Question 1

In which situation would it be necessary to re-regulate practice? Select all that apply.

Accepted Answer

A)   Nurses are asked to cross-train to another specialty.
B)   An insurance company opens a nationwide nurse call line.
C)   The hospital hires unlicensed assistive personnel.
D)   A nursing school revises its curriculum.
E)   The healthcare organization goes national and hopes to encourage mobility among its administrative nurses.F) C) and D)
G) A) and D)

Question 2

What is a method used to describe performance over time and identify trends?

Accepted Answer

A)   Graph
B)   Cost-benefit analysis
C)   WOTS-up
D)   Solution Analysis FieldE) A) and D)
F) C) and D)

Question 3

Which statements are true about the evaluation step of the decision making process? Select all that apply.

Accepted Answer

A)   Only the change agent is responsible for the evaluation phase.
B)   Management is usually not involved in the evaluation phase.
C)   Evaluation needs to be incorporated in all the steps of the change process.
D)   All members of the team are required to evaluate the process at the end of the project.
E)   Neglecting this step has long-term consequences.F) D) and E)
G) A) and C)

Question 4

The nurse manager has convened a staff meeting to discuss a change in the clinical ladder advancement system used by the organization. A staff nurse says, "Not again! It's just not fair." How should the manager respond?

Accepted Answer

A)   "What do you mean, not again?"
B)   "Please don't be negative."
C)   "This is going to happen. We can't do anything about it."
D)   Ignore the comment and continue the meeting.E) A) and D)
F) A) and C)

Question 5

A patient's finger stick blood sugar registers

Accepted Answer

A)   Programmed decision-making
B)   Crisis decision making
C)   Time-limited decision making
D)   Non-routine decision-making70)  The nurse must follow the policy and procedure for caring for a patient with hypoglycemia. This is an example of what type of decision-making process?E) B) and D)
F) All of the above

Question 6

The nurse is working in a facility that is considering a major change by incorporating interprofessional teams in all departments and units. Which type of planning is required?

Accepted Answer

A)   Policy planning
B)   Strategic planning
C)   Project planning
D)   Strategic planning and project planningE) A) and B)
F) B) and C) D

Question 7

The nurse manager has repeatedly tried to convince a staff nurse that changing to a new scheduling format is necessary. The staff nurse continues to be negative and argumentative about the need to change. How should the nurse manager interpret this response? Select all that apply.

Accepted Answer

A)   Some staff will never be ready to change.
B)   The change cannot go forward until this nurse is convinced.
C)   The nurse is being negative for the sake of negativity.
D)   The nurse will have to be terminated in order for the change to occur.
E)   The nurse may be concerned about loss of routine in personal scheduling.F) D) and E)
G) A) and B)

Question 8

A nurse manager is collecting staff views about a current unit problem to make a decision about actions to take. Which style of decision-making is this manager employ?

Accepted Answer

A)   Unilateral
B)   Individual
C)   Authoritarian
D)   ConsensusE) A) and B)
F) B) and C)

Question 9

Which activities represent the eight-step process for organizational change? Select all that apply.

Accepted Answer

A)   Management has created a sense of urgency for the change by publishing outcome data on the organization's intranet.
B)   Management has worked to develop and communicate a vision that can be shared by all employees.
C)   Management has empowered employees to make changes.
D)   Management is engaged in "deep change."
E)   Management has orchestrated and celebrated some short-term successes along the path to change.F) All of the above
G) C) and E)

Question 10

You are using SWOT for a review of your unit. Which of the following would be part of this process? Select all that apply.

Accepted Answer

A)   Identify strengths
B)   Identify opportunities
C)   Identify stakeholders
D)   Identify weaknesses
E)   Identify outcomesF) B) and D)
G) A) and B)

Question 11

The nurse manager is aware of a significant change that will occur sometime in the next six months. How can this manager begin to prepare the staff for this change? Select all that apply.

Accepted Answer

A)   Keep the staff apprised of as much information about the change as is possible.
B)   Attempt to keep the unit staffing as stable as possible during the time of change.
C)   Insist that all discussions about the change be conducted in a respectful manner.
D)   Let the initial information about the change come "through the grapevine."
E)   Avoid surprises by telling the staff about how the change will increase workload very early in the process.F) A) and B)
G) All of the above

Question 12

The staff nurse is invited to join the organization's Strategic Planning committee. Which topics can the nurse expect to address as part of this committee? Select all that apply.

