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LPN To RN Transitions 5th Edition By Claywell | Latest
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Update 2026Complete Guide,A+Score.
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,Chapter01:HonoringYourPast,PlanningYourFuture Claywell:
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LPN to RN Transitions, 5th Edition
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MULTIPLECHOICE b
1. Anursingadvisoris meetingwithastudent whoisinterestedinearningher RNdegree.She knows
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thatlicensedpracticalnurse/licensevocationalnurse(LPN/LVNs)whoenternursing school to
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become RNs come into the learning environment with prior knowledge and understanding.
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Which statement bythe nursing advisor best describes her understandingof the effect experience
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may have on learning?
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a. “Experiencemaybeasourceofinsight and motivation, orabarrier.” b b b b b b b b b b b
b. “Experienceisusuallya stumblingblockforLPN/LVNs.” b b b b b b b
c. “Experiencenevermakes learningmoredifficult.” b b b b b
d. “Oncesomethingislearned, it cannever betruly modified.” b b b b b b b b b
ANS: A b
Experience accentuates differences among learners and serves as a source of insight and b b b b b b b b b b b b
motivation,butitcanalsobeabarrier.Experiencecanserveasafoundationfordefiningthe self.
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DIF: CognitiveLevel:Application b b
OBJ: Identifyhowexperiencesinfluencelearninginadults.
b b b b b b b b TOP: Adult Learning b b
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night.The
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studenthasalreadytakenavacationdayfromworkThursdaynight sothatshecan stayhome and
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study. She is considering skipping her exercise class on Thursdaymorning to go to the libraryto
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prepare for the test. Which response best identifies the student’s outcome priority?
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a. Exercise class b
b. Goingto the library b b b
c. Avoidingwork bytaking avacation b b b b b
d. Doingwell on the test on Friday b b b b b b
ANS: D b
Theoutcomepriorityis theessentialissueorneed tobeaddressed at anygiventimewithina set of
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conditions or circumstances.
b b b
DIF: CognitiveLevel:Application b b
OBJ:Identifymotivationsandpersonaloutcomeprioritiesforreturningtoschool. TOP:
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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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possibilityoftakingclassestobecomeanRN.Theadvisorinterpretswhich statementbythe nurse
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as the driving force for returning to school?
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a. “I’llneedtoscheduletimetoattend classes.” b b b b b b b
b. “I’ll havetobudget forpayingtuition.” b b b b b b
c. “I’llhavetorearranging myschedule.” b b b b b
d. “Thereisapossibilityofadvancement into administration.” b b b b b b b
ANS: D b
, Drivingforcesarethosethatpushtowardmakingthechange, asopposedto restrainingforces, 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: CognitiveLevel:Application b b
OBJ:Identifymotivationsandpersonaloutcomeprioritiesforreturningtoschool. TOP:
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Motivations for Change
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4. AnRNiscaringforadiabeticpatient.Thepatient appearsinterestedinchangingherlifestyle and has
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been asking questions about eating better. The nurse can interpret this behavior as
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which stageof Lewin’s Change Theory? b b b b b
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS: B b
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 second
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phase and involves actively planning changes and taking action on them. Refreezing is the last stage,
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and it occurs when the change has become a part of the person’s life.
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DIF: CognitiveLevel:Analysis b b b b
OBJ: UnderstandChangeTheoryandhowitappliestobecominganRN. TOP:
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Change Theory
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5. AnLPNistalkingwithherclinical instructorabout herdecisiontoreturnto school tobecome an RN.
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Theclinical instructor iN
b b nterprets the LPNs outcome prioritybased on which statement? b b b b b b b b b b
a. “Myfamilywanted metogo backto school.” b b b b b b b b
b. “Iwant to better myfinancial situation.”
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c. “Ireallyenjoyschool.” b b b
d. “Iwouldliketo advance toateaching rolesomeday.”
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ANS: B b
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 indicate
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reasons for returning to school, but they are not essential needs or issues to be addressed.
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DIF: CognitiveLevel: Analysis b b b
OBJ: Identifyhowexperiencesinfluencelearninginadults.
b b b b b b b b b b b TOP: Adult Learning b b
6. Anursenotices aposting foramanagementposition forwhichsheisqualified. Ifthenurseis in the
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moving phase of Lewin’s Change Theory, which statement reflects the action she is most likely to
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take?
b
a. Doesnothingto obtain theposition b b b b b
b. Applies forthe position b b b
c. Identifiesthatchangeisneeded b b b b
d. Settles intotheroutine ofherjob b b b b b b
ANS: B b
, Unfreezingbeginswhen reasonsforchangeareidentified.Themovingphaseinvolvesactive b b b b b b b b b b b b
planning and action. Moving also means you are dealing with both positive and negative forces as
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they ebb and flow, and you are making modifications to your plan as needed.
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Refreezingoccursafterthechangehasbecome routine. b b b b b b b
DIF: CognitiveLevel:Application b b
OBJ: UnderstandChangeTheoryandhowitappliestobecominganRN. TOP:
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Change Theory
b b
7. AnOrthopedicNurseiscontemplatingchangesinherprofessionallifeandidentifyinggoals.
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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. Studiesforatelemetryexamscheduled fornext week b b b b b b b b
b. EnrollsinaNursePractitionerprogram b b b b b
c. Attendsaseminar to becomeachargenurse b b b b b b b
d. Continues towork ontheorthopedicfloor full-time b b b b b b b
ANS: B b
A short-term goal is one that can be attained in a period of 6 months or less. Short-term goals include
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becoming a charge nurse and passing the telemetry exam. A long-term goal is attained in greater than
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6 months and includes studying to become a Nurse Practitioner. Continuing to work on the
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orthopedic floor does not represent either a short-term or a long-term goal.
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DIF: CognitiveLevel: Application b b b
OBJ: Identifybothshort-andlong-termpersonalandprofessional goals. TOP:
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Setting Goals
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8. The RN is talking with the unit manager about ways to improve patient care. The manager
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introducestheconceptofac ohNort. WhichstatementbytheRNindicatesthattheteachinghas been
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effective?
b
a. “Acohortisaweb ofconnections”. b b b b b b
b. “Acohort isa groupofpeoplewhosharecommon experiences with each other”.
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c. “Acohort isagroup linkedtogetherforcommon purposes”. b b b b b b b b b
d. “Acohort consists ofgroups ofindividuals that makeup awhole”.
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ANS: B b
Acohortisagroupofpeoplewhosharecommon experiences witheachother.Aschemeis a web of
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connections, a team is a group linked together for common purposes, and a unit consists of groups or
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individuals that make up a whole.
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DIF: CognitiveLevel:Evaluation b b b b
OBJ: Identifyhowexperiencesinfluencelearninginadults.
b b b b b b b b b b b b TOP: Adult Learning b b
9. Thenurseeducator is presentingalectureto a groupofnew RNs.Whichstatement byoneof the RNs
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indicates that teaching has been effective?
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a. “Experienceis astepping stonetonewlearning”. b b b b b b b
b. “Experiencecan beabarriertonewlearning”. b b b b b b b
c. “Experiencecan beanavenuetonewlearning”. b b b b b b b
d. “Experiencecan beadetourtonewlearning”. b b b b b b b
ANS: B b
Experience accentuates differences among learners, serves as a source of insight and motivation,can b b b b b b b b b b b b b
beabarriertonewlearning,andservesas afoundationfordefiningtheself.
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