Deck 8: Planned Change

Question 1

What is required to successfully implement the chaos theory of change?

A) Most stakeholders accepting the need for change
B) Finding solutions to resistance to change
C) Changing attitudes more than increasing knowledge
D) Finding underlying order in random data

Answer 1

Finding underlying order in random data

Question 2

It is appropriate to make a change for which reason? Select all that apply.

A) To solve an existing problem
B) To increase staff efficiency
C) To reduce unnecessary workload
D) To improve staff productivity

Answer 2

To solve an existing problem
To increase staff efficiency
To reduce unnecessary workload
To improve staff productivity

Question 3

Which situation is associated with and aging organization?

A) Retired staff is replaced with new graduate nurses
B) State-of-the-art cardiac monitoring equipment is placed in the ICU
C) The unit functions with strict adheres to institutional rules and policies
D) A suggestion committee composed of staff and management meets monthly

Answer 3

The unit functions with strict adheres to institutional rules and policies

Question 4

Distributing flyers that charge arbitrary action on the part of an employer in an effort to garner interest in employee unionization would be a part of what phase of planned change?

A) Unfreezing
B) Movement
C) Refreezing
D) Resistance

Question 5

Refusing to work with a staff member who dresses unprofessionally most closely represents which change strategy?

A) Power-coercive
B) Normative-reeducative
C) Rational-empirical
D) Resistance-withdrawal

Question 6

Which action represents a management function in planned change?

A) Inspiring group members to be involved in planned change
B) Visionary forecasting
C) Role modeling high-level interpersonal communication skills in providing support for individuals undergoing rapid or difficult change
D) Recognizing the need for planned change and identifying the options and resources available to implement change

Question 7

Which would be a normal and expected behavioral response during the unfreezing phase of change?

A) Anger
B) Withdrawal and acceptance
C) Open acceptance
D) Active collaboration

Question 8

What characteristic is associated with organizational groups assigned to manage the change process?

A) Both formulate and implement the change
B) Have representation from all key stakeholders
C) Are made up of quality circles
D) Are teams of resistance breakers

Question 9

Which behavior/attitude makes it likely that a planned change will be unsuccessful?

A) The suggested change is brought forward after the plan has been formalized
B) Individuals affected by the change are involved in planning for the change
C) The change agent is aware of the organization's internal and external environment
D) An assessment of resources to carry out the plan is completed before unfreezing

Question 10

Which activity does a change agent make a commitment to in order to best assure a successful implementation of a change?

A) Helping followers arrive at total consensus regarding the change
B) Encouraging subgroup opposition to change so many viewpoints can be heard
C) Using change by drift if the resistance to change is too strong
D) Being available to support those affected by a change until the change is complete

Question 11

Which description best describes the theory behind nonlinear change?

A) It occurs in organized steps
B) It must have a logical sequence
C) It results in equilibrium
D) It has unpredictable outcomes

Question 12

In planning strategies to preve nt stagnation and promote renewal, which action would
Most likely result in the desired outcome?

A) Developing a program for recruitment of young talent
B) Rewarding employees by promoting from within
C) Having set pay increases mandated annually
D) Using longevity to determine committee selection

Question 13

Which statement is true regarding the philosophy of nonlinear change theories?

A) Change occurs in sequential steps
B) Change is predictable
C) Change success relies on policies and hierarchies
D) Change is necessary because organizational stability is brief

Question 14

Which statement is true regarding planned change? Select all that apply.

A) Resistance to change should be expected as a natural part of the change process
B) Change should be viewed as a chance to do something innovative
C) Technical changes are more resisted by staff than social changes are
D) Change affects the homeostasis of a group

Question 15

Which activity is associated with the movement stage of the development of a plan?

A) Gather data
B) Accurately diagnose the problem
C) Decide if change is needed
D) Develop a plan

Question 16

What is the basic argument for the use of rational-empirical change strategies?

A) Information supports change
B) Peer influence brings about change
C) Reward-based incentives influence change
D) Punishment supports the acceptance of change

Question 17

Which change is easier to make?

A) Personal behavior
B) Group behavior
C) Group knowledge
D) Personal attitudes

Question 18

Which statement reflects an important factor to consider when implementing a planned change?

A) Change should be implemented suddenly
B) Change should be implemented gradually
C) Change should be implemented arbitrarily
D) Change should be implemented sporadically

Question 19

Which characteristics are asso ciated with change by drift changes? Select all that apply.

A) They are planned
B) They are accidental
C) They are unplanned
D) They are a result of a threat

Question 20

Historically, many of the changes that have occurred in nursing or have affected the profession are the result of what type of change?

A) Planned
B) Change by drift
C) Rational-empirical
D) Normative-reeducative

Question 21

Which force is driving change in today's health-care environment? Select all that apply.

A) Increased cost of health-care services
B) Decrease in health-care professionals and providers
C) Decreased third-party reimburse of health-care services
D) Increased need to update health-care-related technologies

Question 22

Which action is reflective of the leadership role necessary for a successful planned change to occur?

A) Demonstrates flexibility in goal setting
B) Recognizing the need for a planned change
C) Identifying the resources that are available to support a change
D) Support the staff during the implementation of a planned change

Question 23

Which statement is true concerning the refreezing phase of the change process? Select all that apply.

A) The focus of this phase is to integrate the change into the status quo
B) Stabilization of change requires a 6- to 9-month period of time
C) If refreezing is incomplete, prechange behavior will be resumed
D) The change agent must remain involved until the refreeze stage is complete

Question 24

Which activity associated with the unfreezing state of change will have the greatest
Impact on the success of the movement stage of the change process?

A) Accurate identification of the problem requiring change
B) Effective information gathering concerning the problem
C) Key personnel voicing their opinions regarding the need for change
D) The need for change is perceived by all those affected by the problem

Question 25

Which factor is the greatest contributor to the resistance encountered with organizational change?

A) Poor organizational leadership
B) Presence of employee mistrust
C) Ineffective organizational management
D) Insufficient staff involvement in the process