Question 1

In the diffusion-innovation theory,what causes change?

Accepted Answer

A)  Planned change by a change agent
B)  Driving forces
C)  Social change and spread of new ideas
D)  Restraining forcesE) All of the above
F) A) and B)

Question 2

The staff development trainer is preparing materials for a seminar on change theory in anticipation of the implementation of a new care delivery system in the organization.If the innovation-decision process is going to be used,in which order should the trainer review the stages of change?

Accepted Answer

A)  The individual makes a choice to either adopt or reject the change.
B)  The individual is introduced to change and begins to comprehend it.
C)  The individual acts on the choice to either adopt or reject the change.
D)  The individual develops a favorable or unfavorable attitude about the change.
E)  The individual seeks confirmation that the choice to act or reject the change is appropriate.F) A) and B)
G) B) and E)

Question 3

A consultant is hired to recommend organizational changes in a healthcare institution.What best describes this consultant's role?

Accepted Answer

A)  Leader
B)  Legitimate authority
C)  Internal change agent
D)  External change agentE) B) and D)
F) B) and C) D

Question 4

In Lewin's Force Field Analysis Model,which two forces affect change?

Accepted Answer

A)  Power and coercion
B)  Driving forces and restraining forces
C)  Reward and punishment
D)  Discontentment and challengeE) A) and B)
F) A) and C)

Question 5

Which is a key characteristic of a change agent?

Accepted Answer

A)  Formal power
B)  Coercive power
C)  Trust
D)  CharismaE) A) and C)
F) A) and D)

Question 6

Which approach to change relies on interpersonal relationships as the power ingredient?

Accepted Answer

A)  Empirical-rational
B)  Technostructural
C)  Normative-reeducative
D)  Power-coerciveE) All of the above
F) A) and D)

Question 7

The nurse is expected to use new intravenous equipment.After receiving instruction on the use,the nurse is still nervous about using the new equipment.What type of change is this nurse experiencing?

Accepted Answer

A)  Planned change
B)  Spontaneous change
C)  Developmental change
D)  Pendulum changeE) None of the above
F) C) and D)

Question 8

During a large merger of two community hospitals,the nurse-manager was challenged with merging the two very different medical-surgical units into one unit.During the process,meetings were held assuring the nurses that staffing would be a top priority,that education about all changes would occur,and that the manager had faith in the nurses' abilities to implement the change.This nurse-manager was utilizing what tactic to "unfreeze" the system?

Accepted Answer

A)  Producing discomfort
B)  Providing psychological safety
C)  Critical thinking
D)  Inducing guilt and anxietyE) A) and B)
F) A) and D)

Question 9

Managers who focus on their own objectives to complete a change process are utilizing whose change theory?

Accepted Answer

A)  Lewin
B)  Lippitt
C)  Havelock
D)  RogersE) A) and B)
F) All of the above B

Question 10

How should the nurse describe change?

Accepted Answer

A)  Positive or negative,planned or unplanned
B)  Prevented and managed
C)  Negative,doesn't have to occur,easily managed
D)  Difficult and always negativeE) A) and D)
F) B) and D)

Question 11

Which change theory is based on beliefs that people are rational and that they will change if it is in their self-interest?

Accepted Answer

A)  Power-coercive
B)  Persuasive
C)  Empirical-rational
D)  FacilitativeE) B) and C)
F) A) and C)

Question 12

How should an individual be supported through the change process?

Accepted Answer

A)  Recognition of contributions to build self-confidence
B)  Given only a small amount of information concerning the change so as not to overwhelm with information
C)  Instruction on any new processes within 6 weeks of the change occurring
D)  Referral to the employee-assistance programE) A) and C)
F) All of the above

Question 13

What are Lewin's steps of change?

Accepted Answer

A)  Instruct,manage,and reward
B)  Chaos,change,and control
C)  Trust,autonomy,and initiative
D)  Unfreezing,moving,and refreezingE) C) and D)
F) A) and D)

Question 14

To manage resistance to change,the change agent may use which strategy?

Accepted Answer

A)  Defend the status quo.
B)  Provide evidence to challenge the status quo.
C)  Reject opposition to the plan.
D)  Eliminate from the organization those who are opposed.E) A) and B)
F) A) and C)

Question 15

Which is the most obtrusive approach to change?

Accepted Answer

A)  Empirical-rational
B)  Mandatory education
C)  Power-coercive
D)  Normative-reeducativeE) A) and B)
F) A) and C)

Question 16

To implement a change in policy,the nurse manager resorts to the utilization of force.Which strategy is being used?

Accepted Answer

A)  Educational
B)  Coercive change strategy
C)  Data-based
D)  FacilitativeE) A) and C)
F) B) and D) A

Question 17

Over which type of change does the change agent have the most control?

