Exam 5: Influencing and Leading Change in the Complex Health Care Environment: The Role of the Advanced Practice Nurse

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A nurse is working with a physical therapy student in developing a course covering the musculoskeletal system for nursing students. This best describes the pillar of ____________.

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A

Kotter suggests more than 70% of major change initiatives in organizations fail for which reason?

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Major change initiatives are at risk for failing when managers do not see the change holistically or follow the change through. Managers need to guide their staff in implementing the change so there will be buy-in instead of resistance.

In which step of the change process is it important to be visible, provide support and encouragement for the staff, and seek feedback?

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C

Describe the three step model for managing change proposed by Kurt Lewin.

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There are a variety of models designed to guide individuals when implementing change. Four distinct phases are typically present in each models. Which step is typically not present?

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A facility is undergoing a change in the policy by which medication administration occurs. If health care workers have a high level of organizational trust, which positive outcomes are likely to occur?

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The four pillars of leadership supported by the foundation of transformational leadership and trust include: professionalism, inspirational motivation, interpersonal relationships, and business skills.

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The nurse is providing care based on the Institute of Medicine (IOM) recommendations for high quality health care. The nurse is careful to minimize the use of supplies in addition to gathering all supplies before beginning the procedure. Which IOM recommendation is the nurse following?

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Complexity science views systems as individual entities which can be separated.

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Foundational leadership is associated with better patient outcomes, fewer medical errors and greater staff satisfaction.

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