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 C
Explanation
A. This option suggests that the RN is solely responsible and accountable, which is not accurate in a team setting where oversight exists.
B. This option incorrectly places accountability solely with the charge nurse, whereas the RN also has accountability for the care provided to their assigned patients.
C. The RN assumes accountability for the specific tasks assigned to them while understanding that overall responsibility for patient safety and outcomes remains with the charge nurse. This reflects the collaborative nature of nursing practice.
D. This option suggests that the RN has neither responsibility nor accountability, which contradicts the professional role of a nurse who must always maintain a level of accountability for their actions and decisions regarding patient care.
Correct Answer is B
Explanation
A. This option reflects a negative view of human nature and does not fully capture the importance of agreements in fostering a collaborative environment.
B. Establishing agreements provides clear expectations for behavior and interactions, preventing misunderstandings and conflicts. Without such agreements, team members may feel free to act without consideration for others, leading to discord.
C. While agreements may help mitigate personal conflicts, their primary purpose is to set standards for behavior rather than to justify negative interactions.
D. While agreements can help identify roles within a team, their main function is to ensure respectful and productive interactions among all members rather than simply distinguishing between types of members.