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In the cardiac intensive care unit, a group of nurses is disgruntled by a recent policy change enacted by the new unit manager. The new manager insists that this decision is "right," and for critics to adopt the policy immediately. Though many nurses agree with the change, many others feel the decision was made without their consent, fostering mistrust of the manager and each other. Which of the following statements demonstrates the most probable result of this situation?

Upon noticing the positive outcomes of the decision, the disagreeing nurses will see the error of their ways, resulting in intergroup cohesiveness.

Patient care may suffer because attention and energy is being diverted.

The conflict will allow nurses to more clearly identify their shared values.

Overall unit outcomes will be enhanced since the policy change is the right decision.

Answer and Explanation

The Correct Answer is B

A. While some nurses may eventually support the change, it is unlikely that immediate disagreement will lead to intergroup cohesiveness without addressing the underlying concerns and communication issues.
B. The division among staff regarding the policy change can lead to distractions and decreased collaboration, ultimately impacting patient care and overall effectiveness within the unit.
C. Although conflict can lead to identifying shared values, this typically requires constructive dialogue and resolution, which is not currently occurring in this scenario.
D. While the policy change may be justified, the lack of staff support and trust can hinder the implementation process, making it unlikely that overall unit outcomes will improve without addressing staff concerns.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A. Refreezing is the stage where changes are solidified and new behaviors are established after the change has been implemented. This is not the current stage since you are still in the process of identifying the need for change.
B. Moving involves the actual implementation of the change, but you have not yet begun this phase; you're still recognizing the need for change.
C. Unfreezing is characterized by recognizing the need for change and creating awareness about it. Since you are shocked by the outdated practice and want to initiate change, you are in this stage as you prepare for the transition.
D. Experiencing the change is not one of Lewin's stages and does not accurately describe your current situation of acknowledging the need for change.

A. Reporting laboratory findings to a member of the client's family. B. Notifying the provider of physical examination findings. C. Discussing a client's surgical procedure with the nurse manager. D. Identifying the client by name when making a referral for home health services.

Correct Answer is A

Explanation

A. Reporting laboratory findings to a family member without the client’s consent is a violation of confidentiality, as the client’s health information should not be disclosed to unauthorized individuals.
B. Notifying the provider of physical examination findings is within the nurse's duty of care and does not violate confidentiality.
C. Discussing the client's care with the nurse manager, especially in a supervisory context, does not violate confidentiality, provided it's within the scope of professional communication.
D. Identifying the client by name when making a referral is a necessary part of care coordination and does not violate confidentiality when handled appropriately.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

Correct Answer is A

Explanation

Resistance is most likely when change:

Which of the following actions made by the nurse manager best exemplifies Lewin's Refreezing Stage?

A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following characteristics best describes standards of practice?

A mediator suggests that the nurse manager and staff members establish a group agreement before resolving conflicts. It is important to have agreements about how team members will work together because:

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

A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?