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O RN TRANSITIONS4
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TH EDITION CLAYW
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ELL.
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Chapter 01: Honoring Your Past, Planning Your FutureClaywell:
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LPN to RN Transitions, 4th Edition
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MULTIPLEiCHOICE
1. AinursingiadvisoriisimeetingiwithiaistudentiwhoiisiinterestediiniearningiheriRNidegree.iSheiknow
sithatilicensedipracticalinurse/licenseivocationalinursei(LPN/LVNs)iwhoienterinursingischoolitoi
becomeiRNsicomeiintoitheilearningienvironmentiwithiprioriknowledgeiandiunderstanding.iWhi
chistatementibyitheinursingiadvisoribestidescribesiheriunderstandingiofitheieffectiexperienceima
yihaveionilearning?
a. “Experienceimayibeiaisourceiofiinsightiandimotivation,ioriaibarrier.”
b. “ExperienceiisiusuallyiaistumblingiblockiforiLPN/LVNs.”
c. “Experienceineverimakesilearningimoreidifficult.”
d. “Onceisomethingiisilearned,iiticanineveribeitrulyimodified.”
ANS:i A
Experienceiaccentuatesidifferencesiamongilearnersiandiservesiasiaisourceiofiinsightiandimotivatio
n,ibutiiticanialsoibeiaibarrier.iExperienceicaniserveiasiaifoundationiforidefiningitheiself.
DIF: CognitiveiLevel:iApplication
OBJ:iii Identifyihowiexperiencesiinfluenceilearningiiniadults. TOP:i AdultiLearning
2. ThereiisiaitestionitheicardiovascularisystemioniFridayimorning,iandiitiisinowiWednesdayinight.iT
heistudentihasialreadyitakeniaivacationidayifromiworkiThursdayinightisoithatisheicanistayihomeian
distudy.iSheiisiconsideringiskippingiheriexerciseiclassioniThursdayimorningitoigoitoitheilibraryitoi
N
prepareiforitheitest.iWhichiresponseibestiidentifiesitheistudent’sioutcomeipriority?
a. Exerciseiclass
b. Goingitoitheilibrary
c. Avoidingiworkibyitakingiaivacation
d. DoingiwellionitheitestioniFriday
ANS:i D
Theioutcomeipriorityiisitheiessentialiissueiorineeditoibeiaddressediatianyigivenitimeiwithiniaisetiofic
onditionsioricircumstances.
DIF: CognitiveiLevel:iApplication
OBJ:iIdentifyimotivationsiandipersonalioutcomeiprioritiesiforireturningitoischool.iTOP:i
MotivationitoiLearn
3. AinurseiwhoihasibeenianiLPN/LVNifori10iyearsiisimeetingiwithianiadvisoritoidiscussitheipossibil
ityiofitakingiclassesitoibecomeianiRN.iTheiadvisoriinterpretsiwhichistatementibyitheinurseiasitheid
rivingiforceiforireturningitoischool?
a. “I’llineeditoischeduleitimeitoiattendiclasses.”
b. “I’llihaveitoibudgetiforipayingituition.”
c. “I’llihaveitoirearrangingimyischedule.”
d. “Thereiisiaipossibilityiofiadvancementiintoiadministration.”
ANS:i D
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Drivingiforcesiareithoseithatipushitowardimakingitheichange,iasiopposeditoirestrainingiforces,iwhic
hiareithoseithatiusuallyipresentiaichallengeithatineedsitoibeiovercomeiforitheichangeitoitakeiplaceior
ipresentiainegativeieffectitheichangeimayiinitiate.
DIF: CognitiveiLevel:iApplication
OBJ:iIdentifyimotivationsiandipersonalioutcomeiprioritiesiforireturningitoischool.iTOP:i
MotivationsiforiChange
4. AniRNiisicaringiforiaidiabeticipatient.iTheipatientiappearsiinterestediinichangingiherilifestyleiandih
asibeeniaskingiquestionsiaboutieatingibetter.iTheinurseicaniinterpretithisibehavioriasiwhichistagei
ofiLewin’siChangeiTheory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
ANS:i B
TheipatientiisiinitheifirstiphaseiofiLewin’siChangeiTheory,iknowniasiunfreezing.iThisiphaseiinvol
vesideterminingithatiaichangeineedsitoioccuriandidecidingitoitakeiaction.iMovingiisitheisecondipha
seiandiinvolvesiactivelyiplanningichangesianditakingiactionionithem.iRefreezingiisitheilastistage,ia
ndiitioccursiwhenitheichangeihasibecomeiaipartiofitheiperson’silife.
DIF: CognitiveiLevel:iAnalysis
OBJ:i UnderstandiChangeiTheoryiandihowiitiappliesitoibecomingianiRN.iTO
P:i ChangeiTheory
5. AniLPNiisitalkingiwithihericlinicaliinstructoriaboutiheridecisionitoireturnitoischoolitoibecomeianiR
N.iTheiclinicaliinstructoriiN
nterpretsitheiLPNsioutcomeipriorityibasedioniwhichistatement?
a. “Myifamilyiwantedimeitoigoibackitoischool.”
b. “Iiwantitoibetterimyifinancialisituation.”
c. “Iireallyienjoyischool.”
d. “Iiwouldilikeitoiadvanceitoiaiteachingiroleisomeday.”
