LPN to RN Transition Final Review
Questions and Answers
Who defines the scope of practice? (68)
-A nurse's scope of practice is defined by individual *state nurse practice acts*, which
are part of the law or code governing that state - NCSBN regulates
Who is the American Nurses Credentialing Center? (67) –
Subunit of ANA - A credentialing organization that provides opportunities for certification
in many nursing specialties. i.e.: Med-surg, gerontology, pediatric, nursing care
management, and psychiatric-mental health.
How can you be an advocate in your profession? (247/57)
You can advocate for your patients within the hospital setting, write letters to your
senator to advocate for the greater good, empower and promote self-determination in
others, defend rights for others, ensure respect, equality, and dignity for others.
Which pt would you delegate to an LVN? –
A stable patient
Which pt would you delegate to the UAP/CNA? –
Stable pt that needs help with ADLs
Role Conflict (55) –
Role with two or more conflicting expectations. Feelings of conflict when transitioning
from LVN to RN. Most often you unknowingly begin to change your normal behaviors as
an LVN to assume new RN characteristics.
What are the different roles of the RN? (56-58)
(Transitioning roles from LVN to RN) –
Care provider, counselor, educator, manager, advocate, collaborator, change agent,
role model, mentor, researcher (with master's degree), entrepreneur (master's
degree/NP)
What are the different roles of the RN? (56-58)
(Transitioning roles from LVN to RN) –
Care provider, counselor, educator, manager, advocate, collaborator, change agent,
role model, mentor, researcher (with master's degree), entrepreneur (master's
degree/NP)
, LPN to RN Transition Final Review
Questions and Answers
LVN delegation –
Basic vitals (not assessments), assisting with implementation process,
IV start but not medications push,
Therapeutic communication stages of Patricia Banner's Theory (80) –
Believed that nursing knowledge accrues over time.
*Novice Stage*- Level 1; student nurse or nurse on unfamiliar floor.
*Advanced Beginner Stage*- Level 2; advanced beginner; new grad with acceptable
performance.
*Competency Stage*- Level 3; competent, can multi task, plan, and set goals.
*Proficient Stage*- Level 4; proficient nurse; is able to assess situation/pt in a holistic
manner.
*Expert Stage*- Level 5; expert; has ability to recognize patterns and responses that are
automatic and integrated.
Levine's Conservation Model (85) (how would you apply it) –
Wholeness-
Adaptation- adapting to disease process/disability
Conservation- conservation of energy, structural integrity, personal integrity, and social
integrity.
Application: Nurse of amputee realizes pt need for changes to adapt to disability; Nurse
caring for AIDS pt will plan energy conserving activities balanced with rest
Jean Watson's Theory of Caring –
Promotes healing and wholeness
-Places CARE BEFORE CURE
-Emphasizes the nurse-patient relationship
-10 factors: values, faith and hope, compassion for self and others, trusting, rapport,
encouraging and accepting emotional expression, analytical decision making,
collaborative teaching and learning, supportive environment, and meeting needs
Magnet Hospitals - answer--Recognized by ANCC
-Measure the strength and quality of nursing staff at hospital
-Where nursing delivers excellent patient outcomes, have a high level of job
satisfaction, low staff nurse turnover, appropriate grievance resolution
-Indicated nursing involvement in data collection and decision making in patient care
-Value staff nurses
Questions and Answers
Who defines the scope of practice? (68)
-A nurse's scope of practice is defined by individual *state nurse practice acts*, which
are part of the law or code governing that state - NCSBN regulates
Who is the American Nurses Credentialing Center? (67) –
Subunit of ANA - A credentialing organization that provides opportunities for certification
in many nursing specialties. i.e.: Med-surg, gerontology, pediatric, nursing care
management, and psychiatric-mental health.
How can you be an advocate in your profession? (247/57)
You can advocate for your patients within the hospital setting, write letters to your
senator to advocate for the greater good, empower and promote self-determination in
others, defend rights for others, ensure respect, equality, and dignity for others.
Which pt would you delegate to an LVN? –
A stable patient
Which pt would you delegate to the UAP/CNA? –
Stable pt that needs help with ADLs
Role Conflict (55) –
Role with two or more conflicting expectations. Feelings of conflict when transitioning
from LVN to RN. Most often you unknowingly begin to change your normal behaviors as
an LVN to assume new RN characteristics.
What are the different roles of the RN? (56-58)
(Transitioning roles from LVN to RN) –
Care provider, counselor, educator, manager, advocate, collaborator, change agent,
role model, mentor, researcher (with master's degree), entrepreneur (master's
degree/NP)
What are the different roles of the RN? (56-58)
(Transitioning roles from LVN to RN) –
Care provider, counselor, educator, manager, advocate, collaborator, change agent,
role model, mentor, researcher (with master's degree), entrepreneur (master's
degree/NP)
, LPN to RN Transition Final Review
Questions and Answers
LVN delegation –
Basic vitals (not assessments), assisting with implementation process,
IV start but not medications push,
Therapeutic communication stages of Patricia Banner's Theory (80) –
Believed that nursing knowledge accrues over time.
*Novice Stage*- Level 1; student nurse or nurse on unfamiliar floor.
*Advanced Beginner Stage*- Level 2; advanced beginner; new grad with acceptable
performance.
*Competency Stage*- Level 3; competent, can multi task, plan, and set goals.
*Proficient Stage*- Level 4; proficient nurse; is able to assess situation/pt in a holistic
manner.
*Expert Stage*- Level 5; expert; has ability to recognize patterns and responses that are
automatic and integrated.
Levine's Conservation Model (85) (how would you apply it) –
Wholeness-
Adaptation- adapting to disease process/disability
Conservation- conservation of energy, structural integrity, personal integrity, and social
integrity.
Application: Nurse of amputee realizes pt need for changes to adapt to disability; Nurse
caring for AIDS pt will plan energy conserving activities balanced with rest
Jean Watson's Theory of Caring –
Promotes healing and wholeness
-Places CARE BEFORE CURE
-Emphasizes the nurse-patient relationship
-10 factors: values, faith and hope, compassion for self and others, trusting, rapport,
encouraging and accepting emotional expression, analytical decision making,
collaborative teaching and learning, supportive environment, and meeting needs
Magnet Hospitals - answer--Recognized by ANCC
-Measure the strength and quality of nursing staff at hospital
-Where nursing delivers excellent patient outcomes, have a high level of job
satisfaction, low staff nurse turnover, appropriate grievance resolution
-Indicated nursing involvement in data collection and decision making in patient care
-Value staff nurses
