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Sullivan, Effective Leadership and Management, 8/e
Chapter 5
Question 1
Type: MCSA
The new chairperson of the nursing department has determined that the faculty’s teaching is stagnant and
outmoded. The chairperson would like to encourage the faculty to adopt more innovative teaching strategies.
According to Lewin, what is the first step in initiating this plan?
1. Bring an expert on innovative teaching strategies to campus for a meeting with faculty.
2. Include the staff in identifying problems related to teaching strategies.
3. Ask staff to assist in the development of a plan for implementing new teaching strategies.
4. Implement interventions to improve the teaching strategies currently used.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 5-2: Describe how different theorists explain change.
Question 2
Type: MCSA
The nursing supervisor identifies ineffective communication as a problem among the managers. According to
Lippitt's phases of change, which action by the supervisor reflects the final stage of improving this issue?
1. The supervisor uses outcome data to evaluate the amount of change that has occurred.
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. The supervisor has gradually withdrawn from the role of change agent.
3. The supervisor has developed strategies to maintain the change.
4. The supervisor has determined if anyone in the group is sabotaging change efforts.
Rationale 3: The first three steps of Havelock’s theory are building a relationship, diagnosing the problem, and
acquiring resources. These three steps are most like Lewin’s unfreezing stage.
Rationale 4: The first step of Havelock’s model is building relationships among participants. This is one of the
steps that are equivalent to Lewin’s unfreezing stage.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 5-2: Describe how different theorists explain change.
Question 4
Type: MCSA
A new IV pump has just been purchased by the facility. Which statement by the nurse manager reflects Rogers’
first step in making the change to this new equipment?
1. “The nursing staff will have the final decision on whether to change to this IV pump.”
2. “Before we make the final decision, we will do a 3-month ‘test run’ of the equipment to make sure we like it.”
3. “I have looked at the pump and I like it.”
4. “I have information to share with you about the new IV pump we are considering for the unit.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 5-2: Describe how different theorists explain change.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 5
Type: MCSA
The nurse manager feels that changing the unit’s method of assigning break times would benefit the flow of client
care. What should be the manager’s first action associated with this idea?
1. Tell the staff that a change is coming, but that it is positive and they should not be worried.
2. Collect and analyze information about how the current system is working.
3. Mention in a staff meeting that the current system is causing a lot of trouble.
4. Identify how the manager would know if the change is benefiting the unit.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 5-3: Discuss how the change process is similar to the nursing process.
Question 6
Type: MCMA
A nursing administrator overhears nurses conversing during a break in a seminar on change. The administrator
would interpret which statement as meaning that the nurse who made it is ready to become a change agent?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “I know that suggesting this change may backfire on me.”
2. “I don’t expect too much conflict or resistance to this change.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. “I see an opportunity to make a difference in the way this facility provides nursing care.”
4. “I think the status quo is just fine for now.”
5. “This change is certainly going to be a challenge, but that’s okay.”
Rationale 2: Lippitt's phases of change are a seven-step process of change that involves participants in every step
of the process.
Rationale 3: The assumption of the empirical-rational model is that people are rational and will follow their
rational self-interest if that self-interest is made clear to them. In this instance, when the nurses have the
knowledge to use the charting system and have a chance to try it, it will become clear that it is in their best interest
to adopt the new system.
Rationale 4: Power-coercive strategies are based on the application of power by legitimate authority, economic
sanctions, or political influence.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 5-4: Differentiate among change strategies.
Question 8
Type: MCSA
Hospital administrators are considering changing from the traditional method of creating work schedules to a
system in which the nurses will choose their own workdays. Choices will be made according to seniority. Which
change strategy would likely be best for this endeavor?
1. A power-coercive strategy
2. A normative-reeducative strategy
3. An empirical-rational model
4. A driving force
Rationale 4: A driving force is a behavior that facilitates change by pushing participants in the desired direction in
spite of restraining forces.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 5-4: Differentiate among change strategies.
Question 9
Type: MCSA
Which factor best represents a driving force in the process of change?
1. An ineffective nurse manager
2. An administration composed of long-term employees
3. A staff composed of long-term employees
4. A financial deficit of millions of dollars
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 5-2: Describe how different theorists explain change.
Question 10
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
When faced with the prospect of change, the nurse states, "We have always done it this way and never had any
problems." A few weeks later, the same nurse remarks, "This new way seems to work better than the old way did."
This statement is characteristic of which type of change response?
1. Laggards
2. Early adopters
3. Early majority
4. Innovators
4. "We cannot lose sight of the mission and values of our institution as we begin to integrate these changes."
5. "Although this task is going to be difficult, we have the full support of our hospital administration."
Rationale 3: This constitutes an intervention and is not the first action.
Rationale 4: This constitutes an intervention and is not the first action.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 5-3: Discuss how the change process is similar to the nursing process.
Question 13
Type: MCSA
The nursing committee is planning a change in the unit’s organization. Which statement reflects the priority
expected outcome of these change agents’ work?
1. The nurses involved will demonstrate management skills.
2. The nurses will agree with the change and present a united front for its adoption.
3. The change will guide nursing practice on the unit.
4. The change will lead to improved client care on the unit.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 5-3: Discuss how the change process is similar to the nursing process.
Question 14
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
