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 ["A","B","C","D"]

Explanation

Choice A rationale
The RN must ensure that the nurse aide has the required training to perform these tasks. This is because the RN is responsible for determining client needs and when to delegate. The RN must also ensure that the delegate is competent to perform the activity.
Choice B rationale
The RN must maintain accountability for ensuring the delegated tasks are conducted correctly and completely. This is because the RN is answerable for their own choices, decisions, and actions as measured against a standard.
Choice C rationale
The RN must ensure policies cover the delegation. This is because the RN must understand the delegation process and the state nurse practice act (NPA) to ensure that it is safely, ethically, and effectively carried out.
Choice D rationale
The RN must perform an assessment of the patient prior to delegation. This is because the RN’s decision of whether or not to delegate is based upon their judgement concerning the condition of the patient.
Choice E rationale
While observing all tasks performed by the nurse aide II is a good practice, it is not a requirement for the RN in regard to this delegated task.

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

Correct Answer is ["A","B","C","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

A patient has been discharged home following a hospital stay for a hip fracture sustained in a fall. The provider has ordered physical therapy to help the patient regain strength and flexibility. To which tertiary service is the patient likely to be referred?

Which of the following is an example of passive health promotion strategies?

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The nurse is assessing the apical pulse. Where should the stethoscope be placed?

A nurse is caring for a patient from Mexico and ensures to incorporate the patient’s cultural traditions, values, and beliefs into the care plan. Which nursing theorist’s principles does this action align with?

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?