In the cardiac intensive care unit, a group of nurses is disgruntled by a recent policy change enacted by the new unit manager. The new manager insists that this decision is "right," and for critics to adopt the policy immediately. Though many nurses agree with the change, many others feel the decision was made without their consent, fostering mistrust of the manager and each other. Which of the following statements demonstrates the most probable result of this situation?
Upon noticing the positive outcomes of the decision, the disagreeing nurses will see the error of their ways, resulting in intergroup cohesiveness.
Patient care may suffer because attention and energy is being diverted.
The conflict will allow nurses to more clearly identify their shared values.
Overall unit outcomes will be enhanced since the policy change is the right decision.
The Correct Answer is B
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.
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Correct Answer is C
Explanation
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 Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.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.
Correct Answer is A
Explanation
A. Logging off the computer after entering client data is appropriate as it ensures client confidentiality and protects sensitive information.
B. Posting a client's medical diagnosis in a public area like a message board violates patient confidentiality and privacy regulations.
C. Discarding a nursing activity worksheet without proper disposal methods may lead to breaches in confidentiality, especially if it contains patient information.
D. Sharing a password compromises the security of the system and client information, which is against ethical guidelines and facility policies.