m m m
O RN TRANSITIONS4T
m m
H EDITION CLAYWELL.
m m
,Chapter 01: Honoring Your Past, Planning Your Futur
m m m m m m m
e: LPN to RN Transitions, latest Edition
m m m m m m
MULTIPLEmCHOICE
1. Amnursingmadvisormismmeetingmwithmamstudentmwhomisminterestedminmearningmherm
RNmdegree.mSheknowsmthatmlicensedmpracticalmnurse/licensemvocationalmnursem
(LPN/LVNs)mwhomentermnursingschoolmtombecomemRNsmcomemintomthemlearning
menvironmentmwithmpriormknowledgemandmunderstanding.mWhichmstatementmbymt
hemnursingmadvisormbestmdescribesmhermunderstandingmofmthemeffectmexperience
mmaymhavemonmlearning?
a. ―Experiencemmaymbemamsourcemofminsightmandmmotivation,mormambarrier.‖
b. ―ExperiencemismusuallymamstumblingmblockmformLPN/LVNs.‖
c. ―Experiencemnevermmakesmlearningmmoremdifficult.‖
d. ―Oncemsomethingmismlearned,mitmcanmnevermbemtrulymmodified.‖
ANS:m A
Experiencemaccentuatesmdifferencesmamongmlearnersmandmservesmasmamsourcemofmin
sightmandmmotivation,mbutmitmcanmalsombemambarrier.mExperiencemcanmservemasmamfoun
dationmformdefiningmtheself.
DIF: CognitivemLevel:mApplication
OBJ: Identifymhowmexperiencesminfluencemlearningminmadults.mTOP:m AdultmLearning
2. TheremismamtestmonmthemcardiovascularmsystemmonmFridaymmorning,mandmitmismnowmWe
dnesdaymnight.mThemstudentmhasmalreadymtakenmamvacationmdaymfrommworkmThursday
mnightmsomthatmshemcanstaymhomemandmstudy.mShemismconsideringmskippingmhermexerci
semclassmonmThursdaymmorningmtomgomtomthemlibrarymtompreparemformthemtest.m Whichmr
esponsembestmidentifiesmthemstudent‘smoutcomempriority?
a. Exercisemclass
b. Goingmtomthemlibrary
c. Avoidingmworkmbymtakingmamvacation
d. DoingmwellmonmthemtestmonmFriday
ANS:m D
Themoutcomemprioritymismthemessentialmissuemormneedmtombemaddressedmatmanymgivenmtimem
withinmasetmofmconditionsmormcircumstances.
DIF: CognitivemLevel:mApplication
OBJ:mIdentifymmotivationsmandmpersonalmoutcomemprioritiesmformreturningm
tomschool.TOP:m MotivationmtomLearn
3. AmnursemwhomhasmbeenmanmLPN/LVNmform10myearsmismmeetingmwithmanmadvisormto
mdiscussmthempossibilitymofmtakingmclassesmtombecomemanmRN.mThemadvisorminterpr
etsmwhichmstatementmbymthenursemasmthemdrivingmforcemformreturningmtomschool?
a. ―I‘llmneedmtomschedulemtimemtomattendmclasses.‖
b. ―I‘llmhavemtombudgetmformpayingmtuition.‖
c. ―I‘llmhavemtomrearrangingmmymschedule.‖
d. ―Theremismampossibilitymofmadvancementmintomadministration.‖
ANS:m D
Splashnet.
, Drivingmforcesmaremthosemthatmpushmtowardmmakingmthemchange,masmopposedmtomrest
rainingmforces,whichmaremthosemthatmusuallympresentmamchallengemthatmneedsmtombemo
vercomemformthemchangemtomtakemplacemormpresentmamnegativemeffectmthemchangemma
yminitiate.
DIF: CognitivemLevel:mApplication
OBJ:mIdentifymmotivationsmandmpersonalmoutcomemprioritiesmformreturningm
tomschool.TOP:m MotivationsmformChange
4. AnmRNmismcaringmformamdiabeticmpatient.mThempatientmappearsminterestedminmchangingm
hermlifestyleandmhasmbeenmaskingmquestionsmaboutmeatingmbetter.mThemnursemcanminte
rpretmthismbehaviormasmwhichmstagemofmLewin‘smChangemTheory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS:m B
ThempatientmisminmthemfirstmphasemofmLewin‘smChangemTheory,mknownmasmunfreezing.m
Thismphaseminvolvesmdeterminingmthatmamchangemneedsmtomoccurmandmdecidingmtomta
kemaction.mMovingmismthemsecondmphasemandminvolvesmactivelymplanningmchangesman
dmtakingmactionmonmthem.mRefreezingmisthemlastmstage,mandmitmoccursmwhenmthemchan
gemhasmbecomemampartmofmthemperson‘smlife.