Accepted Answer

A)   Planning for the next 3-5 years
B)   Changes in the core values of the organization
C)   Changes in regulations governing the organization
D)   Changes in the departmental structure of the organization
E)   Suggestions about how to change the staff-mix ratios in a departmentF) A) and B)
G) C) and D)

Question 13

What are the common external factors that drive change in a healthcare organization? Select all that apply.

Accepted Answer

A)   Changes in reimbursement by third party payers
B)   Changes in the demographics of employees in the facility
C)   Changes in local, state, or national laws
D)   Changes in professional standards of care
E)   Changes in the organization's salary structureF) A) and E)
G) All of the above

Question 14

A new management company has acquired a hospital. Since the acquisition, the hospital's name has changed, a new vision statement has been distributed, the department structure has changed, and the staff's cafeteria discount has be eliminated. Management has plans for many additional changes. What should happen at this point?

Accepted Answer

A)   Management should refrain from making any additional changes for a few months.
B)   Management should continue to make changes, but at a rate no faster than 1 change a month.
C)   Management should abandon plans for any additional changes.
D)   Management should institute the remaining changes as quickly as possible.E) C) and D)
F) B) and D) A

Question 15

The manager of a maternal-child health unit announces that the unit will be redesigned to help meet the Institute of Medicine healthcare competencies. What scenario is one that the staff of this unit might expect?

Accepted Answer

A)   Nursery, labor and delivery, and postpartum nurses will be cross-trained to work in each of these areas.
B)   The nurses will be expected to participate in telehealth throughout a three state region.
C)   There will be a reduction in staff numbers.
D)   The unit will be closed for remodeling.E) All of the above
F) A) and B)

Question 16

What is the first step in coping with changes that occur in the healthcare environment?

Accepted Answer

A)   Understanding personal response to change.
B)   Identifying the change agent.
C)   Investigate the facility's history of change.
D)   Identify the purpose of the change.E) A) and B)
F) All of the above

Question 17

A problem has been identified in the healthcare facility. What should the nurse who has been assigned the task of change agent do next?

Accepted Answer

A)   Develop an alternative plan.
B)   Gather data.
C)   Collaborate with others.
D)   Empower staff.E) C) and D)
F) A) and B)

Question 18

What are the first three steps used in proactive leadership? Select all that apply.

Accepted Answer

A)   Listen and learn, adjusting the nature of the solution and the speed of the process as needed.
B)   Implement the proposed change by integrating it into organizational culture, structure, and  strategy.
C)   Engage in debate or dialogue about the need for change and the nature of the proposed solution.
D)   Form a coalition to manage the change process.
E)   Communicate consensus or decision to all stakeholders.F) C) and D)
G) B) and E)

Question 19

Critical thinking is key to successful planning. Which statements are evidence that the nurse manager is a critical thinker? Select all that apply.

Accepted Answer

A)   "I need to research the topic before I comment."
B)   "Let's be fair in our consideration of this change."
C)   "Let's go ahead and make the change, I have a feeling it is correct."
D)   "I'm trying to understand your point of view."
E)   "I have to take back something I said in the last meeting; it was wrong."F) B) and E)
G) None of the above

Question 20

Which option best describes a change agent that demonstrates a transformational style of leadership during the change process?

Accepted Answer

A)   The change agent describes the vision for the change, sets high expectations, and is a role model for the staff.
B)   The change agent expresses personal views about the change and empathizes with the staff.
C)   The change agent expects staff to follow the change agent's directions required to meet the goal.
D)   The change agent provides the staff members with the resources needed to do their job.E) B) and D)
F) A) and C) A

Exam 3: Operational and Strategic Planning: Change, Innovation, and Decision Making

In which situation would it be necessary to re-regulate practice? Select all that apply.

Correct Answer
verified

What is a method used to describe performance over time and identify trends?

Correct Answer
verified

Which statements are true about the evaluation step of the decision making process? Select all that apply.

Correct Answer
verified

The nurse manager has convened a staff meeting to discuss a change in the clinical ladder advancement system used by the organization. A staff nurse says, "Not again! It's just not fair." How should the manager respond?

Correct Answer
verified

A patient's finger stick blood sugar registers

Correct Answer
verified

The nurse is working in a facility that is considering a major change by incorporating interprofessional teams in all departments and units. Which type of planning is required?