Accepted Answer

A)  Spontaneous change
B)  Crisis
C)  Developmental change
D)  Planned changeE) B) and C)
F) All of the above

Question 18

Which strategy to manage planned change is nonparticipative and undemocratic?

Accepted Answer

A)  Normative-reeducative
B)  Empirical-rational
C)  Power-coercive
D)  Legitimate powerE) A) and C)
F) B) and C)

Question 19

Which would be a restraining force for change?

Accepted Answer

A)  Fear of loss or threat to security
B)  Perception that change is challenging
C)  Potential for self-growth
D)  Economic gainE) All of the above
F) None of the above

Question 20

Which statement explains the empirical-rational approach to planned change?

Accepted Answer

A)  Using knowledge as the power ingredient and self-interest
B)  Using command and control
C)  Using sociocultural norms as the motivator
D)  Using personalized 1:1 educationE) B) and C)
F) A) and D)

Exam 15: Managing Change

In the diffusion-innovation theory,what causes change?

Correct Answer
verified

The staff development trainer is preparing materials for a seminar on change theory in anticipation of the implementation of a new care delivery system in the organization.If the innovation-decision process is going to be used,in which order should the trainer review the stages of change?

Correct Answer
verified

A consultant is hired to recommend organizational changes in a healthcare institution.What best describes this consultant's role?

Correct Answer
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D

In Lewin's Force Field Analysis Model,which two forces affect change?

Correct Answer
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Which is a key characteristic of a change agent?

Correct Answer
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Which approach to change relies on interpersonal relationships as the power ingredient?

Correct Answer
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The nurse is expected to use new intravenous equipment.After receiving instruction on the use,the nurse is still nervous about using the new equipment.What type of change is this nurse experiencing?

Correct Answer
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Correct Answer
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Managers who focus on their own objectives to complete a change process are utilizing whose change theory?

Correct Answer
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B

How should the nurse describe change?

Correct Answer
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Which change theory is based on beliefs that people are rational and that they will change if it is in their self-interest?

Correct Answer
verified

How should an individual be supported through the change process?

Correct Answer
verified

What are Lewin's steps of change?

Correct Answer
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To manage resistance to change,the change agent may use which strategy?

Correct Answer
verified

Which is the most obtrusive approach to change?

Correct Answer
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To implement a change in policy,the nurse manager resorts to the utilization of force.Which strategy is being used?

Correct Answer
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A

Over which type of change does the change agent have the most control?

Correct Answer
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Which strategy to manage planned change is nonparticipative and undemocratic?

Correct Answer
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Which would be a restraining force for change?

Correct Answer
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Which statement explains the empirical-rational approach to planned change?

Correct Answer
verified

Exam 15: Managing Change

In the diffusion-innovation theory,what causes change?

Correct AnswerverifiedShow Answer

The staff development trainer is preparing materials for a seminar on change theory in anticipation of the implementation of a new care delivery system in the organization.If the innovation-decision process is going to be used,in which order should the trainer review the stages of change?

Correct AnswerverifiedShow Answer

A consultant is hired to recommend organizational changes in a healthcare institution.What best describes this consultant's role?

Correct AnswerverifiedD

In Lewin's Force Field Analysis Model,which two forces affect change?

Correct AnswerverifiedShow Answer

Which is a key characteristic of a change agent?

Correct AnswerverifiedShow Answer

Which approach to change relies on interpersonal relationships as the power ingredient?

Correct AnswerverifiedShow Answer

The nurse is expected to use new intravenous equipment.After receiving instruction on the use,the nurse is still nervous about using the new equipment.What type of change is this nurse experiencing?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Managers who focus on their own objectives to complete a change process are utilizing whose change theory?

Correct AnswerverifiedB

How should the nurse describe change?

Correct AnswerverifiedShow Answer

Which change theory is based on beliefs that people are rational and that they will change if it is in their self-interest?

Correct AnswerverifiedShow Answer

How should an individual be supported through the change process?

Correct AnswerverifiedShow Answer

What are Lewin's steps of change?

Correct AnswerverifiedShow Answer

To manage resistance to change,the change agent may use which strategy?

Correct AnswerverifiedShow Answer

Which is the most obtrusive approach to change?

Correct AnswerverifiedShow Answer

To implement a change in policy,the nurse manager resorts to the utilization of force.Which strategy is being used?

Correct AnswerverifiedA

Over which type of change does the change agent have the most control?

Correct AnswerverifiedShow Answer

Which strategy to manage planned change is nonparticipative and undemocratic?

Correct AnswerverifiedShow Answer

Which would be a restraining force for change?

Correct AnswerverifiedShow Answer

Which statement explains the empirical-rational approach to planned change?

Correct AnswerverifiedShow Answer

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D

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B

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A

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