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As a new manager, you are shocked to learn that your unit is still using heparin in heparin locks. You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit. You are in which stage of Lewin's stages of change?

A.

Refreezing

B.

Moving

C.

Unfreezing

D.

Experiencing the change

Answer and Explanation

The Correct Answer is C

A. Refreezing is the stage where changes are solidified and new behaviors are established after the change has been implemented. This is not the current stage since you are still in the process of identifying the need for change.  

 

B. Moving involves the actual implementation of the change, but you have not yet begun this phase; you're still recognizing the need for change.  

 

C. Unfreezing is characterized by recognizing the need for change and creating awareness about it. Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.  

 

D. Experiencing the change is not one of Lewin's stages and does not accurately describe your current situation of acknowledging the need for change.


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View Related questions

Correct Answer is B

Explanation

A. While private compliments can be valuable, they may not have the same impact as immediate, specific feedback given in the moment.

B. Acknowledging the nurse's performance immediately after they provide exceptional care reinforces positive behavior and allows for specific feedback, which can enhance the nurse's confidence and motivation.

C. While sending an email is a nice gesture, it lacks the immediacy and personal touch that can significantly impact the nurse's morale at that moment.

D. Praising the nurse during a performance review is important, but it delays recognition of their hard work and may not provide the immediate reinforcement that can influence their practice positively.

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.

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