Deck 11: Organizational Culture, Change, and Innovation

Question 1

The hospital has planned a day of celebration called Cultural Diversity Day.At this celebration,employees of different cultures are allowed to bring their favorite foods to share with other employees.The hospital is demonstrating what stage of intercultural sensitivity?

A)Denial of differences
B)Minimization of differences
C)Adaptation to differences
D)Integration of differences

Answer 1

Integration of differences

Question 2

The nurse manager attempted to help staff members adjust to the new organizational merger by explaining the need for changes and modeling tolerance of these changes.The nurse manager demonstrated what type of tolerance?

A)Cognitive dissonance
B)Tolerance of others
C)Tolerance of ambiguity
D)Tolerance of insolubility

Answer 2

Tolerance of ambiguity

Question 3

The hospital has approved the nurse manager's suggestion to have more social activities for employees.The hospital will now implement the next track of Kilmann's process for organizational planned change,which is:

A)Management skills
B)Scheduling of the tracks
C)Strategy structure
D)Reward system

Answer 3

Management skills

Question 4

In a staff meeting,the staff complain that they would like to have more events that allow them to socialize with their co-workers.The nurse manager recognizes that there is a culture gap on the unit.The culture gap relates to which of the following?

A)Task support norms
B)Task innovation norms
C)Social relationship norms
D)Personal freedom norms

Question 5

The hospital was experiencing low staff morale and decreased productivity after it merged with another corporation.The staff from the hospital became territorial when staff members from the other corporation were scheduled to work with hospital staff.This is an indication that the change induced by the merger has been influenced by:

A)Counterculture
B)Internal forces
C)External forces
D)Microsystems

Question 6

Several senior nurses have opposed the installation of the new computerized charting system.The nurse manager hears these senior nurses make negative comments to the novice nurses about the new system.According to Rogers,the senior nurses are which kind of adopters?

A)Innovators
B)Early adopters
C)Laggards
D)Rejecters

Question 7

Student nurses joined a professional organization for student nurses while enrolled in a baccalaureate nursing program.This is an example of:

A)A macrosystem
B)A subculture
C)Social cohesiveness
D)A counterculture

Question 8

The hospital's mission statement includes the phrase,"We are committed to providing multicultural services." An example of carrying out this mission is:

A)Supporting dialogue between individuals of different cultures
B)Ensuring that patients of different cultures have translation services available
C)Providing services only for English-speaking patients
D)Excluding different cultural practices

Question 9

The nurse manager assessed the culture of the unit before instituting policy changes.The nurse manager found that the environmental culture fostered teamwork and consensus building.This best describes what type of culture?

A)Individualistic culture
B)Collective culture
C)Expert culture
D)Transculturalism

Question 10

A nurse manager was asked to select nurses for a new geriatric unit and interviewed several nurses for the job of patient care coordinator.The nurse who was selected has a master's degree in adult health with a focus on gerontologic nursing.This nurse manager used which kind of change strategy?

A)Empirical-rational strategy
B)Normative-reeducative strategy
C)Power-coercive strategy
D)Interactional change strategy

Question 11

With the new career ladder in place,the hospital expects nurse managers to attend budget meetings,prepare staffing schedules,and enroll in a health management systems graduate program.One nurse manager with three small children is at high risk for:

A)Role theory
B)Role structure
C)Role learning
D)Role stress

Question 12

When the hospital merged with another institution,many workers decided to retire instead of remaining to work for the new organization.These employees are said to be:

A)Disengaged
B)Disidentified
C)Disoriented
D)Disenchanted

Question 13

A Hispanic nurse was interviewed for a position at a small rural hospital.The nurse was told that the hospital has written policies regarding the provision of equal support and career development resources to all employees.This hospital deals with cultural diversity through:

A)Intercultural sensitivity
B)Cultural awareness building
C)Discrimination control
D)Prejudice reduction

Question 14

A nurse manager requests in-service training about the new computerized system that is to be implemented once a planned merger between the nurse manager's agency and another agency is completed.Based on Lewin's force-field analysis,the nurse manager's strategy is to:

A)Increase the restraining forces and strengthen the driving forces
B)Increase the restraining forces and decrease the driving forces
C)Reduce the restraining forces and strengthen the driving forces
D)Reduce the restraining forces and decrease the driving forces

Question 15

The staff members question the nurse manager about the effects of the new computerized charting system on their workload.They are unsure if the computerized charting system will be easy to learn.The staff members are in which of the stages of the innovation process as defined by Rogers?

A)Knowledge
B)Persuasion
C)Decision
D)Confirmation

Question 16

A nurse manager motivates her employees and serves on community service boards as a representative of the organization.The nurse is said to be:

A)A hero
B)A legend
C)A metaphor
D)An overachiever

Question 17

First-line managers can apply Lewin's framework for planned change to nursing care.Which part of Lewin's framework is comparable to the evaluation step of the nursing process?

A)Unfreezing phase
B)Moving phase
C)Refreezing phase
D)Force-field analysis

Question 18

Within the organization,staff members continued to express negative comments about the changes that had occurred when a merger took place.The staff felt that after the merger,the new organization had lost its vision and mission.The members of this new organization were experiencing:

A)An adaptive culture
B)A dysfunctional culture
C)A cultural rut
D)Culture shock

Question 19

Because the nurse manager has served the organization through two corporate buyouts,he has developed the skills of steward,inspirer,and promoter.This nurse manager is most likely to create what type of culture?

A)Control culture
B)Collaborative culture
C)Competence culture
D)Cultivation culture

Question 20

A hospital specializing in women's and children's services opened in a mid-sized town.As the organization grew,more staff members were needed to accommodate the new services added.The hospital developed job descriptions,policies,and procedures for the employees working in the new services.This hospital was going through which developmental stage?

A)Birth
B)Youth
C)Maturity
D)Termination

Question 21

A year after the organization has completed a merger,patient surveys show that patient satisfaction has increased by 50%.The organization attributes this change to the hiring of a case manager.This organization is said to be:

A)Moving backward
B)Advancing
C)Oscillating
D)Restructuring

Question 22

Changes are disturbing to those affected,and resistance often develops.All of the following are causes of resistance to change except:

A)Threatened self-interest
B)Complacency
C)Security
D)Previous long-term system stability

Question 23

Two hospitals want to assess the organizational culture of each agency to predict the sources of resistance to change before they merge.What type of tool can they use?

A)Value compass
B)Organizational audit
C)Competing Values Framework
D)Organizational Culture Assessment Instrument

Question 24

The nurse managers met with the chief nursing officer before the organization began downsizing.Some of the senior nurse managers complained about the downsizing after the meeting.In terms of their level of commitment to the change,these senior nurse managers could be categorized as:

A)Champions
B)Overt resisters
C)Covert resisters
D)Skeptics

Question 25

One way that administration can handle incompetent executives is to:

A)Hire new managers
B)Move them from line to staff authority
C)Terminate their employment
D)Counsel them toward satisfactory performance