Deck 6: Change, Innovation, and Conflict

Question 1

Nurses in an in-patient rehabilitation center are accustomed to working 12-hour shifts.The director of nursing is encouraging the nursing staff to consider adding 8-hour shifts to the existing traditional or 12-hour shift blocks.What type of change effort strategy is the director of nursing using?

A)normative-reeducative
B)power-coercive
C)systems thinking
D)rational-empirical

Answer 1

normative-reeducative

Question 2

The orthopedic unit for Hospital LM was the last area to adopt the electronic medical record (EMR)two months ago.There are differing opinions about an upcoming revision to the EMR system and how it will affect the charting process.Two experienced nurses are talking about the upcoming change,and Nurse Q states that she does not necessarily feel that this will be a good idea,but will do it anyway.She also stated,"Why couldn't it just stay the way it was? There was nothing wrong with our charting on this unit!" Nurse Q's response to the planned change event can be classified as:

A)rejector
B)early inhibitor
C)late minority
D)laggard

Answer 2

laggard

Question 3

Making something different than what it was is called:

A)conflict
B)innovation
C)chaos
D)change

Answer 3

change

Question 4

Lewicki,Hiam,and Olander (1996)used five approaches for negotiation in conflict management.Which one advocates for a split the difference mentality?

A)competitive
B)collaborative
C)accommodating
D)compromise

Question 5

Of the traditional change theories that have been discussed,which one has the most steps or parts in its process?

A)Force-Field Model
B)Lippitt's Phases of Change
C)Havelock's Change Model
D)Diffusion of Innovations Theory

Question 6

The conflict management technique where one side gives in to the other side (also referred to as smoothing or cooperating)is called:

A)collaborating
B)compromising
C)accommodating
D)negotiating

Question 7

Diagnosing a problem,selecting progressive change objectives,and maintaining change are steps in which change theory?

A)Roger's Diffusion of Innovations Theory
B)Havelock's Change Model
C)Lewin's Force-Field Model
D)Lippitt's Phases of Change

Question 8

Your unit manager has become aware of a problem regarding hand washing and unit infections.She gathered interest in resolving the problem by discussing the issue at a recent staff meeting and identifying a Joint Commission Patient Safety Standard addressing this concern,evaluated current and different methods of addressing the problem,tried out several solutions,and then adopted the best solution.Which change theory was used?

A)Lippitt's Phases of Change Theory
B)Roger's Diffusion of Innovations Theory
C)Lewin's Force-Field Model
D)Havelock's Change Model

Question 9

People's ability to cope with change can be affected by four specific factors as defined by Silber (1993)which are important for nurses and healthcare professionals.Which of the following is not one of these factors?

A)reluctance toward change
B)anticipated consequences of change
C)evaluation of the immediate situation
D)individual's stake or position in the change

Question 10

The Lewin's change theory is called:

A)Force-Field Model
B)Six-Step Change Model
C)Phases of Change
D)Diffusion of Innovations Theory

Question 11

The theory that is based on responsiveness and flexibility is:

A)change theory
B)chaos theory
C)learning organization theory
D)diffusion of innovations theory

Question 12

There are three types of change described in the text: personal,professional,and organizational.Which of the following is an example of a professional change?

A)change made in one's life, often for self-improvement
B)change made to acquire BSN degree
C)change made to achieve goal of best health care facility in the state
D)change made to one's appearance

Question 13

Three strategies to promote change in organizations were defined by Bennis,Benne,and Chin (1969).Which of the following is not one of these strategies?

A)rational-empirical approach
B)driving-restraining forces approach
C)power-coercive approach
D)normative-reeducative approach

Question 14

Which strategy for change relies on social orientation as its power base?

A)rational-empirical
B)power-coercive
C)normative-reeducative
D)systems thinking

Question 15

What conflict resolution management technique has the advantage of not making a big deal out of nothing as conflict may be minor in relation to other priorities and allows tempers to cool?

A)negotiating
B)confronting
C)compromising
D)avoiding

Question 16

Filey (1975)identified five stages of conflict.Which of the following is not one of these stages?

A)antecedent conditions
B)resolution aftermath
C)manifest destiny
D)conflict resolution

Question 17

Lewin describes different types of forces that can influence an individual's or group's reaction to change.Methods for accounting use or updating old equipment are part of which type of forces?

A)people
B)structural
C)political
D)technology

Question 18

Nursing Student P lacks confidence in her abilities to effectively care for infants.She is afraid that she will not receive a good grade in her pediatric clinical rotation; hence,she may fail her class or even her program.What type of change strategy is being used as noted by Bennis,Benne,and Chin (1969)?

A)rational-empirical approach
B)driving-restraining forces approach
C)power-coercive approach
D)normative-reeducative approach

Question 19

Which change theory is based on the idea that organizations are open systems?

A)Systems theory
B)Chaos theory
C)Freeze-unfreeze theory
D)Learning organization theory

Question 20

The Quality and Safety Education for Nurses Project (QSEN project)was developed as a means to assist nurses to gain the knowledge,skills,and attitudes required for continuous quality improvement in the places where they work.QSEN advocates six core competencies.Which of the following is not one of these six core competencies?

A)patient-centered care
B)change agent
C)evidence-based practice
D)quality improvement

Question 21

The constant reflection,clarification,and improvement of internal pictures/views of the world and how this shapes our behaviors and decisions refers to which learning discipline defined by Senge,Kleiner,Roberts,Ross,and Smith (1994)?

A)systems thinking
B)shared vision
C)personal mastery
D)mental models

Question 22

Which of the following are steps in Havelock's Change Model? Select all that apply.

A)build relationships
B)unfreeze
C)diagnose problem
D)adopt
E)acquire resources
F)Choose solution

Question 23

Which of the following are part of Senge's (1990)learning disciplines? Select all that apply.

A)encouraging conversational and collective thinking skills
B)reflecting on, continually clarifying, and improving our internal pictures of the world
C)focuses on the relationship needs of individuals and groups
D)learning to expand our personal capacity to create results we most desire
E)learning to see how we act more in tune with the larger process and world

Question 24

Who is responsible for the implementation of a change project?

A)mental model
B)change agent
C)sender
D)receiver

Question 25

Bushy's (1992)six behavior responses to change define specific type of behaviors seen when confronting a change event.Which of the following are some of these specific behavioral responses? Select all that apply.

A)interpreters
B)early adopters
C)late motivators
D)laggards
E)late majority

Question 26

The behavioral response to planned change that includes openness and receptivity to change is called:

A)innovator
B)late majority
C)early majority
D)early adopter

Question 27

Which conflict resolution management technique has the disadvantage of possibly causing a return to the conflict if what was given up becomes more important than the initial goal?

A)collaborating
B)confronting
C)compromising
D)competing

Question 28

Three key skills that enable nurses to function as agents of change,innovation,and transformation (Porter-O'Grady & Malloch,2011; Curtin,2011)are listed below.Which one is not correct?

A)communicating effectively
B)establishing trust
C)embracing organizational vision and values
D)enabling quality and safe practices