1. Which of the following actions made by the nurse manager best exemplifies Lewin's Refreezing Stage?
Gathering anonymous data to gauge the opinions of the staff concerning an upcoming proposed change.
Conducting a systematic evaluation of forces that will facilitate or block change.
Hosting educational seminars to convince the staff a need for change.
Creating an incentive program rewarding staff who adhere to the recent policy changes.
The Correct Answer is D
A. Gathering anonymous data is part of the unfreezing stage, where awareness of the need for change is developed.
B. Evaluating forces for or against change also aligns with the unfreezing stage, as it involves understanding current dynamics.
C. Hosting educational seminars is focused on preparing for change, characteristic of the unfreezing stage.
D. Creating an incentive program to reward staff for adhering to new policies is part of the refreezing stage, as it helps to solidify the change and reinforce new behaviors within the team.
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Correct Answer is B
Explanation
A. Implementing a plan without first establishing a clear vision and mission could lead to confusion and misalignment among team members regarding the goals of the program.
B. Establishing a vision and mission statement is crucial as it provides direction and purpose for the strategic planning process, guiding subsequent actions and decisions.
C. While assessing strengths, weaknesses, opportunities, and threats is important, it typically comes after defining the vision and mission to ensure that planning aligns with overall goals.
D. Collaborating with an interdisciplinary team to develop a strategy is essential but should occur after establishing a foundational vision and mission statement to ensure that everyone is aligned toward common objectives.
Correct Answer is C
Explanation
A. The RN is responsible for the care provided but does not hold sole accountability, as overall accountability also lies with the charge nurse.
B. The RN holds responsibility and accountability for their assigned tasks but also shares accountability with the charge nurse for overall care.
C. The RN is accountable for their tasks, while the charge nurse retains overall responsibility for overseeing the patient's wellbeing in the context of team-based care.
D. Both responsibility and accountability are shared between the RN and the charge nurse, making this option incorrect.