Question 1

Which action will help a nurse provide strategic leadership?

Accepted Answer

A) Focus on predictability. 
B) Avoid the edge of chaos. 
C) Expect few nurses to be leaders. 
D) Work smarter. 
A) Focus on predictability. 
B) Avoid the edge of chaos. 
C) Expect few nurses to be leaders. 
D) Work smarter. D

Question 2

The uncertainty of health care flows from the chaotic nature of the world over time. This perspective is most similar to which idea?

Accepted Answer

A) There are far more questions than there are answers. 
B) Uncertainty breeds discontent. 
C) Nurses should try to plan every step. 
D) Life is an endless, thankless journey. 
A) There are far more questions than there are answers. 
B) Uncertainty breeds discontent. 
C) Nurses should try to plan every step. 
D) Life is an endless, thankless journey. A

Question 3

A patient care manager of the mobile intensive care unit (MICU) wants to make a change in the culture of the unit so that the more experienced nurses take on the less experienced nurses as mentees and not just as preceptees. What is an effective first step for the patient care manager to carry out with the staff according to Lewin's theory for change?

Accepted Answer

A) Have all staff bring an article about the benefits and drawbacks of experienced staff nurses being mentors. 
B) Announce that being a mentor is now required of any MICU nurse that has more than 5 years' experience. 
C) Meet with all of the experienced nurses and tell them the unit cannot survive without each one of them being responsible for a less experienced nurse. 
D) Refine the job description of the mentor's role to make it more acceptable to the experienced nurse. 
A) Have all staff bring an article about the benefits and drawbacks of experienced staff nurses being mentors. 
B) Announce that being a mentor is now required of any MICU nurse that has more than 5 years' experience. 
C) Meet with all of the experienced nurses and tell them the unit cannot survive without each one of them being responsible for a less experienced nurse. 
D) Refine the job description of the mentor's role to make it more acceptable to the experienced nurse. A

Question 4

One home care agency is being bought by a competing company that has a different type of patient assignment system for nurses. The director of the agency being purchased decides to share the new assignment system with the staff. The director encourages the staff to consider trying it now and compiling some feedback about how it works before the acquisition occurs. What is the rationale for the director's actions?

Accepted Answer

A) It is better to choose to change and design one's own approach to change than to have a change imposed by some external force. 
B) The new company will most likely force the staff nurses to adopt this care delivery system on the first day after the merger. 
C) Change should be quick so there is not enough time to complain about potential ramifications. 
D) Change theory indicates the most beneficial changes are made spontaneously by only a few of the people who will be a part of the change process. 
A) It is better to choose to change and design one's own approach to change than to have a change imposed by some external force. 
B) The new company will most likely force the staff nurses to adopt this care delivery system on the first day after the merger. 
C) Change should be quick so there is not enough time to complain about potential ramifications. 
D) Change theory indicates the most beneficial changes are made spontaneously by only a few of the people who will be a part of the change process.

Question 5

A new type of health-care insurance is being introduced that gives a reduction in premiums if an individual stops smoking, loses weight, or engages in some type of health promotion. When the individual first reads the policy and is in the process of considering a change in behavior, which stage of Lewin's change model is in process?

Accepted Answer

A) Thinking 
B) Moving 
C) Unfreezing 
D) Refreezing 
A) Thinking 
B) Moving 
C) Unfreezing 
D) Refreezing

Question 6

Which theory helps nurses realize all health-care systems work from the inside out?

Accepted Answer

A) Quantum theory 
B) Adaptation theory 
C) Developmental theory 
D) Scientific theory 
A) Quantum theory 
B) Adaptation theory 
C) Developmental theory 
D) Scientific theory

Question 7

A nurse manager has a vision of providing holistic quality care to patients and families. Which action should the nurse manager take to strategically and successfully fulfill this vision?

Accepted Answer

A) Deemphasize empowerment of staff members. 
B) Use the position's leverage. 
C) Partner with agencies outside the organization. 
D) Create to-do lists for those involved in the change. 
A) Deemphasize empowerment of staff members. 
B) Use the position's leverage. 
C) Partner with agencies outside the organization. 
D) Create to-do lists for those involved in the change.

Question 8

Which action can increase a nurse manager's power most dramatically?

Accepted Answer

A) Preserving the status quo 
B) Maintaining sacred cows 
C) Empowering staff members to make change 
D) Unionizing with other administrators 
A) Preserving the status quo 
B) Maintaining sacred cows 
C) Empowering staff members to make change 
D) Unionizing with other administrators

Question 9

A nurse leader/manager wants to change a process in the emergency department. Which strategies are most important for successful change?

Accepted Answer

A) Effective communication, recognition of staff welfare, and staff empowerment 
B) Tangible awards for participating staff, arguments against the change by key people, and target dates for implementation of the change process 
C) Staff unawareness, outcomes for the change, and time off work to discuss the change with participating staff 
D) Consequences for staff who will not participate, favoritism toward all participating staff, and an evaluation plan for the change 
A) Effective communication, recognition of staff welfare, and staff empowerment 
B) Tangible awards for participating staff, arguments against the change by key people, and target dates for implementation of the change process 
C) Staff unawareness, outcomes for the change, and time off work to discuss the change with participating staff 
D) Consequences for staff who will not participate, favoritism toward all participating staff, and an evaluation plan for the change

Question 10

A nurse is comparing Kotter's model of change to Lewin's framework for assistance in initiating a goal for nursing. Which steps of Kotter's model correlate to Lewin's stage 2? Select all that apply.

