager i
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ntroduces the concept of a cohNort. Which statement by the RN indicates that the teaching has b
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een effective? JK
a. “A cohort is a web of connections”.
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b. “A cohort is a group of people who share common experiences with each other”.
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c. “A cohort is a group linked together for common purposes”.
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d. “A cohort consists of groups of individuals that make up a whole”.
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ANS: B JK
A cohort is a group of people who share common experiences with each other. A scheme is a
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web of connections, a team is a group linked together for common purposes, and a unit consi
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sts of groups or individuals that make up a whole.
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DIF: Cognitive Level: Evaluation JK JK
OBJ: Identify how experiences influence learning in adults.
J K J K JK JK JK JK JK JK TOP: Adult Learning J K JK
8. An Orthopedic Nurse is contemplating changes in her professional life and identifying goals.
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Which action should the nurse take if she is interested in pursuing a long-term goal?
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a. Studies for a telemetry exam scheduled for next week JK JK JK JK JK JK JK JK
b. Enrolls in a Nurse Practitioner program JK JK JK JK JK
c. Attends a seminar to become a charge nurse JK JK JK JK JK JK JK
d. Continues to work on the orthopedic floor full-time JK JK JK JK JK JK JK
ANS: B JK
A short-term goal is one that can be attained in a period of 6 months or less. Short-
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term goals include becoming a charge nurse and passing the telemetry exam. A long-
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term goal is attained in greater than 6 months and includes studying to become a Nurse Practi
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tioner. Continuing to work on the orthopedic floor does not represent either a short-
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term or a long-term goal.JK JK JK JK
DIF: Cognitive Level: Application JK JK
OBJ: Identify both short- and long-
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term personal and professional goals. TOP: Setting Goals
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9. The nurse educator is presenting a lecture to a group of new RNs. Which statement by one o
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f the RNs indicates that teaching has been effective?
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a. “Experience is a stepping stone to new learning”. JK JK JK JK JK JK JK
b. “Experience can be a barrier to new learning”. JK JK JK JK JK JK JK
c. “Experience can be an avenue to new learning”. JK JK JK JK JK JK JK
d. “Experience can be a detour to new learning”. JK JK JK JK JK JK JK
ANS: B JK
Experience accentuates differences among learners, serves as a source of insight and motivati
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on, can be a barrier to new learning, and serves as a foundation for defining the self.
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