A. Gathering anonymous data is part of the unfreezing stage, where awareness of the need for change is developed.

B. Evaluating forces for or against change also aligns with the unfreezing stage, as it involves understanding current dynamics.

C. Hosting educational seminars is focused on preparing for change, characteristic of the unfreezing stage.

D. Creating an incentive program to reward staff for adhering to new policies is part of the refreezing stage, as it helps to solidify the change and reinforce new behaviors within the team.

A. Open expression of ideas and feelings fosters communication and trust within a team, which is essential for effectiveness.

B. A shared objective is crucial for alignment and teamwork, promoting cooperation and collaboration.

C. While conflict can be challenging, effective teams do not necessarily avoid it; instead, they learn to manage and resolve conflict constructively to improve outcomes.

D. Shared leadership that shifts according to expertise can enhance collaboration and utilization of diverse skills within the team.

A. Asking the nursing staff to create a wish list for the lounge is a form of assessment or data collection, as it involves gathering input and opinions from the users to understand their needs and preferences.

B. Generating hypotheses typically involves formulating possible explanations or solutions based on existing information, which is not applicable here.

C. Planning refers to the development of strategies and actions based on collected data, but the wish list gathering is preliminary to this stage.

D. Data interpretation involves analyzing collected data to draw conclusions, which comes after the initial collection phase.

A. This statement involves critical thinking and interpretation of assessment findings, which should be performed by the RN.

B. Asking the LPN to verify the medications the client is taking is appropriate delegation since it involves a task that LPNs are qualified to perform and does not require complex decision-making.

C. Documenting the admission assessment should be completed by the RN, especially if it involves interpreting the findings.

D. Performing the initial assessment is a responsibility of the RN, as it requires comprehensive assessment skills and clinical judgment.

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. While private compliments can be valuable, they may not have the same impact as immediate, specific feedback given in the moment.

B. Acknowledging the nurse's performance immediately after they provide exceptional care reinforces positive behavior and allows for specific feedback, which can enhance the nurse's confidence and motivation.

C. While sending an email is a nice gesture, it lacks the immediacy and personal touch that can significantly impact the nurse's morale at that moment.

D. Praising the nurse during a performance review is important, but it delays recognition of their hard work and may not provide the immediate reinforcement that can influence their practice positively.

A. The Patient Self-Determination Act (PSDA) ensures patients are informed of their rights, but it does not provide a basis for changing a living will when a patient is incapacitated.

B. A durable power of attorney for health care can make decisions on behalf of the client but cannot simply cancel the living will without considering the client's wishes as outlined in it.

C. Family members cannot arbitrarily change a living will, especially when the client is unconscious; the living will reflects the client’s predetermined wishes.

D. The living will is a legal document that outlines the client’s preferences regarding lifesaving measures and should be followed even if the client is unconscious.

A. While explaining risks and benefits can be useful, the client's decision to withdraw consent takes precedence, and they should not be pressured to continue with the procedure.

B. Discussing alternatives is unnecessary if the client has already decided against the procedure, as their autonomy should be respected.

C. Reminding the client about the signed consent form is not appropriate, as informed consent can be withdrawn at any time prior to the procedure.

D. Informing the provider that the client is withdrawing consent is essential, as it ensures that the client's wishes are respected and prevents the procedure from proceeding against the client’s current decision.

A. Involving nonprofessional workers can lead to resistance, but it is not the primary factor when considering the overall impact of change.

B. Interdisciplinary collaboration can present challenges, but it does not inherently lead to resistance. Many professionals recognize the value of collaboration.

C. While involving many layers can complicate change, it does not necessarily result in resistance if there is clear communication and support.

D. Change that threatens personal security, whether physical, emotional, or job-related, is most likely to evoke resistance as individuals often prioritize their sense of safety and stability.

A. The PSDA ensures patients understand their rights but does not authorize family members to alter a living will when the patient is incapacitated.

B. A durable power of attorney can make healthcare decisions but cannot simply annul the living will without considering the patient's stated wishes.

C. Family members cannot change a living will arbitrarily, especially when the client is unconscious; the living will conveys the client's predetermined preferences.

D. The living will is a legal document that outlines the client's desires regarding lifesaving measures and must be followed, even if the client is unconscious.

A. While the RN is responsible for the care of the patients, the charge nurse also retains overall responsibility, making this statement inaccurate.

B. The RN does have responsibility for their specific tasks, but the accountability remains shared, particularly for the overall patient care.

C. The RN is accountable for their tasks and patient outcomes, while the charge nurse maintains overall responsibility for the unit's operations and patient care.

D. The RN assumes both responsibility and accountability to some extent, especially in their assigned patient care.

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.

A. The effectiveness of debriefing is indeed influenced by the skills and abilities of the person conducting it, making this statement true.

B. One of the primary purposes of debriefing is to analyze the implications of actions taken, promoting learning and improvement.

