Exam 7: Chaos and Disequilibrium: Invigorating, Challenging, and Growth-Producing

To lead in the midst of change and chaos,it is necessary to have a clear vision and support from one's followers.Which of the following illustrates that the staff support the nurse manager's vision on a nursing unit?

Nurses must acclimate themselves to feelings of uneasiness,ambiguity,and the unknown to be effective nurses in our chaotic health-care system.They would do well to use which of the following theories to assist them in achieving success?

By realizing that "The universe is no longer seen as made up of a multitude of objects,but as one indivisible dynamic whole with interrelated parts that can be understood only as a pattern of a cosmic process," nurses can improve their ability to assist their patients and families.Nurses can best adapt this philosophy by:

Mr.Orzo 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 regarding the process of how this behavioral change should occur.It is imperative that this contract include:

Cross-training to another unit is a routine occurrence for most acute-care nurses.Which of the following is a good example of this?

Denhardt and Denhardt have written about the difference between leadership and management.They describe leadership as being "what energizes people" and management as:

For the nursing profession to grow and become an even stronger force in health care,chaos theory advocates that nurse leaders:

Using both the yin (patience,process,and empathy)and yang (courage and positive action),Taoism suggests the leader must balance opposites and be able to manage and grow from conflict.Which of the following is an example of effective leadership on a nursing unit undergoing change regarding the use of an assistant nurse manager position since this position is not currently effective? The nurse manager:

Health-care insurance is very complex with the multiple types and payment plans.A new type of health-care insurance that is being introduced is one that gives a reduction in premiums if the patient takes responsibility for his or her health and stops smoking,loses weight,or engages in some type of health promotion.When the individual first reads about a policy like this and is in the process of considering a change in his or her insurance,which of the following phases of Lewin's Change Model is in process?

The new nurse manager is determining how to schedule staff for the holidays of Thanksgiving,Christmas,and New Years.Finally she decides the most equitable process would be:

The most significant characteristic that will assist nurses to grow in this chaotic health-care environment is:

The Center for Creative Leadership published skills one should practice to be a more effective leader.These skills include:

Ms.Ron is the Patient Care Manager of the mobile intensive care unit (MICU).She wants to make a change in the culture of the unit so that more experienced nurses take on the less experienced nurses as mentees and not just preceptees.An effective first step for Ms.Ron to carry out with the staff before making this change is to:

Malloch and Porter-O'Grady point out that organizations "work from the inside out" and not from top to bottom.It is significant for staff nurses to participate fully in the decision-making processes of their health-care organizations and they can best do this by:

Unfreezing is the first stage of Lewin's theory of change.An example of this stage in nurses is:

Wheatley and Kellnor-Rogers say systems maintain themselves only when change is occurring.Which of the following statements best describes this?

It appears that many nurses use avoidance to manage conflict.However,this does not generally resolve the problem because:

Neubauer's process of renewing oneself consists of which of the following?

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

Change often is described as all of the following EXCEPT: