Question 1

Which change is easier to make?

Accepted Answer

A)  Personal behavior 
B)  Group behavior 
C)  Group knowledge 
D)  Personal attitudes 
A)  Personal behavior 
B)  Group behavior 
C)  Group knowledge 
D)  Personal attitudes A

Question 2

Which behavior/attitude makes it likely that a planned change will be unsuccessful?

Accepted Answer

A)  The suggested change is brought forward after the plan has been formalized 
B)  Individuals affected by the change are involved in planning for the change 
C)  The change agent is aware of the organization's internal and external environment 
D)  An assessment of resources to carry out the plan is completed before unfreezing 
A)  The suggested change is brought forward after the plan has been formalized 
B)  Individuals affected by the change are involved in planning for the change 
C)  The change agent is aware of the organization's internal and external environment 
D)  An assessment of resources to carry out the plan is completed before unfreezing A

Question 3

Which situation is associated with and aging organization?

Accepted Answer

A)  Retired staff is replaced with new graduate nurses 
B)  State-of-the-art cardiac monitoring equipment is placed in the ICU 
C)  The unit functions with strict adheres to institutional rules and policies 
D)  A suggestion committee composed of staff and management meets monthly 
A)  Retired staff is replaced with new graduate nurses 
B)  State-of-the-art cardiac monitoring equipment is placed in the ICU 
C)  The unit functions with strict adheres to institutional rules and policies 
D)  A suggestion committee composed of staff and management meets monthly C

Question 4

Historically, many of the changes that have occurred in nursing or have affected the profession are the result of what type of change?

Accepted Answer

A)  Planned 
B)  Change by drift 
C)  Rational-empirical 
D)  Normative-reeducative 
A)  Planned 
B)  Change by drift 
C)  Rational-empirical 
D)  Normative-reeducative

Question 5

Which activity associated with the unfreezing state of change will have the greatest
Impact on the success of the movement stage of the change process?

Accepted Answer

A)  Accurate identification of the problem requiring change 
B)  Effective information gathering concerning the problem 
C)  Key personnel voicing their opinions regarding the need for change 
D)  The need for change is perceived by all those affected by the problem 
A)  Accurate identification of the problem requiring change 
B)  Effective information gathering concerning the problem 
C)  Key personnel voicing their opinions regarding the need for change 
D)  The need for change is perceived by all those affected by the problem

Question 6

Which activity is associated with the movement stage of the development of a plan?

Accepted Answer

A)  Gather data 
B)  Accurately diagnose the problem 
C)  Decide if change is needed 
D)  Develop a plan 
A)  Gather data 
B)  Accurately diagnose the problem 
C)  Decide if change is needed 
D)  Develop a plan

Question 7

Which force is driving change in today's health-care environment? Select all that apply.

Accepted Answer

A)  Increased cost of health-care services 
B)  Decrease in health-care professionals and providers 
C)  Decreased third-party reimburse of health-care services 
D)  Increased need to update health-care-related technologies 
A)  Increased cost of health-care services 
B)  Decrease in health-care professionals and providers 
C)  Decreased third-party reimburse of health-care services 
D)  Increased need to update health-care-related technologies

Question 8

Which would be a normal and expected behavioral response during the unfreezing phase of change?

Accepted Answer

A)  Anger 
B)  Withdrawal and acceptance 
C)  Open acceptance 
D)  Active collaboration 
A)  Anger 
B)  Withdrawal and acceptance 
C)  Open acceptance 
D)  Active collaboration

Question 9

It is appropriate to make a change for which reason? Select all that apply.

Accepted Answer

A)  To solve an existing problem 
B)  To increase staff efficiency 
C)  To reduce unnecessary workload 
D)  To improve staff productivity 
A)  To solve an existing problem 
B)  To increase staff efficiency 
C)  To reduce unnecessary workload 
D)  To improve staff productivity

Question 10

Which activity does a change agent make a commitment to in order to best assure a successful implementation of a change?

Accepted Answer

A)  Helping followers arrive at total consensus regarding the change 
B)  Encouraging subgroup opposition to change so many viewpoints can be heard 
C)  Using change by drift if the resistance to change is too strong 
D)  Being available to support those affected by a change until the change is complete 
A)  Helping followers arrive at total consensus regarding the change 
B)  Encouraging subgroup opposition to change so many viewpoints can be heard 
C)  Using change by drift if the resistance to change is too strong 
D)  Being available to support those affected by a change until the change is complete

Question 11

Refusing to work with a staff member who dresses unprofessionally most closely represents which change strategy?

Accepted Answer

A)  Power-coercive 
B)  Normative-reeducative 
C)  Rational-empirical 
D)  Resistance-withdrawal 
A)  Power-coercive 
B)  Normative-reeducative 
C)  Rational-empirical 
D)  Resistance-withdrawal

Question 12

What characteristic is associated with organizational groups assigned to manage the change process?

Accepted Answer

A)  Both formulate and implement the change 
B)  Have representation from all key stakeholders 
C)  Are made up of quality circles 
D)  Are teams of resistance breakers 
A)  Both formulate and implement the change 
B)  Have representation from all key stakeholders 
C)  Are made up of quality circles 
D)  Are teams of resistance breakers

Question 13

Which statement is true regarding planned change? Select all that apply.

