A nurse is caring for a patient who is a long-term smoker and is in the early stages of COPD.

The patient expresses interest in quitting smoking and has been asking about smoking cessation aids. The nurse interprets this as which stage of Lewin’s Change Theory?

Unfreezing

Moving

Action

Refreezing .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Unfreezing is the first stage of Lewin’s Change Theory. It involves overcoming resistance to change and preparing for the upcoming change. In this case, the patient expressing interest in quitting smoking and asking about smoking cessation aids indicates that they are in the unfreezing stage.
Choice B rationale
Moving is the second stage of Lewin’s Change Theory. It involves taking the necessary steps towards change.
Choice C rationale
The term “Action” is not recognized as a stage in Lewin’s Change Theory.
Choice D rationale
Refreezing is the final stage of Lewin’s Change Theory. It involves establishing the change as a new habit, so it becomes the "norm"4.

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Correct Answer is D

Explanation

Choice A rationale
Using white out to remove incorrect documentation and writing the correct information over the white out is not an acceptable practice according to CMS guidelines. This method does not allow for the original documentation to be seen, which is a requirement for making corrections to documentation.
Choice B rationale
Using a permanent marker to eliminate all incorrect documentation from view and initialing the mistake is also not an acceptable practice according to CMS guidelines. This method completely obscures the original documentation, which goes against the CMS requirement that all original content must be clearly identifiable.
Choice C rationale
Crossing out the error with a double line so the original documentation may be seen and dating the new entry is not specifically mentioned in the CMS guidelines. While this method does allow for the original documentation to be seen, it’s not clear whether it adheres to all CMS guidelines.
Choice D rationale
According to CMS guidelines, when making corrections to documentation, the nurse should cross out the error with a single line so the original documentation can be seen and sign and date the correction. This method ensures that all original content is clearly identifiable, which is a requirement for making corrections to documentation.

A. Only sterile objects placed on the sterile field. B. Sterile item with slightly opened packaging placed on sterile field. C. Sterile object held below the nurse’s waist is disposed of. D. The edges of the sterile field are considered contaminated.

Correct Answer is B

Explanation

Choice A rationale
Only sterile objects should be placed on the sterile field. This is a correct practice and does not require intervention.
Choice B rationale
A sterile item with slightly opened packaging should not be placed on the sterile field. Any sign of damage or moisture is an indication that the package contents are no longer sterile.
Choice C rationale
A sterile object held below the nurse’s waist should be disposed of. This is a correct practice and does not require intervention.
Choice D rationale
The edges of the sterile field are considered contaminated. This is a correct practice and does not require intervention.

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A nurse is caring for a patient who is a long-term smoker and is in the early stages of COPD. The patient expresses interest in quitting smoking and has been asking about smoking cessation aids. The nurse interprets this as which stage of Lewin’s Change Theory?

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Naxlex Comprehensive Predictor Exams

A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record. Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?

Correct Answer is D

Explanation

The nurse is observing a new nurse set up a sterile field. Which of the following actions made by the new nurse requires immediate intervention?

Correct Answer is B

Explanation

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A nurse is caring for a patient who is a long-term smoker and is in the early stages of COPD. The patient expresses interest in quitting smoking and has been asking about smoking cessation aids. The nurse interprets this as which stage of Lewin’s Change Theory?

When caring for the patient with left sided heart failure, which of the following are subjective symptoms?

A nurse is caring for a patient who is a long-term smoker and is in the early stages of COPD.

The patient expresses interest in quitting smoking and has been asking about smoking cessation aids. The nurse interprets this as which stage of Lewin’s Change Theory?