A new manager discovers that their unit still follows outdated procedures. You are aware of the evidence against this practice and are eager to make a rapid change on your unit. In terms of Lewin’s Stages of Change, which stage are you in?

Unfreezing

Reheating

Refreezing

Moving

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Unfreezing is the first stage in Lewin’s Stages of Change. This stage involves recognizing the need for change and preparing the organization to accept that change is necessary. It includes creating awareness about the current issues and the benefits of the proposed changes. In this scenario, the new manager has identified that the unit is following outdated procedures and is aware of the evidence against this practice. The eagerness to make a rapid change indicates that the manager is in the unfreezing stage, where the focus is on breaking down the existing status quo before building up a new way of operating.

Choice B Reason:

Reheating is not a recognized stage in Lewin’s Stages of Change. Lewin’s model consists of three stages: Unfreezing, Moving (or Changing), and Refreezing. Therefore, this option is not applicable to the scenario described.

Choice C Reason:

Refreezing is the final stage in Lewin’s Stages of Change. This stage involves solidifying the new changes into the organization’s culture and practices. It ensures that the changes are sustained over time. Since the manager is eager to initiate change and has not yet implemented or solidified any new procedures, they are not in the refreezing stage.

Choice D Reason:

Moving (or Changing) is the second stage in Lewin’s Stages of Change. This stage involves implementing the changes and transitioning to new ways of working. It includes developing new behaviors, processes, and attitudes. While the manager is eager to make changes, they have not yet started the implementation process, which means they are not in the moving stage.

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Correct Answer is B

Explanation

Choice A Reason

Offering to input the note for the resident and asking them to sign it under the nurse’s login credentials is not appropriate. This practice can lead to issues with accountability and accuracy in medical records. Each healthcare professional is responsible for their own documentation, and using another person’s login credentials can compromise the integrity of the medical record and violate hospital policies and regulations.

Choice B Reason

Informing the resident that they need to enter the information using their own password is the correct response. This ensures that each entry in the medical record is accurately attributed to the correct healthcare provider, maintaining accountability and integrity in documentation. It also complies with hospital policies and regulations regarding the use of electronic health records (EHRs) and protects patient confidentiality.

Choice C Reason

Allowing the resident to use the nurse’s login credentials and log her out when finished is not appropriate. This practice can lead to security breaches and issues with accountability in the medical record. Each healthcare provider must use their own login credentials to ensure that all entries are accurately attributed and to maintain the security of the EHR system.

A. Inspiring others to work well. B. Developing total self-sufficiency. C. Guarding against the tendency of others. D. Understanding the nuances. E. Determining job expectations.

Correct Answer is A

Explanation

Choice A Reason:

Inspiring others to work well is a critical leadership strength in nursing. Effective nurse leaders motivate their team members, fostering a positive work environment and encouraging high performance. This inspiration can lead to improved patient care, higher job satisfaction, and better team cohesion. Leaders who inspire their teams can help create a culture of excellence and continuous improvement, which is essential in the dynamic field of healthcare.

Choice B Reason:

Developing total self-sufficiency is not typically a primary leadership strength in nursing. While self-sufficiency is important, nursing is inherently a collaborative profession. Effective nurse leaders recognize the value of teamwork and interdependence among healthcare professionals. They focus on building strong, supportive teams rather than promoting complete self-sufficiency.

Choice C Reason:

Guarding against the tendency of others is a vague statement and does not clearly define a leadership strength. Effective nurse leaders focus on guiding and supporting their team members rather than guarding against their tendencies. Leadership in nursing involves understanding and managing team dynamics, providing mentorship, and fostering professional growth.

Choice D Reason:

Understanding the nuances is important but not a standalone leadership strength. It is part of a broader set of skills that include critical thinking, empathy, and effective communication. While understanding nuances is valuable, it is not as impactful as the ability to inspire and motivate others in a leadership role.

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A new manager discovers that their unit still follows outdated procedures. You are aware of the evidence against this practice and are eager to make a rapid change on your unit. In terms of Lewin’s Stages of Change, which stage are you in?

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Naxlex Comprehensive Predictor Exams

The clinic nurse has recently opened a client’s chart on the computer. A resident approaches and requests her to remain logged in so he can add a note to the same chart. Her response should be:

Correct Answer is B

Explanation

A necessary leadership strength for nurses is:

Correct Answer is A

Explanation

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