Accepted Answer

A) Identify a need. 
B) Encourage risk taking. 
C) Gather the stakeholders. 
D) Offer incentives for success of the goal. 
E) Evaluate implications of the change as it takes hold. 
A) Identify a need. 
B) Encourage risk taking. 
C) Gather the stakeholders. 
D) Offer incentives for success of the goal. 
E) Evaluate implications of the change as it takes hold.

Question 11

Which action indicates a nurse leader is following the chaos theory?

Accepted Answer

A) Rethinks the past and models self after previous nurse leaders 
B) Develops specific short- and long-term plans with evaluation outcomes 
C) Uses intuition and is comfortable with uncertainty 
D) Works side by side with physician mentors 
A) Rethinks the past and models self after previous nurse leaders 
B) Develops specific short- and long-term plans with evaluation outcomes 
C) Uses intuition and is comfortable with uncertainty 
D) Works side by side with physician mentors

Question 12

Which most significant characteristic will assist nurses to grow in this chaotic health-care environment?

Accepted Answer

A) Rigidity 
B) Efficiency 
C) Steadfastness 
D) Flexibility 
A) Rigidity 
B) Efficiency 
C) Steadfastness 
D) Flexibility

Question 13

The new nurse manager is using a Newtonian perspective to lead. Which action will this new nurse manager take?

Accepted Answer

A) Increase uncertainty. 
B) Empower the group. 
C) Build relationships. 
D) Establish goals. 
A) Increase uncertainty. 
B) Empower the group. 
C) Build relationships. 
D) Establish goals.

Question 14

Which example illustrates the nurse manager's strategies have decreased barriers to change?

Accepted Answer

A) Staff members refuse to attend orientation to electronic documentation on their own time even though lunch is provided at a nearby restaurant. 
B) The division's suggestion box reveals eight complaint messages about the nurse manager from nurses on the unit. 
C) No one attends a mandatory orientation class on electronic documentation even though staffing would allow for half of the unit to participate. 
D) Staff members are attending the manager's summer party to kick-off a new initiative for the unit's electronic documentation change. 
A) Staff members refuse to attend orientation to electronic documentation on their own time even though lunch is provided at a nearby restaurant. 
B) The division's suggestion box reveals eight complaint messages about the nurse manager from nurses on the unit. 
C) No one attends a mandatory orientation class on electronic documentation even though staffing would allow for half of the unit to participate. 
D) Staff members are attending the manager's summer party to kick-off a new initiative for the unit's electronic documentation change.

Question 15

Wheatley and Kellner-Rogers (1996) say that systems maintain themselves only when change is occurring. How should the nurse interpret this statement?

Accepted Answer

A) Disorder is a means to survival. 
B) It is imperative to keep organizations in status quo. 
C) An idea should have its own place and be labeled. 
D) Change always produces positive growth. 
A) Disorder is a means to survival. 
B) It is imperative to keep organizations in status quo. 
C) An idea should have its own place and be labeled. 
D) Change always produces positive growth.

Question 16

Which behavior in a nurse leader exemplifies yin?

Accepted Answer

A) Takes positive action to deal with resistance to change 
B) Uses courage to deal with resistance to change 
C) Uses empathy to deal with resistance to change 
D) Uses opposites to deal with resistance to change 
A) Takes positive action to deal with resistance to change 
B) Uses courage to deal with resistance to change 
C) Uses empathy to deal with resistance to change 
D) Uses opposites to deal with resistance to change

Question 17

When someone questions a procedure, a commonly heard statement by many nurses is, "We've always done it this way." Which description best illustrates this attitude?

Accepted Answer

A) Limiting change 
B) Desiring group cohesiveness 
C) Honoring the past 
D) Providing commitment 
A) Limiting change 
B) Desiring group cohesiveness 
C) Honoring the past 
D) Providing commitment

Question 18

A patient has a 22 pack-year of cigarette smoking history and presents today at the medical clinic wanting to stop smoking. Part of the smoking cessation program should include a contract. It is imperative that which aspect be included in this contract?

Accepted Answer

A) A clause that protects the provider from any legal ramifications of the patient's smoking cessation 
B) Mutually developed (by the health-care provider and the patient) objectives 
C) A clause describing the patient's nicotine addiction 
D) A nonspecific time frame for objectives to be accomplished so no added pressure will be put on the patient 
A) A clause that protects the provider from any legal ramifications of the patient's smoking cessation 
B) Mutually developed (by the health-care provider and the patient) objectives 
C) A clause describing the patient's nicotine addiction 
D) A nonspecific time frame for objectives to be accomplished so no added pressure will be put on the patient

Question 19

How do Denhardt and Denhardt (2006) describe management?

