First-line managers can apply Lewin's framework for planned change to nursing care. Which part of Lewin's framework is comparable to the evaluation step of the nursing process?
a. Unfreezing phase
b. Moving phase
c. Refreezing phase
d. Force-field analysis
ANS: C
Refreezing is comparable to the evaluation and reaffirmation steps of the nursing process.
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A nurse working in a dermatology clinic observes that a patient of Mexican-American descent typically arrives 10 to 15 minutes late to every appointment. Based on an understanding of first-order beliefs, the nurse determines that: (Select all that apply
a. first-order beliefs serve as the basis of a person's belief system. b. first-order beliefs begin to develop in early adolescence. c. first-order beliefs are completely formed in childhood. d. people seldom question their first-order beliefs. e. challenging a patient's first-order beliefs may cause cognitive upset.
Following several days of intermittent upper right quadrant pain, a 29-year-old obese, Native American woman has been diagnosed with cholelithiasis
The nurse at the clinic has taught the client about the pathophysiology and contributing factors to her health problem, as well as some of the likely treatment options. Which of the following statements by the client demonstrates a sound understanding of her diagnosis? A) "All in all, I guess this is a result of the fact that I've been eating a diet too high in cholesterol for too long." B) "Several factors like my genetics and gender may have contributed to this, but I'm glad that medications can cure it." C) "This explains why my skin was yellow-tinged lately and why I had those pains that spread to my upper back and right shoulder." D) "I suppose the fever and vomiting I had this week was probably a sign of my gallstones too."
The nurse caring for a postterm newborn would not perform the intervention of:
1. Providing warmth. 2. Frequently monitoring blood glucose. 3. Observing respiratory status. 4. Restricting breastfeeding.
A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced major life crisis with which score on the questionnaire?
A) 150 B) 250 C) 350 D) 450