A new manager discovers that their unit still follows outdated procedures.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
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 In this scenario, the new manager has identified that the unit is following outdated procedures and is aware of the evidence against this practice.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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason
A strategic budget is used for long-term planning and aligning financial resources with the organization’s overall strategic goals. It involves setting financial objectives and allocating resources to achieve these goals over an extended period. While strategic budgets are crucial for guiding the organization’s direction, they do not typically cover specific equipment purchases like mechanical ventilators.
Choice B Reason
A capital budget is specifically designed for the purchase of durable goods and significant investments, such as new equipment, infrastructure improvements, or technology upgrades. Mechanical ventilators, being high-cost medical equipment, fall under this category. Capital budgets ensure that funds are allocated for essential investments that enhance the hospital’s ability to provide quality care.
Choice C Reason
An operating budget covers the day-to-day expenses of running a healthcare facility, including salaries, supplies, utilities, and other recurring costs. While operating budgets are essential for maintaining the facility’s daily operations, they do not typically include large, one-time purchases like mechanical ventilators.
Choice D Reason
A unit of service budget is used to allocate costs based on the volume of services provided, such as the number of patient visits or procedures performed. This type of budget helps in managing and predicting costs associated with specific services but is not used for purchasing high-cost equipment like mechanical ventilators.
Correct Answer is C
Explanation
Choice A Reason:
Ensuring that patient education pamphlets explaining ICU procedures are easily accessible. While providing educational pamphlets is beneficial, it should not be the top priority. Pamphlets can supplement verbal communication but may not address the immediate emotional and informational needs of the parents. Effective communication in the ICU involves more personalized and interactive methods to ensure parents fully understand their child’s condition and care plan.
Choice B Reason:
Coordinating a specialist to have a conversation with the family. Involving a specialist can be very helpful, especially for complex medical conditions. However, this action should follow the initial assessment of the parents’ preferences and needs. Specialists can provide detailed information and answer specific questions, but understanding the parents’ desired level of information first ensures that the conversation is tailored to their needs.
Choice C Reason:
Assessing the parents’ preferences regarding the amount of information provided. This is the most critical step. Each family has different needs and preferences when it comes to receiving information about their child’s condition. Some may want detailed medical explanations, while others may prefer a more general overview. By assessing these preferences, the nurse can ensure that the information provided is appropriate and helpful, reducing anxiety and improving the family’s ability to make informed decisions.
Choice D Reason:
Guiding the family towards online information sources. While online resources can be valuable, they should not replace direct communication with healthcare providers. The quality and reliability of online information can vary, and parents may find it overwhelming or confusing. Direct, personalized communication is essential in critical care settings to ensure that parents receive accurate and relevant information.
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