Question

Which of the following actions made by the nurse manager best exemplifies Lewin's Refreezing Stage?

Answer 1

Correct Answers:

Creating an incentive program rewarding staff who adhere to the recent policy changes.

Rationale :

👉In Lewin’s Refreezing Stage, the focus is on solidifying or institutionalizing a change so it becomes a stable part of the organization's culture.

👉This is achieved by reinforcing new behaviors, policies, or attitudes and ensuring they are maintained.

👉 Creating an incentive program encourages ongoing compliance and support for the change, helping to stabilize the transformation.

👉 The other options—gathering data, evaluating forces, or hosting seminars—relate to the Unfreezing or Moving stages where change is introduced and initiated, but not yet stabilized.

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Answer 2

Correct Answers:

Successful teams understand the necessity of avoiding conflict.

Rationale :

🌐While the other choices represent traits of effective teams, avoiding conflict is not a hallmark of team success.

🌐In fact, constructive conflict is necessary for problem-solving, innovation, and growth within a team.

🌐Successful teams embrace open communication and address conflict professionally rather than avoid it.

🌐Avoiding conflict can lead to unresolved issues, passive aggression, and poor decision-making.

🌐Shared leadership, open communication, and striving for common goals are essential for a collaborative and high-functioning team.

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Answer 3

Correct Answers:

Assessment/Data collection

Rationale :

✅The assessment/data collection phase involves gathering information, opinions, and desires from stakeholders, which in this case is done through the wish list from nursing staff.

✅This stage is crucial in the decision-making process to ensure that decisions are based on relevant, accurate, and stakeholder-informed data.

✅Planning and generating hypotheses come later, once data has been analyzed.

✅Data interpretation follows data collection and analysis, making option A the correct and most foundational step.

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Answer 4

Correct Answers:

"Please verify with the client which of the following medications they are taking '

Rationale :

🦠Licensed Practical Nurses (LPNs) can participate in data collection such as verifying medication lists with clients, which supports accurate documentation and continuity of care.

🦠However, initial assessments, drawing conclusions, and admission charting are reserved for Registered Nurses (RNs) due to their need for critical thinking and advanced clinical judgment.

🦠 This task demonstrates appropriate delegation that matches the LPN’s scope of practice without violating professional boundaries or patient safety.

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Answer 5

Correct Answers:

Observe the LPN, then provide positive feedback after the task is completed.

Rationale :

🔦When a new or inexperienced nurse expresses uncertainty, the most appropriate action is supervised delegation with support.

🔦By observing the LPN during the tracheostomy care, the RN ensures patient safety while allowing the LPN to build confidence and competence.

🔦Positive feedback reinforces learning and performance.

🔦Performing the task for the LPN or prohibiting it limits growth, while encouraging them to proceed alone without oversight may jeopardize client safety. This response balances leadership, mentorship, and accountability.

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Answer 6

Correct Answers:

Waiting for the nurse to come out of the patients room, then telling them specifically what you appreciated about the care that was provided.

Rationale :

🧨Timely, specific, and personal recognition is the most effective way to reinforce positive behavior in the workplace.

🧨Praising a nurse immediately after exemplary care validates their effort and provides meaningful feedback.

🧨Private praise, email messages, or waiting for performance reviews are less impactful and may delay reinforcement.

🧨This method supports employee morale, promotes retention, and encourages continued high-quality performance, making it the most effective recognition strategy in clinical leadership.

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Answer 7

Correct Highlights :

The directors insist on hosting regular "closed-door" board meetings, in which affected staff members and stakeholders are prohibited to attend.
Information from these meetings are kept confidential, inaccessible to anyone outside the meetings.
After months of planning the board of directors considers the feedback gathered and makes an unexpected decision to which leaders of the nursing department were largely unaware.

Rationale :

✔Shared governance involves transparency, inclusion, and the active participation of staff in decision-making processes that affect their roles and responsibilities.

✔Closed-door meetings, withholding information, and excluding key leaders from final decisions violate the principles of shared governance.

✔These practices result in a top-down approach, which undermines staff empowerment and trust.

✔True shared governance embraces collaboration, visibility, and open communication between leadership and frontline staff.

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Answer 8

Correct Answers:

"The living will states the client's wishes regarding lifesaving measures."

Rationale :

💥A living will is a legal document that outlines a client’s preferences for life-sustaining treatments in situations where they are unable to make decisions.

💥The nurse must honor these pre-established wishes, regardless of the family's current desires.

💥The durable power of attorney cannot override the living will unless authorized to do so in the document.

💥 It is not within the nurse’s role to direct the family to legal acts like the PSDA or imply they can make changes. This response respects client autonomy and aligns with legal and ethical obligations.

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Answer 9

Correct Answers:

Inform the provider that the client is withdrawing consent.

Rationale :

💡Even if a consent form has been signed, clients have the right to withdraw consent at any time.

💡The nurse’s responsibility is to notify the provider immediately so the client's decision can be honored and further clarification can be provided if necessary.

💡 Explaining risks, discussing alternatives, or pressuring the client undermines autonomy and violates ethical practice.

💡The nurse must act as a client advocate, ensuring that care aligns with current client wishes, not previous decisions.

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Answer 10

Correct Answers:

threatens personal security.

Rationale :

🔶Resistance to change most commonly arises when individuals perceive that their job roles, status, competence, or security are at risk.

🔶Change that threatens a person’s sense of safety or self-worth is likely to be met with opposition.

🔶This reaction is instinctive and based on the fear of the unknown or potential loss.

🔶While interdisciplinary collaboration and organizational complexity may pose challenges, they do not evoke the same emotional and psychological threat as personal insecurity.

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RN Nurs 252 Leadership Exam

No.

1 : Which of the following actions made by the nurse manager best exemplifies Lewin's Refreezing Stage?

2 : The following statements describe the keys to an effective team EXCEPT:

4 : An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). Which of the following statements by the RN indicates appropriate delegation to the LPN?

5 : You are supervising a new graduate LPN who is ordered to perform tracheostomy care. The LPN states that she has performed this procedure only a handful of times, and completes the task slowly. Which of the following actions made by you is most appropriate?

6 : As a nurse manager, you notice that one of your new nurses has provided exceptional care for a patient with complex needs. What would be the MOST effective way of acknowledging the nurse's performance?

7 : The board of directors engaged in a strategic meeting;

Correct Highlights :

8 : A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

9 : A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "l have decided not to have the procedure." Which of the following actions should the nurse take?

10 : Resistance is most likely when change:

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