The nurse manager is planning to initiate new policies in the department and is reviewing several change theories. Which step of Havelock's model will the nurse find most closely resembles Lewin's moving stage?
1. Self-renewal occurs among all participants.
2. Solutions are identified to create change.
3. Resources are acquired to facilitate change.
4. Relationships are formed among all participants.
2
Rationale 1: Self-renewal and stabilization occur during the final stage and are most like Lewin's refreezing stage of change.
Rationale 2: Choosing a solution and gaining acceptance are most like Lewin's moving stage. Previous to this stage in both models, the work is to convince participants that change is necessary and to secure resources for the change. After solutions are identified and implemented, the final stage begins.
Rationale 3: The first three steps of Havelock's theory are building a relationship, diagnosing the problem, and acquiring resources. These three steps are most like Lewin's unfreezing stage.
Rationale 4: The first step of Havelock's model is building relationships among participants. This is one of the steps that are equivalent to Lewin's unfreezing stage.
Global Rationale:
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1. paradoxical reaction. 2. hypersensitivity reaction. 3. adverse reaction. 4. anaphylactic reaction.
The nurse is caring for a patient diagnosed with borderline personality disorder who cut both forearms after learning that the psychiatrist was going on vacation. While changing the dressing daily, it would be advisable for the nurse to:
a. express sympathy and concern. b. maintain a matter-of-fact attitude. c. encourage discussion of the self-mutilation. d. reassure the patient by stating, "I will not abandon you.".
The probability that an event will occur within a specified period of time is called
a. Rate b. Risk c. Epidemiology d. Epidemic