Deck 10: Organizations, People, and Change

Question 1

The first step in change is to plan carefully.Which of the following questions should be asked during the design stage of change?

A)Does everyone agree on the change?
B)Is the change really needed?
C)How difficult is the change to make?
D)How quickly should the change be made?

Answer 1

Is the change really needed?

Question 2

Which of the following is true about behavior changes?

A)Crisis is a powerful motivation for change.
B)Change is motivated by fear.
C)Individuals who are active and engaged can learn to make a change.
D)Small changes are easier to make and sustain.

Answer 2

Individuals who are active and engaged can learn to make a change.

Question 3

Which of the following is a way to appeal to feelings in order to increase receptivity for a change?

A)Present statistics on the number of patients with catheter-associated urinary tract infections during the next staff meeting.
B)Share a patient's story of how a catheter-associated urinary tract impacted him personally.
C)Provide staff with a report of infection control measures and their effectiveness.
D)Inform staff about the cost of individual supplies.

Answer 3

Share a patient's story of how a catheter-associated urinary tract impacted him personally.

Question 4

Management on a nursing unit has decided to upgrade to new beds in an effort to decrease occurrences of skin breakdown on the unit.The manager begins the staff in-service on the new beds by reviewing the recent incidence of skin breakdown and comparing it with statistics from similar units.Which stage of the change process is the manager addressing?

A)Change
B)Refreezing
C)Unfreezing
D)None of the above

Question 5

Which of the following is an example of a macro-level change?

A)Policy changes
B)Adjustments to shift change report
C)Implementing a new evidence-based practice (EBP)
D)Quality improvement changes

Question 6

A nursing unit updated their barcode scanners because the batteries of the old ones were not replaceable and stopped holding charge.The proposed new scanners are wired so that batteries are not required.However, the registered nurses (RNs) resist this change because the placement of the scanners could make it difficult to reach the patients if they were not in bed.Which of the following most likely describes the source of the resistance?

A)Design flaws
B)Practical reasons
C)Personal needs
D)Position and power

Question 7

Which of the following will provide psychological safety when making a major change?

A)Provide opportunities for individuals to ask questions.
B)Allow individuals to agree to the change without consequences when they do not implement the change right away.
C)Provide details about why the change is necessary.
D)Recognize resistance and work to eliminate it.

Question 8

Nurses on a unit have prepared a presentation for their administrators on a proposal for a change in practice based on current evidence.They begin the presentation with a description of the current practice and evidence of why it is inefficient.This is an example of lowering resistance through which method?

A)Sharing information
B)Providing psychological safety
C)Dictating change
D)Disconfirming currently held beliefs

Question 9

A nurse manager is planning for implementation of a change in practice based on current evidence.When planning for implementation, which of the following is the priority consideration?

A)Is this the only change taking place?
B)Will the change work on this unit?
C)Is the change necessary?
D)Where have past changes failed?

Question 10

Which of the following is a good recommendation when planning change?

A)Appoint a champion even for small changes.
B)Not all effective leadership skills are needed for effecting change.
C)Small changes do not require involving people who may be affected.
D)Motivating people may be required even for small changes.

Question 11

An RN is considering returning to school for a bachelor of science in nursing (BSN) degree.The RN realizes the knowledge gained will improve his practice and could impact patient outcomes.However, the RN is not sure about when to start the process.The RN's manager shares her own story with the RN, explaining why the manager decided to return to school and how this has impacted her professional life and personal life.Which of the following stages of change is the RN most likely in?

A)Contemplation
B)Preparation
C)Precontemplation
D)Action

Question 12

Which of the following is true about personal change?

A)The most effective leaders focus on improving the team, rather than themselves.
B)Radical changes are more important for leaders than small changes.
C)The process of personal change may follow the same steps as organizational change.
D)Small personal changes do not require much effort.

Question 13

To increase the number of baccalaureate-prepared RNs on the unit, the manager has proposed starting a cohort of RNs in a BSN program at one time.The manager has scheduled an information session for all who are interested.During the session, six RNs sign up for assistance with the application process.Which stage of change are these RNs most likely in?

A)Precontemplation
B)Preparation
C)Contemplation
D)Action

Question 14

A nurse manager reflects on current practice and notes that a recent change has become a part of daily practice.Which stage of change does this scenario best describe?

A)Implementation
B)Design
C)Planning
D)Integration

Question 15

Which of the following best describes a reason why radical changes are often easier to maintain than relatively smaller changes?

A)Information is more abundant with radical changes.
B)Support groups for radical changes deal with emotional aspects of change.
C)It takes much longer to feel a difference.
D)Fear is often the motivation for making radical changes.