when trying to facilitate change in the staff it is necessary to build trust and recognize the need for change this type of action is known as which o
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1. When trying to facilitate change in the staff, it is necessary to build trust and recognize the need for change. This type of action is known as which of the following, according to Lewin's Force-Field Model?

Correct answer: B

Rationale: The correct answer is 'Unfreezing the system.' In Lewin's Force-Field Model, unfreezing is the stage where the existing equilibrium is disrupted to motivate participants and prepare them for change. Building trust and recognizing the need for change are essential components of this stage. Choice A, 'Moving the system to a new level,' does not specifically address the initial stage of disruption. Choice C, 'Refreezing the system,' comes after change has been implemented, not before. Choice D, 'Institutionalization,' refers to the stage where the change becomes the new norm, which is different from unfreezing.

2. Which of the following is an example of a secondary prevention strategy?

Correct answer: B

Rationale: Screening for hypertension is indeed an example of a secondary prevention strategy. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. Administering flu vaccinations (Choice A) is an example of primary prevention, aimed at preventing the disease from occurring. Performing a mastectomy (Choice C) is a treatment for an existing condition and not a preventive strategy. Providing rehabilitation after surgery (Choice D) is a form of tertiary prevention that focuses on restoring function and improving quality of life after an illness or injury.

3. One of the most important driving forces behind health care policy changes is which of the following?

Correct answer: D

Rationale: The correct answer is D, 'Ability to pay for health care.' One of the primary factors influencing health care policy changes is the financial aspect, as the ability to afford healthcare services affects access, quality, and equity. While new technology, outsourcing of services, and the emerging role of nurse practitioners may also impact health care policies, the fundamental driver often revolves around individuals' and societies' financial capacity to pay for healthcare.

4. A registered nurse (RN) who usually uses public transportation has not renewed her driver�s license. During a recent car trip with a friend, she took over driving when her friend became tired. Which of the following is true?

Correct answer: B

Rationale: Driving without a license is deemed an unprofessional and illegal behavior for which a nurse may lose his or her license.

5. What is the primary goal of discharge planning?

Correct answer: C

Rationale: The primary goal of discharge planning is to ensure continuity of care for patients transitioning from one level of care to another. While reducing readmission rates and improving patient outcomes are important aspects of discharge planning, the main focus is on coordinating care to prevent gaps and ensure a seamless transition for the patient. Ensuring medication adherence is also crucial but falls under the broader goal of continuity of care.

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