Accepted Answer

A)  Resistance to change should be expected as a natural part of the change process 
B)  Change should be viewed as a chance to do something innovative 
C)  Technical changes are more resisted by staff than social changes are 
D)  Change affects the homeostasis of a group 
A)  Resistance to change should be expected as a natural part of the change process 
B)  Change should be viewed as a chance to do something innovative 
C)  Technical changes are more resisted by staff than social changes are 
D)  Change affects the homeostasis of a group

Question 14

Which characteristics are asso ciated with change by drift changes? Select all that apply.

Accepted Answer

A)  They are planned 
B)  They are accidental 
C)  They are unplanned 
D)  They are a result of a threat 
A)  They are planned 
B)  They are accidental 
C)  They are unplanned 
D)  They are a result of a threat

Question 15

Which description best describes the theory behind nonlinear change?

Accepted Answer

A)  It occurs in organized steps 
B)  It must have a logical sequence 
C)  It results in equilibrium 
D)  It has unpredictable outcomes 
A)  It occurs in organized steps 
B)  It must have a logical sequence 
C)  It results in equilibrium 
D)  It has unpredictable outcomes

Question 16

What is the basic argument for the use of rational-empirical change strategies?

Accepted Answer

A)  Information supports change 
B)  Peer influence brings about change 
C)  Reward-based incentives influence change 
D)  Punishment supports the acceptance of change 
A)  Information supports change 
B)  Peer influence brings about change 
C)  Reward-based incentives influence change 
D)  Punishment supports the acceptance of change

Question 17

Which action is reflective of the leadership role necessary for a successful planned change to occur?

Accepted Answer

A)  Demonstrates flexibility in goal setting 
B)  Recognizing the need for a planned change 
C)  Identifying the resources that are available to support a change 
D)  Support the staff during the implementation of a planned change 
A)  Demonstrates flexibility in goal setting 
B)  Recognizing the need for a planned change 
C)  Identifying the resources that are available to support a change 
D)  Support the staff during the implementation of a planned change

Question 18

Which factor is the greatest contributor to the resistance encountered with organizational change?

Accepted Answer

A)  Poor organizational leadership 
B)  Presence of employee mistrust 
C)  Ineffective organizational management 
D)  Insufficient staff involvement in the process 
A)  Poor organizational leadership 
B)  Presence of employee mistrust 
C)  Ineffective organizational management 
D)  Insufficient staff involvement in the process

Question 19

Distributing flyers that charge arbitrary action on the part of an employer in an effort to garner interest in employee unionization would be a part of what phase of planned change?

Accepted Answer

A)  Unfreezing 
B)  Movement 
C)  Refreezing 
D)  Resistance 
A)  Unfreezing 
B)  Movement 
C)  Refreezing 
D)  Resistance

Question 20

Which statement is true concerning the refreezing phase of the change process? Select all that apply.

Accepted Answer

A)  The focus of this phase is to integrate the change into the status quo 
B)  Stabilization of change requires a 6- to 9-month period of time 
C)  If refreezing is incomplete, prechange behavior will be resumed 
D)  The change agent must remain involved until the refreeze stage is complete 
A)  The focus of this phase is to integrate the change into the status quo 
B)  Stabilization of change requires a 6- to 9-month period of time 
C)  If refreezing is incomplete, prechange behavior will be resumed 
D)  The change agent must remain involved until the refreeze stage is complete

Exam 8: Planned Change

Which change is easier to make?

Which behavior/attitude makes it likely that a planned change will be unsuccessful?

Which situation is associated with and aging organization?

Historically, many of the changes that have occurred in nursing or have affected the profession are the result of what type of change?

Which activity associated with the unfreezing state of change will have the greatest Impact on the success of the movement stage of the change process?

Which activity is associated with the movement stage of the development of a plan?

Which force is driving change in today's health-care environment? Select all that apply.

Which would be a normal and expected behavioral response during the unfreezing phase of change?

It is appropriate to make a change for which reason? Select all that apply.

Which activity does a change agent make a commitment to in order to best assure a successful implementation of a change?

Refusing to work with a staff member who dresses unprofessionally most closely represents which change strategy?

What characteristic is associated with organizational groups assigned to manage the change process?

Which statement is true regarding planned change? Select all that apply.

Which characteristics are asso ciated with change by drift changes? Select all that apply.

Which description best describes the theory behind nonlinear change?

What is the basic argument for the use of rational-empirical change strategies?

Which action is reflective of the leadership role necessary for a successful planned change to occur?

Which factor is the greatest contributor to the resistance encountered with organizational change?

Distributing flyers that charge arbitrary action on the part of an employer in an effort to garner interest in employee unionization would be a part of what phase of planned change?

Which statement is true concerning the refreezing phase of the change process? Select all that apply.

Decision Making, Problem Solving Critical Thinking, and Clinical Reasoning: Requisites for Successful Leadership and Management

Classical Vierws of Leadership and Management

Twenty-First-Century Thinking About Leadership and Management

Ethical Issues

Legal and Legislative Issues

Patient, Sübordinate, Worklace, and Professional Advocacy

Organicational Planning

Time Management

Piscal Plaming

Career Planning and Development in Nursing

Organizational Structure

Organizational, Politicil, Ane Personal Power

Organizing Pationt Care

Employec Recruitment, Selection, Placement, and Indoctrination

Socializing and Educating Staff in a Learning Organization

Staffing Needs and Soheduling

Creating a Motivating Climate

Organizational, Interpersonal, and Group Communication

Delegation

Effective Conflict Resolution and Negotiation

Collective Bargaining, Unionization, and Employment Laws

Quality Control

Performance Appraisal

Problem Employees: Rule Breakers, Marginal Employees, and the Chemically or Psychologically Impaired

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