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. While some nurses may eventually support the change, it is unlikely that immediate disagreement will lead to intergroup cohesiveness without addressing the underlying concerns and communication issues.
B. The division among staff regarding the policy change can lead to distractions and decreased collaboration, ultimately impacting patient care and overall effectiveness within the unit.
C. Although conflict can lead to identifying shared values, this typically requires constructive dialogue and resolution, which is not currently occurring in this scenario.
D. While the policy change may be justified, the lack of staff support and trust can hinder the implementation process, making it unlikely that overall unit outcomes will improve without addressing staff concerns.
Correct Answer is A
Explanation
A. Reporting laboratory findings to a family member without the client’s consent is a violation of confidentiality, as the client’s health information should not be disclosed to unauthorized individuals.
B. Notifying the provider of physical examination findings is within the nurse's duty of care and does not violate confidentiality.
C. Discussing the client's care with the nurse manager, especially in a supervisory context, does not violate confidentiality, provided it's within the scope of professional communication.
D. Identifying the client by name when making a referral is a necessary part of care coordination and does not violate confidentiality when handled appropriately.