Correct Answer
verified
D

The nurse manager has repeatedly tried to convince a staff nurse that changing to a new scheduling format is necessary. The staff nurse continues to be negative and argumentative about the need to change. How should the nurse manager interpret this response? Select all that apply.

Correct Answer
verified

A nurse manager is collecting staff views about a current unit problem to make a decision about actions to take. Which style of decision-making is this manager employ?

Correct Answer
verified

Which activities represent the eight-step process for organizational change? Select all that apply.

Correct Answer
verified

You are using SWOT for a review of your unit. Which of the following would be part of this process? Select all that apply.

Correct Answer
verified

The nurse manager is aware of a significant change that will occur sometime in the next six months. How can this manager begin to prepare the staff for this change? Select all that apply.

Correct Answer
verified

The staff nurse is invited to join the organization's Strategic Planning committee. Which topics can the nurse expect to address as part of this committee? Select all that apply.

Correct Answer
verified

What are the common external factors that drive change in a healthcare organization? Select all that apply.

Correct Answer
verified

Correct Answer
verified
A

The manager of a maternal-child health unit announces that the unit will be redesigned to help meet the Institute of Medicine healthcare competencies. What scenario is one that the staff of this unit might expect?

Correct Answer
verified

What is the first step in coping with changes that occur in the healthcare environment?

Correct Answer
verified

A problem has been identified in the healthcare facility. What should the nurse who has been assigned the task of change agent do next?

Correct Answer
verified

What are the first three steps used in proactive leadership? Select all that apply.

Correct Answer
verified

Critical thinking is key to successful planning. Which statements are evidence that the nurse manager is a critical thinker? Select all that apply.

Correct Answer
verified

Which option best describes a change agent that demonstrates a transformational style of leadership during the change process?

Correct Answer
verified
A

Exam 3: Operational and Strategic Planning: Change, Innovation, and Decision Making

In which situation would it be necessary to re-regulate practice? Select all that apply.

Correct AnswerverifiedShow Answer

What is a method used to describe performance over time and identify trends?

Correct AnswerverifiedShow Answer

Which statements are true about the evaluation step of the decision making process? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse manager has convened a staff meeting to discuss a change in the clinical ladder advancement system used by the organization. A staff nurse says, "Not again! It's just not fair." How should the manager respond?

Correct AnswerverifiedShow Answer

A patient's finger stick blood sugar registers

Correct AnswerverifiedShow Answer

The nurse is working in a facility that is considering a major change by incorporating interprofessional teams in all departments and units. Which type of planning is required?

Correct AnswerverifiedD

The nurse manager has repeatedly tried to convince a staff nurse that changing to a new scheduling format is necessary. The staff nurse continues to be negative and argumentative about the need to change. How should the nurse manager interpret this response? Select all that apply.

Correct AnswerverifiedShow Answer

A nurse manager is collecting staff views about a current unit problem to make a decision about actions to take. Which style of decision-making is this manager employ?

Correct AnswerverifiedShow Answer

Which activities represent the eight-step process for organizational change? Select all that apply.

Correct AnswerverifiedShow Answer

You are using SWOT for a review of your unit. Which of the following would be part of this process? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse manager is aware of a significant change that will occur sometime in the next six months. How can this manager begin to prepare the staff for this change? Select all that apply.

Correct AnswerverifiedShow Answer

The staff nurse is invited to join the organization's Strategic Planning committee. Which topics can the nurse expect to address as part of this committee? Select all that apply.

Correct AnswerverifiedShow Answer

What are the common external factors that drive change in a healthcare organization? Select all that apply.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA

The manager of a maternal-child health unit announces that the unit will be redesigned to help meet the Institute of Medicine healthcare competencies. What scenario is one that the staff of this unit might expect?

Correct AnswerverifiedShow Answer

What is the first step in coping with changes that occur in the healthcare environment?

Correct AnswerverifiedShow Answer

A problem has been identified in the healthcare facility. What should the nurse who has been assigned the task of change agent do next?

Correct AnswerverifiedShow Answer

What are the first three steps used in proactive leadership? Select all that apply.

Correct AnswerverifiedShow Answer

Critical thinking is key to successful planning. Which statements are evidence that the nurse manager is a critical thinker? Select all that apply.

Correct AnswerverifiedShow Answer

Which option best describes a change agent that demonstrates a transformational style of leadership during the change process?

Correct AnswerverifiedA

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D

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A

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A