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The nurse manager is developing a staff education session on change in healthcare. Which concepts should be included in this information? Select all that apply.


A) Oftentimes, before one change in healthcare is completed, another is taking place.
B) Most changes are focused on the organization's structure.
C) Change has been the normal state for healthcare providers for some time.
D) Change disturbs the organization's equilibrium.
E) Sometimes multiple changes occur together in healthcare.

F) A) and B)
G) All of the above

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Which of the following data collection methods is not one of the three common data collection methods mentioned in the textbook?


A) Observation
B) Survey
C) Record review
D) Interview

E) None of the above
F) B) and C)

Correct Answer

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The nurse has been assigned to be a change agent for the facility's change to a computerized charting system. What type of planning will this require?


A) Strategic
B) Policy
C) Project
D) Both strategic and project

E) A) and D)
F) B) and C)

Correct Answer

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The nurse manager is coping with a staff member who is very resistant to change. Which strategy would be beneficial for this nurse manager?


A) Maintain open communication with this staff member to establish trust.
B) Help the staff member focus on parts of the change rather than on the whole change at one time.
C) Take over all of the processes of the change.
D) Ignore any hidden agendas brought by this staff member.

E) A) and B)
F) A) and C)

Correct Answer

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The staff of a healthcare organization is burned out and apathetic, and the organization is stagnant. The newly employed leader is working to empower staff, improve the organization's vision, and alter the culture of accepting the status quo. According to Quinn, what is this leader trying to create?


A) Unfreezing
B) A "slow death"
C) A force-field analysis
D) A "deep change"

E) A) and B)
F) B) and C)

Correct Answer

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During the change process to implement an electronic medical record, a nurse manager says, "We are experiencing a 'slow death'." What evidence would the manager have to support this conclusion?


A) Work processes seem scattered
B) Staff burnout with complaints increasing
C) Use of a detailed project plan
D) Staff refusing to assume more assignments

E) None of the above
F) A) and D)

Correct Answer

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What is the goal of the Center to Champion Nursing in America?


A) Advertise nursing
B) Mobilize stakeholders
C) Describe nursing education changes
D) Recognize importance of APRNs

E) A) and B)
F) B) and C)

Correct Answer

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The team is using a PDSA cycle to test a proposed change to conduct an in depth analysis of data with comparison to the predictions. In which step of the cycle is this team working?


A) P
B) D
C) S
D) A

E) C) and D)
F) None of the above

Correct Answer

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verified

The hospital would like to decrease the amount of medication errors made secondary to transcription errors. In order to accomplish this, it is hoped that all physicians will be trained in the use of computerized physician orders by the end of the fiscal year. This is an example of which stage of Lewin's model of change?


A) Refreezing
B) Unfreezing
C) Moving
D) Working

E) A) and D)
F) A) and B)

Correct Answer

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Management has called a meeting to discuss the increase in negative patient satisfaction surveys. Which stage of Lewin's model of change does this represent?


A) Moving
B) Refreezing
C) Unfreezing
D) Working

E) A) and B)
F) C) and D)

Correct Answer

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verified

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