Which of the following strategies is most likely used during the 'refreezing' stage of Lewin's Change Theory?
Providing training and education about the change.
Identifying barriers to change and addressing them.
Encouraging feedback from individuals during the implementation process.
Establishing policies to support long-term change.
The Correct Answer is D
Choice A reason: Training and education are essential but occur primarily during the unfreezing and changing stages. At those points, individuals are being prepared for change and actively learning new behaviors. In the refreezing stage, the focus shifts from learning to stabilizing and embedding the change into organizational culture.
Choice B reason: Identifying barriers is part of the unfreezing stage, where readiness for change is assessed and obstacles are addressed to reduce resistance. By the time refreezing occurs, barriers should already have been managed, and the emphasis is on sustaining the new practices.
Choice C reason: Encouraging feedback is most relevant during the changing stage, when new behaviors are being implemented and adjusted. Feedback helps refine processes and ensures that individuals feel supported. However, once the change is stabilized, feedback is less central compared to reinforcement and policy integration.
Choice D reason: Establishing policies to support long-term change is the hallmark of the refreezing stage. This stage ensures that new behaviors are maintained, institutionalized, and reinforced through organizational systems. Policies, procedures, and cultural norms are adjusted to prevent regression and to embed the change into daily practice. This creates stability and ensures sustainability of the new behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Laissez-faire leaders delegate authority and allow staff autonomy. They provide minimal direction, giving staff freedom to make decisions independently. This style fosters creativity but may lack structure.
Choice B reason: Using rewards or punishments is characteristic of transactional leadership, not laissez-faire. Transactional leaders rely on reinforcement to ensure compliance, whereas laissez-faire leaders avoid direct control.
Choice C reason: Staff are expected to solve problems independently under laissez-faire leadership. This can empower experienced staff but may overwhelm less skilled individuals.
Choice D reason: Strict enforcement of rules is typical of authoritarian leadership, not laissez-faire. Laissez-faire leaders avoid imposing rigid structures.
Choice E reason: Even though laissez-faire leaders delegate decision-making, they remain ultimately accountable for staff actions. Responsibility cannot be abdicated, making this a defining characteristic of leadership regardless of style.
Correct Answer is A
Explanation
Choice A reason: Systematic reviews and meta-analyses synthesize data from multiple studies, providing the strongest evidence by minimizing bias and increasing generalizability. They represent the highest level of evidence in the hierarchy of evidence-based practice.
Choice B reason: Randomized controlled trials are strong sources of evidence but are limited to single studies. They do not provide the breadth and synthesis that systematic reviews offer.
Choice C reason: Qualitative research provides valuable insights into patient experiences and perspectives but is considered lower in the evidence hierarchy because it lacks quantitative rigor.
Choice D reason: Expert opinion is the lowest level of evidence, as it is based on individual experience rather than systematic research.
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