At a staff meeting, a nurse manager introduces a new, cutting-edge voice communication device that the staff will be required to use in the upcoming months. The staff is hesitant to the change, expressing that the device is too difficult to use. Which of the following strategies and principles should the manager consider to assist with the successful adoption of the proposed change? Select all that apply.

Recipients of change must perceive that the change will be beneficial.

The nurse manager should remain firm and not negotiate the change goal and process of change with the staff.

The nature of the nurse manager's relationship with the group is a significant factor in accomplishing change.

Recipients of change must participate in identifying the problem warranting the change.

The manager should promote the sharing of ideas and honest reactions, but discourage the sharing of fears to preserve team morale.

Answer and Explanation

Correct Answer : A,C,D

A. It is crucial that staff members perceive the change as beneficial; otherwise, they will resist adoption. Clear communication of the advantages of the new device can foster acceptance.
B. A successful change process often involves negotiation and collaboration, allowing staff to express concerns and participate in the transition, enhancing buy-in and ownership.
C. The relationship between the nurse manager and the staff significantly impacts the change process; a positive relationship can lead to greater trust and willingness to adapt.
D. Involving staff in identifying the problem for the change promotes ownership and commitment, making them more likely to embrace the new device.
E. While sharing ideas and reactions is beneficial, discouraging the expression of fears can lead to unresolved issues and resentment, which could hinder the change process. It is essential to create an environment where all feelings and concerns can be shared openly.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A. Performing the task yourself takes away the opportunity for the LPN to gain hands-on experience and can create dependency rather than fostering confidence.
B. While reassurance is helpful, encouraging the LPN to perform the task alone without observation may compromise patient safety, especially given their limited experience.
C. Observing the LPN while they perform the task allows you to provide immediate feedback and support, which is crucial for their development and helps ensure patient safety during the procedure.
D. Prohibiting the LPN from performing the task without further evaluation does not support their learning and growth, as hands-on experience is essential for skill development.

A. sole responsibility and accountability for the patient's wellbeing. B. responsibility for their tasks, but accountability lies with the charge nurse. C. accountability for their tasks, but overall responsibility lies with the charge nurse. D. neither responsibility nor accountability for the patient's wellbeing.

Correct Answer is C

Explanation

A. This option suggests that the RN is solely responsible and accountable, which is not accurate in a team setting where oversight exists.
B. This option incorrectly places accountability solely with the charge nurse, whereas the RN also has accountability for the care provided to their assigned patients.
C. The RN assumes accountability for the specific tasks assigned to them while understanding that overall responsibility for patient safety and outcomes remains with the charge nurse. This reflects the collaborative nature of nursing practice.
D. This option suggests that the RN has neither responsibility nor accountability, which contradicts the professional role of a nurse who must always maintain a level of accountability for their actions and decisions regarding patient care.

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Naxlex Comprehensive Predictor Exams

You are supervising a new graduate LPN who is ordered to perform tracheostomy care. The LPN states that she has performed this procedure only a handful of times, and completes the task slowly. Which of the following actions made by you is most appropriate?

Correct Answer is C

Explanation

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment the RN assumes:

Correct Answer is C

Explanation

The following statements describe the keys to an effective team EXCEPT:

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:

Which of the following are notable benefits and characteristics of debriefing? Select all that apply.

As a new manager, you are shocked to learn that your unit is still using heparin in heparin locks. You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit. You are in which stage of Lewin's stages of change?

An RN is delegating a task to an unlicensed assistive personnel. Which of the following scenarios best demonstrates appropriate delegation?

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?