Deck 5: Influencing and Leading Change in the Complex Health Care Environment: The Role of the Advanced Practice Nurse

Question 1

There are a variety of models designed to guide individuals when implementing change. Four distinct phases are typically present in each models. Which step is typically not present?

A) Assessing the need for change
B) Setting objectives
C) Implementing change
D) Establishing a policy

Answer 1

D

Question 2

A nurse is working with a physical therapy student in developing a course covering the musculoskeletal system for nursing students. This best describes the pillar of ____________.

A) Interpersonal relationships
B) Business competency
C) Inspiration
D) Professionalism

Answer 2

A

Question 3

The nurse is providing care based on the Institute of Medicine (IOM) recommendations for high quality health care. The nurse is careful to minimize the use of supplies in addition to gathering all supplies before beginning the procedure. Which IOM recommendation is the nurse following?

A) Equitable
B) Patient-Centered
C) Timely
D) Efficient

Answer 3

D

Question 4

In which step of the change process is it important to be visible, provide support and encouragement for the staff, and seek feedback?

A) Step Two: Leading or Serving on an Interprofessional Change Team
B) Step Four: Identifying and Analyzing Forces of Change
C) Step Six: Implementing Change
D) Step Eight: Incorporating Changes into the Culture/Refreezing

Question 5

The four pillars of leadership supported by the foundation of transformational leadership and trust include: professionalism, inspirational motivation, interpersonal relationships, and business skills.

Question 6

Foundational leadership is associated with better patient outcomes, fewer medical errors and greater staff satisfaction.

Question 7

Complexity science views systems as individual entities which can be separated.

Question 8

A facility is undergoing a change in the policy by which medication administration occurs. If health care workers have a high level of organizational trust, which positive outcomes are likely to occur?

Question 9

Kotter suggests more than 70% of major change initiatives in organizations fail for which reason?

Question 10

Describe the three step model for managing change proposed by Kurt Lewin.