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. This statement involves critical thinking and interpretation of assessment findings, which should be performed by the RN.
B. Asking the LPN to verify the medications the client is taking is appropriate delegation since it involves a task that LPNs are qualified to perform and does not require complex decision-making.
C. Documenting the admission assessment should be completed by the RN, especially if it involves interpreting the findings.
D. Performing the initial assessment is a responsibility of the RN, as it requires comprehensive assessment skills and clinical judgment.
Correct Answer is ["A","B","C"]
Explanation
A. The effectiveness of debriefing is indeed influenced by the skills and abilities of the person conducting it, making this statement true.
B. One of the primary purposes of debriefing is to analyze the implications of actions taken, promoting learning and improvement.
C. Debriefing can lead to cognitive reframing, helping individuals view situations from different perspectives, which enhances understanding and coping strategies.
D. Effective debriefing often requires a facilitator (debriefer) to guide the process, so this statement is inaccurate.
E. Debriefing focuses on understanding the actions and their implications rather than disregarding their meaning, making this statement false.