Accepted Answer

A) "What determines a good leader from a poor leader" 
B) "What energizes people" 
C) "A way of working in a world of order" 
D) "The dance and art of leadership" 
A) "What determines a good leader from a poor leader" 
B) "What energizes people" 
C) "A way of working in a world of order" 
D) "The dance and art of leadership"

Question 20

Unfreezing is a stage of Lewin's theory of change. Which example in nursing depicts this stage?

Accepted Answer

A) Using a new acuity system 
B) Having frequent staff meetings to discuss a possible change 
C) Accepting the new documentation method 
D) Evaluating the newly implemented procedure 
A) Using a new acuity system 
B) Having frequent staff meetings to discuss a possible change 
C) Accepting the new documentation method 
D) Evaluating the newly implemented procedure

Which action will help a nurse provide strategic leadership?

The uncertainty of health care flows from the chaotic nature of the world over time. This perspective is most similar to which idea?

Which theory helps nurses realize all health-care systems work from the inside out?

A nurse manager has a vision of providing holistic quality care to patients and families. Which action should the nurse manager take to strategically and successfully fulfill this vision?

Which action can increase a nurse manager's power most dramatically?

A nurse leader/manager wants to change a process in the emergency department. Which strategies are most important for successful change?

A nurse is comparing Kotter's model of change to Lewin's framework for assistance in initiating a goal for nursing. Which steps of Kotter's model correlate to Lewin's stage 2? Select all that apply.

Which action indicates a nurse leader is following the chaos theory?

Which most significant characteristic will assist nurses to grow in this chaotic health-care environment?

The new nurse manager is using a Newtonian perspective to lead. Which action will this new nurse manager take?

Which example illustrates the nurse manager's strategies have decreased barriers to change?

Wheatley and Kellner-Rogers (1996) say that systems maintain themselves only when change is occurring. How should the nurse interpret this statement?

Which behavior in a nurse leader exemplifies yin?

When someone questions a procedure, a commonly heard statement by many nurses is, "We've always done it this way." Which description best illustrates this attitude?

A patient has a 22 pack-year of cigarette smoking history and presents today at the medical clinic wanting to stop smoking. Part of the smoking cessation program should include a contract. It is imperative that which aspect be included in this contract?

How do Denhardt and Denhardt (2006) describe management?

Unfreezing is a stage of Lewin's theory of change. Which example in nursing depicts this stage?

The Phenomenon of Leadership: Classichistorical and Contemporary Leadership Theories

The Nature of Leadership: Distinguishing Leadership From Management

The New World and New Leadership: Changing Our Thinking About Leaders

Followership and Empowerment

Leadership As an Integral Component of Each Nurses Professional Role

Vision and Creativity

Gender Perspectives in Leadership

Shaping a Preferred Future for Nursing

Developing As a Leader Throughout Ones Career

Leadership, Excellence, and Creating the Future of Nursing

Filters

Exam 3: Disequilibrium and Chaos: Challenging, Invigorating, and Growth Producing

Which action will help a nurse provide strategic leadership?

The uncertainty of health care flows from the chaotic nature of the world over time. This perspective is most similar to which idea?

Which theory helps nurses realize all health-care systems work from the inside out?

A nurse manager has a vision of providing holistic quality care to patients and families. Which action should the nurse manager take to strategically and successfully fulfill this vision?

Which action can increase a nurse manager's power most dramatically?

A nurse leader/manager wants to change a process in the emergency department. Which strategies are most important for successful change?

A nurse is comparing Kotter's model of change to Lewin's framework for assistance in initiating a goal for nursing. Which steps of Kotter's model correlate to Lewin's stage 2? Select all that apply.

Which action indicates a nurse leader is following the chaos theory?

Which most significant characteristic will assist nurses to grow in this chaotic health-care environment?

The new nurse manager is using a Newtonian perspective to lead. Which action will this new nurse manager take?

Which example illustrates the nurse manager's strategies have decreased barriers to change?

Wheatley and Kellner-Rogers (1996) say that systems maintain themselves only when change is occurring. How should the nurse interpret this statement?

Which behavior in a nurse leader exemplifies yin?

When someone questions a procedure, a commonly heard statement by many nurses is, "We've always done it this way." Which description best illustrates this attitude?

A patient has a 22 pack-year of cigarette smoking history and presents today at the medical clinic wanting to stop smoking. Part of the smoking cessation program should include a contract. It is imperative that which aspect be included in this contract?

How do Denhardt and Denhardt (2006) describe management?

Unfreezing is a stage of Lewin's theory of change. Which example in nursing depicts this stage?

The Phenomenon of Leadership: Classichistorical and Contemporary Leadership Theories

The Nature of Leadership: Distinguishing Leadership From Management

The New World and New Leadership: Changing Our Thinking About Leaders

Followership and Empowerment

Leadership As an Integral Component of Each Nurses Professional Role

Vision and Creativity

Gender Perspectives in Leadership

Shaping a Preferred Future for Nursing

Developing As a Leader Throughout Ones Career

Leadership, Excellence, and Creating the Future of Nursing

Filters