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 B
Explanation
Choice A rationale
Justice refers to fairness and equality in healthcare. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice B rationale
Accountability is the ethical standard that compels a nurse to report missing medication. Nurses are accountable for their actions and are responsible for reporting any discrepancies or issues that could impact patient safety26.
Choice C rationale
Confidentiality refers to the protection of patient information. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Choice D rationale
Fidelity refers to the commitment to fulfill promises and obligations. While it is an important ethical principle in nursing, it does not specifically compel a nurse to report missing medication26.
Correct Answer is D
Explanation
Choice A rationale
The cognitive domain involves knowledge and the development of intellectual skills. This includes the recall or recognition of specific facts and concepts that serve in the development of intellectual abilities and skills.
Choice B rationale
The affective domain includes the manner in which we deal with things emotionally, such as feelings, values, appreciation, enthusiasms, motivations, and attitudes.
Choice C rationale
The term “effective” is not recognized as a learning domain. It may be a typographical error.
Choice D rationale
The psychomotor domain includes physical movement, coordination, and use of the motor- skill areas. Development of these skills requires practice and is measured in terms of speed, precision, distance, procedures, or techniques in execution. Thus, when a patient is able to perform a return demonstration, such as changing their surgical dressing, it is the psychomotor domain that has been demonstrated.
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