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, Chapterm01:mHonoringmYourmPast,mPlanningmYourmFuturemCla
ywell:mLPNmtomRNmTransitions,m5thmEdition
MULTIPLEmCHOICE
1. AmnursingmadvisormismmeetingmwithmamstudentmwhomisminterestedminmearningmhermRNmdegr
ee.mShemknowsmthatmlicensedmpracticalmnurse/licensemvocationalmnursem(LPN/LVNs)mwhom
entermnursingmschoolmtombecomemRNsmcomemintomthemlearningmenvironmentmwithmpriorm
knowledgemandmunderstanding.mWhichmstatementmbymthemnursingmadvisormbestmdescribes
mhermunderstandingmofmthemeffectmexperiencemmaymhave monmlearning?
a. “Experiencemmaymbemamsourcemofminsightmandmmotivation,mormambarrier.”
b. “ExperiencemismusuallymamstumblingmblockmformLPN/LVNs.”
c. “Experiencemnevermmakesmlearningmmoremdifficult.”
d. “Oncemsomethingmismlearned,mitmcanmnevermbemtrulymmodified.”
ANS:m A
Experiencemaccentuatesmdifferencesmamongmlearnersmandmservesmasmamsourcemofminsightman
dmmotivation,mbutmitmcanmalsombemambarrier.mExperiencemcanmservemasmamfoundationmformdefi
ningmthemself.
DIF: CognitivemLevel:mApplication
OBJ:m m Identifymhowmexperiencesminfluencemlearningminmadults. TOP:m AdultmLearning
2. TheremismamtestmonmthemcardiovascularmsystemmonmFridaymmorning,mandmitmismnowmWedne
sdaymnight.mThemstudentmhasmalreadymtakenmamvacationmdaymfrommworkmThursdaymnightmso
mthatmshemcan mstaymhomemandmstudy.mShe mis mconsideringmskippingmhermexercise mclassmon m
Thursdaymmorningmtomgomtomthemlibrarymtompreparemformthemtest.mWhichmresponsembestmid
entifiesmthemstudent’smoutcomempriority?
a. Exercisemclass
b. Goingmtomthemlibrary
c. Avoidingmworkmbymtakingmamvacation
d. DoingmwellmonmthemtestmonmFriday
ANS:m D
Themoutcomemprioritymismthemessentialmissuemormneedmtombemaddressedmatmanymgivenmtimem
withinmamsetmofmconditionsmormcircumstances.
DIF: CognitivemLevel:mApplication
OBJ:mIdentifymmotivationsmandmpersonalmoutcomemprioritiesmformreturningmtomsch
ool.mTOP:m MotivationmtomLearn
3. AmnursemwhomhasmbeenmanmLPN/LVNmform10myearsmismmeetingmwithmanmadvisormtomdisc
ussmthempossibilitymofmtakingmclassesmtombecomemanmRN.mThemadvisorminterpretsmwhichmst
atementmbymthemnursemasmthemdrivingmforcemformreturningmtomschool?
a. “I’llmneedmtomschedulemtimemtomattendmclasses.”
b. “I’llmhavemtombudgetmformpayingmtuition.”
c. “I’llmhavemtomrearrangingmmymschedule.”
d. “Theremismampossibilitymofmadvancementmintomadministration.”
ANS:m D
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, Drivingmforcesmaremthosemthatmpushmtowardmmakingmthemchange,masmopposedmtomrestrainingmf
orces,mwhichmaremthosemthatmusuallympresentmamchallengemthatmneedsmtombemovercomemformth
emchangemtomtakemplacemormpresentmamnegativemeffectmthemchangemmayminitiate.
DIF: CognitivemLevel:mApplication
OBJ:mIdentifymmotivationsmandmpersonalmoutcomemprioritiesmformreturningmtomsch
ool.mTOP:m MotivationsmformChange
4. AnmRNmismcaringmformamdiabeticmpatient.mThempatientmappearsminterestedminmchangingmherml
ifestylemandmhasmbeenmaskingmquestionsmaboutmeatingmbetter.mThemnursemcanminterpretmthis
mbehavior mas
whichmstagemofmLewin’smChangemTheory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS:m B
ThempatientmisminmthemfirstmphasemofmLewin’smChangemTheory,mknownmasmunfreezing.mThis
mphaseminvolves mdeterminingmthatmamchangemneedsmtomoccurmand mdecidingmtomtakemaction.m
Movingmismthemsecondmphasemandminvolvesmactivelymplanningmchangesmandmtakingmactionmo
nmthem.mRefreezingmismthemlastmstage,mandmitmoccursmwhenmthemchangemhasmbecomemampart
mofmthe mperson’smlife.
DIF:m m CognitivemLevel:mAnalysis
OBJ:m UnderstandmChangemTheorymandmhowmitmappliesmtombecomingma
nmRN.mTOP:m ChangemTheory
5. AnmLPNmismtalkingmwithmhermclinicalminstructormaboutmhermdecisionmtomreturnmtomschoolmtom
becomemanmRN.mThemclinicalminstructormiN nterpretsmthemLPNsmoutcomemprioritymbasedmon
mwhichmstatement?
a. “Mymfamilymwantedmmemtomgombackmtomschool.”
b. “Imwantmtombettermmymfinancialmsituation.”
c. “Imreallymenjoymschool.”
d. “Imwouldmlikemtomadvancemtomamteachingmrolemsomeday.”