C. Debriefing can lead to cognitive reframing, helping individuals view situations from different perspectives, which enhances understanding and coping strategies.

D. Effective debriefing often requires a facilitator (debriefer) to guide the process, so this statement is inaccurate.

E. Debriefing focuses on understanding the actions and their implications rather than disregarding their meaning, making this statement false.

A. The RN is responsible for the care provided but does not hold sole accountability, as overall accountability also lies with the charge nurse.

B. The RN holds responsibility and accountability for their assigned tasks but also shares accountability with the charge nurse for overall care.

C. The RN is accountable for their tasks, while the charge nurse retains overall responsibility for overseeing the patient's wellbeing in the context of team-based care.

D. Both responsibility and accountability are shared between the RN and the charge nurse, making this option incorrect.

A. This option implies that the nurse would be accountable without sharing responsibility, which is not accurate. The nurse remains responsible for the overall care, even when delegating tasks.

B. This option indicates that the nurse would be accountable but free from responsibility, which is incorrect as the nurse retains both aspects.

C. This implies that the nurse would be responsible for patient care but without accountability, which does not reflect the true nature of nursing responsibilities.

D. The nurse is responsible for patient wellbeing and accountable for the care provided, even when tasks are delegated to unlicensed personnel.

A. This scenario involves the UNP providing education and re-teaching, which is beyond their scope of practice. Delegation should involve tasks that are within the UNP's competency.

B. This scenario appropriately delegates a task that is within the UNP's role, providing clear instructions and ensuring safety with non-slip socks. It maintains accountability by requiring a report afterward.

C. This scenario requires assessment and nursing judgment, which are tasks that should not be delegated to UNP, as they need to be performed by a licensed nurse.

D. This scenario suggests a lack of support and guidance for a new employee, which is not appropriate. Delegation should provide clear instructions and ensure safety rather than placing the burden of learning on the UNP without proper support.

A. While ethical expectations are part of nursing practice, standards of practice encompass more than just ethics; they include clinical competencies, accountability, and roles.

B. Standards of practice indeed outline a set of skills and responsibilities that every nurse is expected to adhere to, regardless of their specific role or specialty. This option accurately captures the comprehensive nature of nursing standards.

C. Establishing a protocol for a specific health problem is more about clinical guidelines than the broader scope of nursing standards, which apply to various scenarios beyond specific health issues.

D. The accreditation of nursing schools is separate from the standards of practice for nurses, which focus more on the competencies required in the field rather than educational criteria.

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.

A. Speaking to an assistive personnel with a demeaning tone represents vertical violence, where a person in a position of authority mistreats a subordinate.

B. Rudeness towards a nurse manager is also an example of vertical violence because it involves an inappropriate interaction between different hierarchical levels.

C. Refusing to help a charge nurse is a form of unprofessional behavior but does not exemplify lateral violence, as it doesn't involve peers at the same level.

D. Rolling one's eyes at another nurse after providing a report is a clear example of lateral violence, where one peer demonstrates disrespect or hostility towards another peer.

A. While encouraging self-resolution is important, in this case, the nurses are not able to resolve their conflict independently, so this approach would be ineffective.

B. Threatening disciplinary measures can escalate the situation and does not foster an environment for constructive dialogue.

C. Dismissing the nurses fails to address the conflict and does not promote effective negotiation, leaving the issue unresolved.

D. Asking each nurse to present their opening position allows for structured dialogue, giving each party the opportunity to express their concerns and fostering effective negotiation. This approach can lead to a collaborative solution.

A. Logging off the computer after entering client data is appropriate as it ensures client confidentiality and protects sensitive information.

B. Posting a client's medical diagnosis in a public area like a message board violates patient confidentiality and privacy regulations.

C. Discarding a nursing activity worksheet without proper disposal methods may lead to breaches in confidentiality, especially if it contains patient information.

D. Sharing a password compromises the security of the system and client information, which is against ethical guidelines and facility policies.

A. Waiting to speak only when certain undermines open communication and can stifle collaboration, which is crucial for synergistic function.

B. While expertise is valuable, relying solely on one person's opinion can lead to a lack of diverse perspectives and contributions from all team members.

C. Active listening among team members fosters an environment of respect and understanding, which is essential for synergy, allowing for the integration of ideas and better decision-making.

D. Not volunteering information can hinder communication and collaboration, which are necessary for teams to function effectively together.

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.

A. Implementing a plan without first establishing a clear vision and mission could lead to confusion and misalignment among team members regarding the goals of the program.

B. Establishing a vision and mission statement is crucial as it provides direction and purpose for the strategic planning process, guiding subsequent actions and decisions.

C. While assessing strengths, weaknesses, opportunities, and threats is important, it typically comes after defining the vision and mission to ensure that planning aligns with overall goals.

D. Collaborating with an interdisciplinary team to develop a strategy is essential but should occur after establishing a foundational vision and mission statement to ensure that everyone is aligned toward common objectives.

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.