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A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following characteristics best describes standards of practice?

A.

Focuses only on the ethical expectations of the nursing profession.

B.

Lists a set of skills and responsibilities that every nurse is expected to provide regardless of their role.

C.

Establishes a protocol for care to provide for a specific health problem.

D.

Outlines the necessary criteria for nursing schools to receive accreditation.

Answer and Explanation

The Correct Answer is B

A. While ethical expectations are part of nursing practice, standards of practice encompass more than just ethics; they include clinical competencies, accountability, and roles.  

 

B. Standards of practice indeed outline a set of skills and responsibilities that every nurse is expected to adhere to, regardless of their specific role or specialty. This option accurately captures the comprehensive nature of nursing standards.  

 

C. Establishing a protocol for a specific health problem is more about clinical guidelines than the broader scope of nursing standards, which apply to various scenarios beyond specific health issues.  

 

D. The accreditation of nursing schools is separate from the standards of practice for nurses, which focus more on the competencies required in the field rather than educational criteria.


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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 D

Explanation

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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