The nursing supervisor identifies ineffective communication as a ...

[kshipps]

The nursing supervisor identifies ineffective communication as a problem among the managers. According to Lippitt's phases of change, which action by the supervisor reflects the final stage of improving this issue?
 
  1. The supervisor uses outcome data to evaluate the amount of change that has occurred.
  2. The supervisor has gradually withdrawn from the role of change agent.
  3. The supervisor has developed strategies to maintain the change.
  4. The supervisor has determined if anyone in the group is sabotaging change efforts.

Question 2

Which of the following statements indicate exceptions to the blame-free environment? Select all that apply.
 
  1. A nurse notices a colleague changing nursing notes after a client is discharged.
  2. A housekeeper reports a nurse who switches syringes when giving client medications.
  3. A nurse manager reports a staff nurse who continually miscounts narcotics.
  4. A staff nurse falsely reports a colleague for mislabeling client medications.
  5. A nurse reports an unlicensed assistant pull a client up too sharply.

[pami445]

Answer to Question 1

2
Rationale 1: Evaluating the amount of change would occur before the final stage.
Rationale 2: According to Lippitt's phases of change, the final stage is terminating the helping relationship.
Rationale 3: Maintaining the change is the next to last of Lippitt's stages.
Rationale 4: Looking for persons who may be sabotaging change efforts is not the last of Lippitt's stages.
Global Rationale:

Answer to Question 2

1, 4
Explanation: 1. It is illegal to change nursing notes. The nurse can amend nursing notes by adding an
additional note and making a line through the incorrect note, but cannot change notes. Falsely
reporting a colleague is also an exception. The remaining answers are not exceptions because
they are correct actions.

[kshipps]

TYSM

[tkempin]

Excellent