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  • September 17, 2024
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DREAMS
1 of 123
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TestBankfor i i




LPNtoRN
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Transitions5th
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EditionbyLora
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Claywell|All
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Chapters,Year-
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2024|25

, 2 of 123
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Chapter 01: Honoring Your Past, Planning Your Future i`kr i`kr i`kr i`kr i`kr i`kr i`kr




MULTIPLE CHOICE i`kr




1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


knows that licensedpractical nurse/license vocational nurse (LPN/LVNs) who enter nursing
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school to become RNs come into the learning environment with prior knowledge and
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understanding. Which statement by the nursing advisor best describes her understanding
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of the effect experience may have on learning?
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a. ―Experience may be a source of insight and motivation, or a barrier.‖ i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr



b. ―Experience is usually a stumbling block for LPN/LVNs.‖ i`kr i`kr i`kr i`kr i`kr i`kr i`kr



c. ―Experience never makes learning more difficult.‖ i`kr i`kr i`kr i`kr i`kr



d. ―Once something is learned, it can never be truly modified.‖ i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr




ANS: A i`kr



Experience accentuates differences among learners and serves as a source of insight and motivation,
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


but it can also bea barrier. Experience can serve as a foundation for defining the self.
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DIF: Cognitive Level: Application
i`kr i`kr i`kr



OBJ: Identify how experiences influence learning in adults.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr TOP: Adult Learning i`kr i`kr




2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


night. The student has already taken a vacation day from work Thursday night so that she
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


can stay home and study. She is consideringskipping her exercise class on Thursday
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


morning to
i`kr i`kr



N go to the library to prepare for the test. W hich response best i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


identifies the i`kr i`kr


student‘s outcome priority? i`kr ìkr



a. Exercise class i`kr



b. Going to the library i`kr i`kr i`kr



c. Avoiding work by taking a vacation i`kr i`kr i`kr i`kr i`kr



d. Doing well on the test on Friday i`kr i`kr i`kr i`kr i`kr i`kr




ANS: D i`kr



The outcome priority is the essential issue or need to be addressed at any given
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time within aset of conditions or circumstances.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr




DIF: Cognitive Level: Application ìkr i`kr



OBJ: Identify motivations and personal outcome priorities for returning i`kr i`kr i`kr i`kr i`kr i`kr i`kr



to school. TOP:Motivation to Learn
i`kr i`kr i`kr i`kr i`kr




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
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


nurse as the driving force for returning toschool? a. ―I‘ll need to schedule time to attend
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classes.‖
i`kr



b. ―I‘ll have to budget for paying tuition.‖
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c. ―I‘ll have to rearranging my schedule.‖
i`kr i`kr i`kr i`kr ìkr



d. ―There is a possibility of advancement into i`kr i`kr i`kr i`kr i`kr i`kr




i`kr administration.‖ANS: D i`kr

, 3 of 123i`kr i`kr




Driving forces are those that push toward making the change, as opposed to restraining forces, which
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are those thatusually present a challenge that needs to be overcome for the change to take place or
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present a negative effect the change may initiate.
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DIF: Cognitive Level: Application i`kr i`kr



OBJ: Identify motivations and personal outcome priorities for returning i`kr i`kr i`kr i`kr i`kr i`kr i`kr


to school. TOP:Motivations for Change
i`kr i`kr i`kr i`kr i`kr




4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


has been askingquestions about eating better. The nurse can interpret this behavior as which
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stage of Lewin‘s Change Theory? a.
i`kr i`kr i`kr i`kr i`kr i`kr



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
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


phase involves determining that a change needs to occur and deciding to take action. Moving is the
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


second phase and involves actively planning changes and taking action on them. Refreezing is the
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last stage, and it occurs when the change has become apart of the person‘s life.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr




DIF: Cognitive Level: Analysis ìkr i`kr



OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


ChangeTheory
i`kr




5. An LPN is talking with her clinical instructor about her decision to return to school to become
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


an RN. The clinicalinstructor interprets the LPNs outcome priority based on which N
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


statement?
i`kr



a. ―My family wanted me to go back to school.‖ i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr



b. ―I want to better my financial situation.‖
i`kr i`kr i`kr i`kr i`kr i`kr



c. ―I really enjoy school.‖ i`kr i`kr i`kr



d. ―I would like to advance to a teaching role someday.‖
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr




ANS: B i`kr



The outcome priority is the essential need that must be addressed, determined by internal and
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


external factors, such asneeding to better a financial situation. The other statements indicate reasons
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for returning to school, but they are not essential needs or issues to be addressed.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr




DIF: Cognitive Level: Analysis OBJ: Identify how experiences influence learning
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


in adults.TOP: Adult Learning
i`kr i`kr i`kr i`kr




6. A nurse notices a posting for a management position for which she is qualified. If the nurse is
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


in the moving phaseof Lewin‘s Change Theory, which statement reflects the action she is most
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likely to take?
i`kr i`kr i`kr



a. Does nothing to obtain the position i`kr i`kr i`kr i`kr i`kr



b. Applies for the position i`kr i`kr i`kr



c. Identifies that change is needed i`kr i`kr i`kr i`kr



d. Settles into the routine of her job i`kr i`kr i`kr i`kr i`kr i`kr




ANS: B i`kr



Unfreezing begins when reasons for change are identified. The moving phase involves active
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


planning and action. Moving also means you are dealing with both positive and negative forces as
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


they ebb and flow, and you are makingmodifications to your plan as needed. Refreezing occurs after
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


the change has become routine.
i`kr i`kr i`kr i`kr i`kr




DIF: Cognitive Level: Application ìkr i`kr

, 4 of 123i`kr i`kr




OBJ: Understand Change Theory and how it applies to becoming an RN. TOP:
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


ChangeTheory
i`kr




7. An Orthopedic Nurse is contemplating changes in her professional life and
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


identifying goals. Which action should the nurse take if she is interested in
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


pursuing a long-term goal? a. Studies for atelemetry exam scheduled for next
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr



week
i`kr



b. Enrolls in a Nurse Practitioner program i`kr i`kr i`kr i`kr i`kr



c. Attends a seminar to become a charge nurse i`kr i`kr i`kr i`kr i`kr i`kr i`kr



d. Continues to work on the orthopedic floor full-time i`kr i`kr i`kr i`kr i`kr i`kr i`kr




ANS: B i`kr



A short-term goal is one that can be attained in a period of 6 months or less. Short-term goals
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


include becoming a charge nurse and passing the telemetry exam. A long-term goal is attained in
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


greater than 6 months and includes studying to become a Nurse Practitioner. Continuing to work
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


on the orthopedic floor does not represent either a short-term or a long-term goal.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr




DIF: Cognitive Level: Application ìkr i`kr



OBJ: Identify both short- and long-term personal and professional goals. TOP:
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


SettingGoals
i`kr




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


introduces the concept ofa cohort. Which statement by the RN indicates that the teaching has N
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr



been effective?
i`kr



a. ―A cohort is a web of connections‖.
i`kr i`kr i`kr i`kr i`kr i`kr



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



c. ―A cohort is a group linked together for common purposes‖.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr



d. ―A cohort consists of groups of individuals that make up a whole‖.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr




ANS: B i`kr



A cohort is a group of people who share common experiences with each other. A scheme is a
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


web of connections, ateam is a group linked together for common purposes, and a unit
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


consists of groups or individuals that make up a whole.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr




DIF: Cognitive Level: Evaluation
ìkr i`kr i`kr



OBJ: Identify how experiences influence learning in adults.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr TOP: Adult Learning i`kr i`kr




9. The nurse educator is presenting a lecture to a group of new RNs. Which statement by one of the
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


RNs indicates thatteaching has been effective?
i`kr i`kr i`kr i`kr i`kr i`kr



a. ―Experience is a stepping stone to new learning‖. i`kr i`kr i`kr i`kr i`kr i`kr i`kr



b. ―Experience can be a barrier to new learning‖. i`kr i`kr i`kr i`kr i`kr i`kr ìkr



c. ―Experience can be an avenue to new learning‖. i`kr i`kr i`kr i`kr i`kr i`kr ìkr



d. ―Experience can be a detour to new learning‖. i`kr i`kr i`kr i`kr i`kr i`kr i`kr




ANS: B i`kr



Experience accentuates differences among learners, serves as a source of insight and motivation,
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


can be a barrier tonew learning, and serves as a foundation for defining the self.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr



DIF: Cognitive Level: Evaluation ìkr i`kr



OBJ: Identify motivations and personal outcome priorities for returning to school.
i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr i`kr


TOP: AdultLearning
i`kr i`kr

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