In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care
This reflects which aspect of Lewin's planned change?
a. Unfreeze
b. Move
c. Refreeze
d. Acceptance
ANS: A
Correct: Unfreeze is correct because the change agent promotes problem identification and encourages awareness of the need for change. In alignment with Lewin's stages of change (unfreezing, moving, and refreezing), education and involvement are keys to successful change. People must believe that improvement is possible before they will be willing to consider change.
Incorrect:
b. Move is incorrect because at this stage the change agent clarifies the need to change, explores alternatives, defines goals and objectives, plans the change, and implements the change plan.
c. Refreeze is incorrect because at this stage the change is being integrated into the organization so that it becomes recognized as the status quo. The change agent must facilitate change by monitoring adherence to the new requirements.
d. Acceptance is incorrect because acceptance and integration represent the final aspect of any change.
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The patient has been diagnosed with severe mitral valve stenosis. What physical changes would the nurse expect to find as a result of the stenosis?
A) Prolonged capillary refill B) Normal left atrial and ventricular pressures C) Clear lung sounds D) Angina pectoris
Which symptoms are characteristic of a preschool-age client who is diagnosed with a urinary tract infection?
1. Foul-smelling urine, elevated blood pressure, and hematuria 2. Severe flank pain, nausea, headache 3. Headache, hematuria, vertigo 4. Urgency, dysuria, fever
Match each term to the correct definition below.
A. failure of lungs to expand B. dizziness C. excessive blood loss D. lack of oxygen E. period after surgery F. blood clot G. period before surgery
Assessment findings related to the child physical offender differ from the assessment findings for the child sexual offender. The difference between these findings is that the physical offender is usually assessed as having:
1. Poor self-esteem and unrealistic expectations of children, while the sexual of-fender has diverse characteristics 2. Diverse characteristics, while the sexual offender has lack of remorse 3. Lack of remorse, while the sexual offender usually shows guilt and shame 4. A mature ego, while the sexual offender has a rigid, overdeveloped superego