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?
Refreezing
Moving
Unfreezing
Experiencing the change
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 Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.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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Correct Answer is D
Explanation
A. Speaking to an assistive personnel with a demeaning tone represents vertical violence, where a person in a position of authority mistreats a subordinate.
B. Rudeness towards a nurse manager is also an example of vertical violence because it involves an inappropriate interaction between different hierarchical levels.
C. Refusing to help a charge nurse is a form of unprofessional behavior but does not exemplify lateral violence, as it doesn't involve peers at the same level.
D. Rolling one's eyes at another nurse after providing a report is a clear example of lateral violence, where one peer demonstrates disrespect or hostility towards another peer.
Correct Answer is D
Explanation
A. This option implies that the nurse would be accountable without sharing responsibility, which is not accurate. The nurse remains responsible for the overall care, even when delegating tasks.
B. This option indicates that the nurse would be accountable but free from responsibility, which is incorrect as the nurse retains both aspects.
C. This implies that the nurse would be responsible for patient care but without accountability, which does not reflect the true nature of nursing responsibilities.
D. The nurse is responsible for patient wellbeing and accountable for the care provided, even when tasks are delegated to unlicensed personnel.