m m m
TO RN TRANSITIONS
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4TH EDITION CLAYW
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ELL.
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,Chapter 01: Honoring Your Past, Planning You
m m m m m m
r Future: LPN to RN Transitions, latest Edition
m m m m m m m
MULTIPLEmCHOICE
1. Amnursingmadvisormismmeetingmwithmamstudentmwhomisminterestedminmearningmherm
RNmdegree.mSheknowsmthatmlicensedmpracticalmnurse/licensemvocationalmnursem(
LPN/LVNs)mwhomentermnursingschoolmtombecomemRNsmcomemintomthemlearningm
environmentmwithmpriormknowledgemandmunderstanding.mWhichmstatementmbymth
emnursingmadvisormbestmdescribesmhermunderstandingmofmthemeffectmexperiencem
maymhavemonmlearning?m
a. ―Experiencemmaymbemamsourcemofminsightmandmmotivation,mormambarrier.‖m
b. ―ExperiencemismusuallymamstumblingmblockmformLPN/LVNs.‖m
c. ―Experiencemnevermmakesmlearningmmoremdifficult.‖m
d. ―Oncemsomethingmismlearned,mitmcanmnevermbemtrulymmodified.‖m
ANS:m Am
Experiencemaccentuatesmdifferencesmamongmlearnersmandmservesmasmamsourcemofmin
sightmandmmotivation,mbutmitmcanmalsombemambarrier.mExperiencemcanmservemasma m foun
dationmformdefiningmtheself.m
DIF:m CognitivemLevel:mApplicationm
OBJ:m Identifymhowmexperiencesm influencemlearningminmadults.mTOP:m AdultmLearningm
2. TheremismamtestmonmthemcardiovascularmsystemmonmFridaymmorning,mandmitmismnowmWed
nesdaymnight.m Themstudentm hasmalreadymtakenmam vacationm daymfromm workmThursdaym
nightmsomthatmshemcanstaymhomemandmstudy.mShemismconsideringmskippingmhermexercis
em classm onm Thursdaymmorningmtom gom tomthemlibrarymtompreparemform them test.mWhichmre
sponsembestmidentifiesmthemstudent‘smoutcomempriority?m
a. Exercisemclassm
b. Goingmtomthemlibrarym
c. Avoidingmworkmbymtakingmamvacationm
d. DoingmwellmonmthemtestmonmFridaym
ANS:m Dm
Themoutcomemprioritymismthemessentialmissuemormneedmtombemaddressedmatmanymgivenmtimem
withinmasetmofmconditionsmormcircumstances.m
DIF:m CognitivemLevel:mApplicationm
OBJ:mIdentifymmotivationsmandmpersonalmoutcomemprioritiesmformreturningm
tomschool.TOP:m MotivationmtomLearnm
3. AmnursemwhomhasmbeenmanmLPN/LVNmform10myearsmismmeetingmwithmanmadvisormtom
discussmthempossibilitymofmtakingmclassesmtombecomemanmRN.mThemadvisorminterpre
tsmwhichmstatementmbymthenursemasmthemdrivingmforcemformreturningmtomschool?m
a. ―I‘llmneedmtomschedulemtimemtomattendmclasses.‖m
b. ―I‘llmhavemtombudgetmformpayingmtuition.‖m
c. ―I‘llmhavemtomrearrangingmmymschedule.‖m
d. ―Theremismampossibilitymofmadvancementmintomadministration.‖m
ANS:m Dm
Splashnet.
, Drivingmforcesmaremthosemthatmpushmtowardmmakingmthemchange,masmopposedmtomrestr
ainingmforces,whichmaremthosemthatmusuallympresentmamchallengemthatmneedsmtombemov
ercomemformthemchangemtomtakemplacemormpresentmamnegativemeffectmthemchangemmaym
initiate.m
DIF:m CognitivemLevel:mApplicationm
OBJ:mIdentifymmotivationsmandmpersonalmoutcomemprioritiesmformreturningm
tomschool.TOP:m MotivationsmformChangem
4. AnmRNmismcaringmformamdiabeticmpatient.mThempatientmappearsminterestedminmchangingm
hermlifestyleandmhasmbeenmaskingmquestionsmaboutmeatingmbetter.mThemnursemcanminter
pretmthismbehaviormasmwhichmstagemofmLewin‘smChangemTheory?m
a. Movingm
b. Unfreezingm
c. Actionm
d. Refreezingm
ANS:m Bm
ThempatientmisminmthemfirstmphasemofmLewin‘smChangemTheory,mknownmasmunfreezing.m
Thismphaseminvolvesmdeterminingmthatmamchangemneedsmtomoccurmandmdecidingmtomtak
emaction.mMovingmismthemsecondmphasemandminvolvesmactivelymplanningmchangesmand
mtakingmactionmonmthem.mRefreezingmisthemlastmstage,mandmitmoccursmwhenmthemchang
emhasmbecomemampartmofmthemperson‘smlife.m
DIF:m CognitivemLevel:mAnalysism
OBJ:mUnderstandmChangemTheorymandmhowmitmappliesmtombecomin
gmanmRN.TOP:m ChangemTheorym
5. AnmLPNmismtalkingmwithmhermclinicalminstructormaboutmhermdecisionmtomreturnmtomschoolm
tombecomeanm RN.m Them clinicalm instructorm iN
nterpretsm them LPNsm outcomem prioritym based
m on mwhichmstatement?m
a. ―Mymfamilymwantedmmemtomgombackmtomschool.‖m
b. ―Imwantmtombettermmymfinancialmsituation.‖m
c. ―Imreallymenjoymschool.‖m
d. ―Imwouldmlikemtomadvancemtomamteachingmrolemsomeday.‖m
ANS:m Bm
Themoutcomemprioritymismthemessentialmneedmthatmmustmbemaddressed,mdeterminedmbymi
nternalmandexternalmfactors,msuchmasmneedingmtombettermamfinancialmsituation.mThemoth
ermstatementsmindicatemreasonsmformreturningmtomschool,mbutmtheymaremnotmessentialmne
edsmormissuesmtombemaddressed.m
DIF:m CognitivemLevel:mAnalysism
OBJ:m Identifymhowmexperiencesm influencemlearningminmadults.mTOP:m AdultmLearningm
6. Amnursemnoticesmampostingmformammanagementmpositionmformwhichmshemismqualified.mIfmt
hemnursemisinmthemmovingmphasemofmLewin‘smChangemTheory,mwhichmstatementmreflect
smthemactionmshemismmostmlikelymtomtake?m
a. Doesmnothingmtomobtainmthempositionm
b. Appliesmformthempositionm
c. Identifiesmthatmchangemismneededm
d. Settlesmintomthemroutinemofmhermjobm
ANS:m Bm
Splashnet.
