Question 24
Type: MCSA
The nurse manager is facilitating change to a new documentation system in the unit. If the manager wants to use
the most common method to overcome resistance to the change, which strategy would be chosen?
1. The manager distributes a handout explaining the new system and how to use it.
2. The manager creates a “quick tip” sheet about how to use the system and schedules practice sessions for each
nurse.
3. The manager identifies a key supporter of the change and has that nurse act as mentor to the remaining staff.
4. The manager threatens to transfer anyone who resists the change.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 5-5: Discuss how to handle resistance to change.
Question 25
Type: MCMA
Which statements by a hospital executive reflect power-coercive strategies to implement change?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Standard Text: Select all that apply.
1. “We must follow the federal guidelines in the way we bill for our services.”
2. “If we don’t reduce our nosocomial infection rate, Medicare won’t reimburse us.”
3. “Administration has to make this change or our accreditation status will be at risk.”
4. “This change is the only logical action we can take.”
5. “All our sister institutions in the association have already made this change.”
Standard Text: Select all that apply.
1. “I don’t care what they say; I’m not giving care that way.”
2. “I don’t think this is going to work, but I’ll probably come around to it sooner or later.”
3. “I’m not crazy about this idea, but we do need to change how we are providing care.”
4. “I bet I can make it very difficult for this change to occur.”
5. “It won’t be so bad. I like change.”
3. “We tried making a change like this before and it didn’t work out well.”
4. “To make this big change, we need to start making smaller changes now.”
5. “There is going to be resistance, but I think it can be overcome.”
3. Meet with the supervisor and suggest abandoning the change.
4. Work together to identify strategies to overcome resistance.
5. Proceed with the change.
5. Withdraw slightly from those who oppose the change.
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: 5-1: Explain why nurses have the opportunity to be change agents.
Sullivan, Effective Leadership and Management, 8/e Test Bank
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