ANS:i B
Theioutcomeipriorityiisitheiessentialineedithatimustibeiaddressed,ideterminedibyiinternaliandiextern
alifactors,isuchiasineedingitoibetteriaifinancialisituation.iTheiotheristatementsiindicateireasonsiforir
eturningitoischool,ibutitheyiareinotiessentialineedsioriissuesitoibeiaddressed.
DIF: CognitiveiLevel:iAnalysis
OBJ:iii Identifyihowiexperiencesiinfluenceilearningiiniadults. TOP:i AdultiLearning
6. Ainurseinoticesiaipostingiforiaimanagementipositioniforiwhichisheiisiqualified.iIfitheinurseiisiinithei
movingiphaseiofiLewin’siChangeiTheory,iwhichistatementireflectsitheiactionisheiisimostilikelyitoi
take?
a. Doesinothingitoiobtainitheiposition
b. Appliesiforitheiposition
c. Identifiesithatichangeiisineeded
d. Settlesiintoitheiroutineiofiherijob
ANS:i B
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Unfreezingibeginsiwhenireasonsiforichangeiareiidentified.iTheimovingiphaseiinvolvesiactiveipla
nningiandiaction.iMovingialsoimeansiyouiareidealingiwithibothipositiveiandinegativeiforcesiasith
eyiebbiandiflow,iandiyouiareimakingimodificationsitoiyouriplaniasineeded.
Refreezingioccursiafteritheichangeihasibecomeiroutine.
DIF: CognitiveiLevel:iApplication
OBJ:i UnderstandiChangeiTheoryiandihowiitiappliesitoibecomingianiRN.iTO
P:i ChangeiTheory
7. AniOrthopediciNurseiisicontemplatingichangesiiniheriprofessionalilifeiandiidentifyingigoals.iWh
ichiactionishoulditheinurseitakeiifisheiisiinterestediinipursuingiailong-termigoal?
a. Studiesiforiaitelemetryiexamischedulediforinextiweek
b. EnrollsiiniaiNurseiPractitioneriprogram
c. Attendsiaiseminaritoibecomeiaichargeinurse
d. Continuesitoiworkionitheiorthopedicifloorifull-time
ANS:i B
Aishort-termigoaliisioneithaticanibeiattainediiniaiperiodiofi6imonthsioriless.iShort-
termigoalsiincludeibecomingiaichargeinurseiandipassingitheitelemetryiexam.iAilong-
termigoaliisiattainediinigreaterithani6imonthsiandiincludesistudyingitoibecomeiaiNurseiPractitioner.
iContinuingitoiworkionitheiorthopediciflooridoesinotirepresentieitheriaishort-termioriailong-
termigoal.
DIF: CognitiveiLevel:iApplication
OBJ:iIdentifyibothishort-iandilong-
termipersonaliandiprofessionaligoals.iTOP:i SettingiGoals
8. TheiRNiisitalkingiwithitheiunitimanageriaboutiwaysitoiimproveipatienticare.iTheimanageriintrodu
cesitheiconceptiofiaicohN
ort.iWhichistatementibyitheiRNiindicatesithatitheiteachingihasibeenieffecti
ve?
a. “Aicohortiisiaiwebioficonnections”.
b. “Aicohortiisiaigroupiofipeopleiwhoishareicommoniexperiencesiwithieachiother”.
c. “Aicohortiisiaigroupilinkeditogetheriforicommonipurposes”.
d. “Aicohorticonsistsiofigroupsiofiindividualsithatimakeiupiaiwhole”.
ANS:i B
Aicohortiisiaigroupiofipeopleiwhoishareicommoniexperiencesiwithieachiother.iAischemeiisiaiwebiofi
connections,iaiteamiisiaigroupilinkeditogetheriforicommonipurposes,iandiaiuniticonsistsiofigroupsi
oriindividualsithatimakeiupiaiwhole.
DIF: CognitiveiLevel:iEvaluation
OBJ:iii Identifyihowiexperiencesiinfluenceilearningiiniadults. TOP:i AdultiLearning
9. TheinurseieducatoriisipresentingiailectureitoiaigroupiofinewiRNs.iWhichistatementibyioneiofitheiR
Nsiindicatesithatiteachingihasibeenieffective?
a. “Experienceiisiaisteppingistoneitoinewilearning”.
b. “Experienceicanibeiaibarrieritoinewilearning”.
c. “Experienceicanibeianiavenueitoinewilearning”.
d. “Experienceicanibeiaidetouritoinewilearning”.
ANS:i B
Experienceiaccentuatesidifferencesiamongilearners,iservesiasiaisourceiofiinsightiandimotivation,ic
anibeiaibarrieritoinewilearning,iandiservesiasiaifoundationiforidefiningitheiself.
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