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 .
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government’ programs and services. If a diabetic client was terminated from their employment for using their glucose meter, it would infringe upon this law.
Choice B rationale
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a statute that governs when and how a patient may be refused treatment or transferred from one hospital to another when he is in an unstable medical condition. This law is not related to employment rights.
Choice C rationale
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. This law does not pertain to employment rights.
Choice D rationale
The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform that includes a list of health-related provisions that began taking effect in 2010. It doesn’t deal with employment rights.
Correct Answer is A
Explanation
Choice A rationale
Hildegard Peplau is recognized as the “mother of psychiatric nursing”67. She made significant contributions to nursing science, professional nursing, and psychiatric nursing through the development of the Interpersonal Relations paradigm.
Choice B rationale
Madeleine Leninger is known for her work on transcultural nursing, not psychiatric nursing.
Choice C rationale
Dorthea Orem is known for her Self-Care Deficit Nursing Theory, not psychiatric nursing.
Choice D rationale
Jean Watson is known for her Theory of Human Caring, not psychiatric nursing.
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