A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?

Set a target date.

Use tactics to alert staff nurses that a change is needed.

Evaluate the effectiveness of the change.

Assess the problem.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Set a target date is crucial during the moving stage to create a timeline for implementation and facilitate progress towards the change.

B. Use tactics to alert staff nurses that a change is needed is part of the earlier stage of planning and communicating the need for change, not specifically the moving stage.

C. Evaluate the effectiveness of the change occurs after the change has been implemented, not during the moving stage.

D. Assess the problem is part of the initial stage of change, not the moving stage.

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Correct Answer is A

Explanation

Rationale:

A. Clients will have a decreased incidence of foot amputations is a measurable outcome goal for a diabetes management program and aligns with long-term objectives of improving patient outcomes.

B. A facility will be reserved for the program is a logistical consideration but not a goal of the program itself.

C. Handouts and teaching materials will be distributed at the program is a part of the program's implementation, not a goal.

D. Proper foot care will be demonstrated to clients during the program is a teaching activity, not a program outcome goal.

A. A young adult client admitted for acute glomerulonephritis following a viral infection B. A dependent adult admitted for the treatment of a spiral fracture C. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment

Correct Answer is B

Explanation

Rationale:

A. A young adult client admitted for acute glomerulonephritis following a viral infection does not indicate a mandatory report situation.

B. A dependent adult admitted for the treatment of a spiral fracture suggests potential abuse or neglect. As mandated reporters, nurses are required to report suspicions of abuse or neglect to the appropriate authorities.

C. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse does not necessarily require mandatory reporting unless there is evidence of abuse or harm that needs to be reported.

D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment may raise concerns about the minor's capacity to make decisions, but it does not automatically necessitate reporting to an outside agency.

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A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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