, Unfreezingmbeginsmwhenmreasonsmformchangemaremidentified.mThemmovingmphasemin
volvesmactiveplanningmandmaction.mMovingmalsommeansmyoumaremdealingmwithmbothm
positivemandmnegativemforcesmasmtheymebbmandmflow,mandmyoumaremmakingmmodifica
tionsmtomyourmplanmasmneeded.m
Refreezingmoccursmaftermthemchangemhasmbecomemroutine.m
DIF:m CognitivemLevel:mApplicationm
OBJ:mUnderstandmChangemTheorymandmhowmitmappliesmtombecomin
gmanmRN.TOP:m ChangemTheorym
7. AnmOrthopedicmNursemismcontemplatingmchangesminmhermprofessionalmlifemandmidentif
yingmgoals.Whichmactionmshouldmthemnursemtakemifmshemisminterestedminmpursuingmaml
ong-termmgoal?m
a. Studiesmformamtelemetrymexammscheduledmformnextmweekm
b. EnrollsminmamNursemPractitionermprogramm
c. Attendsmamseminarmtombecomemamchargemnursem
d. Continuesmtomworkmonmthemorthopedicmfloormfull-timem
ANS:m Bm
Amshort-termmgoalmismonemthatmcanmbemattainedminmamperiodmofm6mmonthsmormless.mShort-
mtermmgoalsmincludembecomingmamchargemnursemandmpassingmthemtelemetrymexam.mAmlo
ng-
mtermmgoalmismattainedinmgreatermthanm6mmonthsmandmincludesmstudyingmtombecomemamN
ursemPractitioner.mContinuingmtomworkmonmthemorthopedicmfloormdoesmnotmrepresentmeith
ermamshort-termmormamlong-termmgoal.m
DIF:m CognitivemLevel:mApplicationm
OBJ:mIdentifymbothmshort-mandmlong-
termmpersonalmandmprofessionalmgoals.TOP:m SettingmGoalsm
8. ThemRNmismtalkingmwithmthemunitmmanagermaboutmwaysmtomimprovempatientmcare.mTh
emmanagermintroducesmthemconceptmofmamcohN ort.mWhichmstatementmbymthem RNmindica
tesmthatmthemteachingmhasmbeenmeffective?m
a. ―Amcohortmismamwebmofmconnections‖.m
b. ―Amcohortmismamgroupmofmpeoplemwhomsharemcommonmexperiencesmwithmeachmother‖.m
c. ―Amcohortmismamgroupmlinkedmtogethermformcommonmpurposes‖.m
d. ―Amcohortmconsistsmofmgroupsmofmindividualsmthatmmakemupmamwhole‖.m
ANS:m Bm
Amcohortmismamgroupmofmpeoplemwhomsharemcommonmexperiencesmwithmeachmother.mA m
schememismawebmofmconnections,mamteammismamgroupmlinkedmtogethermformcommonmpu
rposes,mandmamunitmconsistsmofmgroupsmormindividualsmthatmmakemupmamwhole.m
DIF:m CognitivemLevel:mEvaluationm
OBJ:m Identifymhowmexperiencesm influencemlearningminmadults.mTOP:m AdultmLearningm
9. ThemnursemeducatormismpresentingmamlecturemtomamgroupmofmnewmRNs.mWhichmstatem
entmbymonemofthemRNsmindicatesmthatmteachingmhasmbeenmeffective?m
a. ―Experiencemismamsteppingmstonemtomnewmlearning‖.m
b. ―Experiencemcanmbemambarriermtomnewmlearning‖.m
c. ―Experiencemcanmbemanmavenuemtomnewmlearning‖.m
d. ―Experiencemcanmbemamdetourmtomnewmlearning‖.m
ANS:m Bm
Experiencemaccentuatesmdifferencesmamongmlearners,mservesmasmamsourcemofminsight
mandmmotivation,mcanmbemambarriermtomnewmlearning,mandmservesmasmamfoundationmform
definingmthemself.m