DIF: CognitivemLevel:mAnalysis
OBJ:m UnderstandmChangemTheorymandmhowmitmappliesmtombecomin
gmanmRN.TOP:m ChangemTheory
5. AnmLPNmismtalkingmwithmhermclinicalminstructormaboutmhermdecisionmtomreturnmtomschool
mtombecomeanmRN.mThemclinicalminstructormiN nterprets mthemLPNsmoutcomemprioritymbas
edmonmwhichmstatement?
a. ―Mymfamilymwantedmmemtomgombackmtomschool.‖
b. ―Imwantmtombettermmymfinancialmsituation.‖
c. ―Imreallymenjoymschool.‖
d. ―Imwouldmlikemtomadvancemtomamteachingmrolemsomeday.‖
ANS:m B
Themoutcomemprioritymismthemessentialmneedmthatmmustmbemaddressed,mdeterminedmbymi
nternalmandexternalmfactors,msuchmasmneedingmtombettermamfinancialmsituation.mThemothe
rmstatementsmindicatemreasonsmformreturningmtomschool,mbutmtheymaremnotmessentialmnee
dsmormissuesmtombemaddressed.
DIF: CognitivemLevel:mAnalysis
OBJ: Identifymhowmexperiencesminfluencemlearningminmadults.mTOP:m AdultmLearning
6. Amnursemnoticesmampostingmformammanagementmpositionmformwhichmshemismqualified.mIfmt
hemnursemisinmthemmovingmphasemofmLewin‘smChangemTheory,mwhichmstatementmreflec
tsmthemactionmshemismmostmlikelymtomtake?
a. Doesmnothingmtomobtainmthemposition
b. Appliesmformthemposition
c. Identifiesmthatmchangemismneeded
d. Settlesmintomthemroutinemofmhermjob
ANS:m B
Splashnet.
, Unfreezingmbeginsmwhenmreasonsmformchangemaremidentified.mThemmovingmphaseminv
olvesmactiveplanningmandmaction.mMovingmalsommeansmyoumaremdealingmwithmbothmpo
sitivemandmnegativemforcesmasmtheymebbmandmflow,mandmyoumaremmakingmmodification
smtomyourmplanmasmneeded.
Refreezingmoccursmaftermthemchangemhasmbecomemroutine.
DIF: CognitivemLevel:mApplication
OBJ:m UnderstandmChangemTheorymandmhowmitmappliesmtombecomin
gmanmRN.TOP:m ChangemTheory
7. AnmOrthopedicmNursemismcontemplatingmchangesminmhermprofessionalmlifemandmidenti
fyingmgoals.Whichmactionmshouldmthemnursemtakemifmshemisminterestedminmpursuingmaml
ong-termmgoal?
a. Studiesmformamtelemetrymexammscheduledmformnextmweek
b. EnrollsminmamNursemPractitionermprogram
c. Attendsmamseminarmtombecomemamchargemnurse
d. Continuesmtomworkmonmthemorthopedicmfloormfull-time
ANS:m B
Amshort-
termmgoalmismonemthatmcanmbemattainedminmamperiodmofm6mmonthsmormless.mShort-
mtermmgoalsmincludembecomingmamchargemnursemandmpassingmthemtelemetrymexam.mAmlo
ng-
mtermmgoalmismattainedinmgreatermthanm6mmonthsmandmincludesmstudyingmtombecomemam
NursemPractitioner.mContinuingmtomworkmonmthemorthopedicmfloormdoesmnotmrepresentmei
thermamshort-termmormamlong-termmgoal.
DIF: CognitivemLevel:mApplication
OBJ:mIdentifymbothmshort-mandmlong-
termmpersonalmandmprofessionalmgoals.TOP:m SettingmGoals
8. ThemRNmismtalkingmwithmthemunitmmanagermaboutmwaysmtomimprovempatientmcare.mT
hemmanagermintroducesmthemconceptmofmamcohNort. mWhichmstatementmbymthemRNmindi
catesmthatmthemteachingmhasmbeenmeffective?
a. ―Amcohortmismamwebmofmconnections‖.
b. ―Amcohortmismamgroupmofmpeoplemwhomsharemcommonmexperiencesmwithmeachmother‖.
c. ―Amcohortmismamgroupmlinkedmtogethermformcommonmpurposes‖.
d. ―Amcohortmconsistsmofmgroupsmofmindividualsmthatmmakemupmamwhole‖.
ANS:m B
Amcohortmismamgroupmofmpeoplemwhomsharemcommonmexperiencesmwithmeachmother.mA
mschememismawebmofmconnections,mamteammismamgroupmlinkedmtogethermformcommonmp
urposes,mandmamunitmconsistsmofmgroupsmormindividualsmthatmmakemupmamwhole.
DIF: CognitivemLevel:mEvaluation
OBJ: Identifymhowmexperiencesminfluencemlearningminmadults.mTOP:m AdultmLearning
9. ThemnursemeducatormismpresentingmamlecturemtomamgroupmofmnewmRNs.mWhichmstatem
entmbymonemofthemRNsmindicatesmthatmteachingmhasmbeenmeffective?
a. ―Experiencemismamsteppingmstonemtomnewmlearning‖.
b. ―Experiencemcanmbemambarriermtomnewmlearning‖.
c. ―Experiencemcanmbemanmavenuemtomnewmlearning‖.
d. ―Experiencemcanmbemamdetourmtomnewmlearning‖.
ANS:m B
Experiencemaccentuatesmdifferencesmamongmlearners,mservesmasmamsourcemofminsight
mandmmotivation,mcanmbemambarriermtomnewmlearning,mandmservesmasmamfoundationmform