LPN TO RN TRANSITIONS, 6TH EDITION BY LORA CLAYWELL
COMPLETE EXAM PREP GUIDE
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, Chapter 01: Honoring Your Past, Planning Your Future
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1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows
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that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing school to
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become RNs come into the learning environment with prior knowledge and understanding. Which
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statement by the nursing advisor best describes her understanding of the effect experience may have
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on learning?
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a. ―Experience may be a source of insight and motivation, or a barrier.‖ pd pd pd pd pd pd pd pd pd pd pd
b. ―Experience is usually a stumbling block for LPN/LVNs.‖ pd pd pd pd pd pd pd
c. ―Experience never makes learning more difficult.‖ pd pd pd pd pd
d. ―Once something is learned, it can never be truly modified.‖
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pd ANSWER > : A pd pd pd
Experience accentuates differences among learners and serves as a source of insight and motivation, but
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it can also be a barrier. Experience can serve as a foundation for defining the self.
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DIF: Cognitive Level: Application pd pd
OBJ: Identify how experiences influence learning in adults.
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2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night.
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The student has already taken a vacation day from work Thursday night so that she can stay home
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and study. She is considering skipping her exercise class on Thursday morning to go to the library to
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prepare for the test. Which response best identifies the student‘s outcome priority?
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a. Exercise class pd
b. Going to the library pd pd pd
c. Avoiding work by taking a vacation pd pd pd pd pd
d. Doing well on the test on Friday ANSWER > : D
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The outcome priority is the essential issue or need to be addressed at any given time within a set of
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conditions or circumstances.
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DIF: Cognitive Level: Application pd pd
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP: Motivation to
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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 possibility
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of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving
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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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pd ANSWER > : D pd pd pd
Driving forces are those that push toward making the change, as opposed to restraining forces, which
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are those that usually 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 pd pd
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP: Motivations
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for Change
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4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and
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has been asking questions about eating better. The nurse can interpret this behavior as which stage of
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Lewin‘s Change Theory?
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a. Moving
b. Unfreezing
c. Action
d. Refreezing ANSWER > : B pd pd pd pd pd
The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing. This phase involves
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determining that a change needs to occur and deciding to take action. Moving is the second phase and
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involves actively planning changes and taking action on them. Refreezing is the last stage, and it
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occurs when the change has become a part of the person‘s life.
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DIF: Cognitive Level: Analysis pd pd
OBJ: Understand Change Theory and how it applies to becoming 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 become an
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RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
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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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pd ANSWER > : B pd pd pd
The outcome priority is the essential need that must be addressed, determined by internal and external
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factors, such as needing to better a financial situation. The other statements indicate reasons for
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returning to school, but they are not essential needs or issues to be addressed.
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DIF: Cognitive Level: Analysis pd pd
OBJ: Identify how experiences influence learning in adults.
pd pd pd pd pd pd pd TOP: Adult Learning pd pd
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the
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moving phase of Lewin‘s Change Theory, which statement reflects the action she is most likely to take?
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a. Does nothing to obtain the position
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b. Applies for the position pd pd pd
c. Identifies that change is needed pd pd pd pd
d. Settles into the routine of her job ANSWER > : B
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Unfreezing begins when reasons for change are identified. The moving phase involves active
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planning and action. Moving also me Answer > you are dealing with both positive and negative
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forces 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
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routine. DIF:
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OBJ: Understand Change Theory and how it applies to becoming an RN. TOP: Change Theory
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7. 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
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