ANS:m B
Themoutcomemprioritymismthemessentialmneedmthatmmustmbemaddressed,mdeterminedmbyminter
nalmandmexternalmfactors,msuchmasmneedingmtombettermamfinancialmsituation.mThemothermstate
mentsmindicatemreasonsmformreturningmtomschool,mbutmtheymaremnotmessentialmneedsmormissu
esmtombemaddressed.
DIF:m CognitivemLevel:mAnalysis
OBJ:m m Identifymhowmexperiencesminfluencemlearningminmadults.m m m TOP:m AdultmLearning
6. Amnursemnoticesmampostingmformammanagementmpositionmformwhichmshemismqualified.mIfmthe
mnursemisminmthemmovingmphasemofmLewin’smChangemTheory,mwhichmstatementmreflectsmth
emactionmshemismmostmlikelymtomtake?
a. Doesmnothingmtomobtainmthemposition
b. Appliesmformthemposition
c. Identifiesmthatmchangemismneeded
d. Settlesmintomthemroutinemofmhermjob
ANS:m B
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, Unfreezingmbeginsmwhenmreasonsmformchangemaremidentified.mThemmovingmphaseminvolvesma
ctivemplanningmandmaction.mMovingmalsommeansmyoumaremdealingmwithmbothmpositivemandm
negativemforcesmasmtheymebbmandmflow,mandmyoumaremmakingmmodificationsmtomyourmplanm
asmneeded.
Refreezingmoccursmaftermthemchangemhasmbecomemroutine.
DIF: CognitivemLevel:mApplication
OBJ:m UnderstandmChangemTheorymandmhowmitmappliesmtombecomingma
nmRN.mTOP:m ChangemTheory
7. AnmOrthopedicmNursemismcontemplatingmchangesminmhermprofessionalmlifemandmidentifyingm
goals.mWhichmactionmshouldmthemnursemtakemifmshemisminterestedminmpursuingmamlong-
termmgoal?
a. Studiesmformamtelemetrymexammscheduledmformnextmweek
b. EnrollsminmamNursemPractitionermprogram
c. Attendsmamseminarmtombecomemamchargemnurse
d. Continuesmtomworkmonmthemorthopedicmfloormfull-time
ANS:m B
Amshort-termmgoalmismonemthatmcanmbemattainedminmamperiodmofm6mmonthsmormless.mShort-
termmgoalsmincludembecomingmamchargemnursemandmpassingmthemtelemetrymexam.mAmlong-
termmgoalmismattainedminmgreatermthanm6mmonthsmandmincludesmstudyingmtombecomemamNurs
emPractitioner.mContinuingmtomworkmonmthemorthopedicmfloormdoesmnotmrepresentmeithermams
hort-termmormamlong-termmgoal.
DIF:m CognitivemLevel:mApplication
OBJ:mIdentifymbothmshort-mandmlong-
termmpersonalmandmprofessionalmgoals.mTOP:m SettingmGoals
8. ThemRNmismtalkingmwithmthemunitmmanagermaboutmwaysmtomimprovempatientmcare.mThemma
nagermintroducesmthemconceptmofmamcohNort. mWhichmstatementmbymthemRNmindicatesmthatmth
emteachingmhasmbeenmeffective?
a. “Amcohortmismamwebmofmconnections”.
b. “Amcohortmismamgroupmofmpeoplemwhomsharemcommonmexperiencesmwithmeachmother”.
c. “Amcohortmismamgroupmlinkedmtogethermformcommonmpurposes”.
d. “Amcohortmconsistsmofmgroupsmofmindividualsmthatmmakemupmamwhole”.
ANS:m B
Amcohortmismamgroupmofmpeoplemwhomsharemcommonmexperiencesmwithmeachmother.mAmsche
memismamwebmofmconnections,mamteammismamgroupmlinkedmtogethermformcommonmpurposes,m
andmamunitmconsistsmofmgroupsmormindividualsmthatmmakemupmamwhole.
DIF:m m CognitivemLevel:mEvaluation
OBJ:m m Identifymhowmexperiencesminfluencemlearningminmadults.m m m m TOP:m AdultmLearning
9. ThemnursemeducatormismpresentingmamlecturemtomamgroupmofmnewmRNs.mWhichmstatementmb
ymonemofmthemRNsmindicatesmthatmteachingmhasmbeenmeffective?
a. “Experiencemismamsteppingmstonemtomnewmlearning”.
b. “Experiencemcanmbemambarriermtomnewmlearning”.
c. “Experiencemcanmbemanmavenuemtomnewmlearning”.
d. “Experiencemcanmbemamdetourmtomnewmlearning”.
ANS:m B
Experiencemaccentuatesmdifferencesmamongmlearners,mservesmasmamsourcemofminsightmandmmot
ivation,mcanmbemambarriermtomnewmlearning,mandmservesmasmamfoundationmformdefiningmthemself
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