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 Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.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. While explaining risks and benefits can be useful, the client's decision to withdraw consent takes precedence, and they should not be pressured to continue with the procedure.
B. Discussing alternatives is unnecessary if the client has already decided against the procedure, as their autonomy should be respected.
C. Reminding the client about the signed consent form is not appropriate, as informed consent can be withdrawn at any time prior to the procedure.
D. Informing the provider that the client is withdrawing consent is essential, as it ensures that the client's wishes are respected and prevents the procedure from proceeding against the client’s current decision.
Correct Answer is C
Explanation
A. Performing the task yourself takes away the opportunity for the LPN to gain hands-on experience and can create dependency rather than fostering confidence.
B. While reassurance is helpful, encouraging the LPN to perform the task alone without observation may compromise patient safety, especially given their limited experience.
C. Observing the LPN while they perform the task allows you to provide immediate feedback and support, which is crucial for their development and helps ensure patient safety during the procedure.
D. Prohibiting the LPN from performing the task without further evaluation does not support their learning and growth, as hands-on experience is essential for skill development.