Instructor Resource
Burke, Organization Change, 5th edition
SAGE Publishing, 2018
Chapter 13: Health Care and Government Organizations
Test Bank
Multiple Choice
1. Most of the organization change literature is based on research and practice
conducted with ______.
A. higher education
B. profit-making corporations
C. nonprofit organizations
D. none of these
2. From the beginning, the field of organization development gave birth to organizational
development of ______.
A. manufacturing corporation
B. general mills
C. humble oil
D. all of these
3. All other organizations involved in organizational development work before the 70s
were ______.
A. the Episcopal Church
B. the U.S. Army
C. the Red Cross
D. A and B
4. Burke offers his impression that, currently, more change efforts are occurring ______.
A. in the healthcare arena
B. with airports
C. with foreign corporations
D. none of these
5. Burke contends that key principles of organization change remain essentially the
same, no matter what the organization. They are ______.
A. Lewin’s unfreeze, change, and refreeze
B. the principle of entropy
C. the importance of feedback
D. none of these
6. Greater differences are embedded in ______.
A. the organization culture
B. government regulation
C. tax laws
D. none of these
7. The reasons for focusing on healthcare and government are ______.
A. the differences stand out and therefore must be considered first
B. that these two organizations are pervasive and powerful
C. that these organizations are currently in a state of stasis
D. A and B
8. The most obvious difference between a business corporation on the one hand and
healthcare and government organizations on the other concerns ______.
A. price structure
B. shareholders
C. mission
D. none of these
9. Although different in substance, both healthcare and government organizations are
controlled by ______.
A. dualities
B. similar market shares
C. open systems
D. none of these
10. With respect to healthcare, the duality is characterized by ______.
A. profession
B. administration of the system
C. clinics
D. A and B
11. With government, the dominant duality is ______.
A. time
B. long term
C. short term
D. all of these
12. In healthcare, the duality is most keenly experienced by ______.
A. administrators who must serve the profession with his Hippocratic oath
B. doctors who must serve the goals of administrators
C. accreditors
D. A and B
13. Not unlike sergeants in the Army, nurses can be as a group, a strong force for
______.
A. change
B. resistance to change
C. unionization
D. A and B
14. With respect to government organizations, the duality concerns ______.
A. short term based on election phases
B. changes in the government
C. long-term initiatives
D. A and C
15. The National Aeronautics and Space Administration illustrates the duality of ______.
A. long term is the norm
B. budget cuts are short-term phenomenon
C. rapid turnover of all personnel
D. A and B
16. Healthcare organizations are quite complicated because of ______.
A. duality of hierarchies
B. having to deal with life and death issues
C. medical practices based on multiple sciences
D. all of these
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17. With respect to Case 1, the fundamental outcome variable for the study was
______.
A. the compensation of the physicians
B. the speed for reimbursement
C. patient satisfaction
D. none of these
18. With respect to Case 1, the forces driving the change were ______.
A. shifts in the organization’s external environment
B. physician subspecialty differences in income
C. the quality of patient care was being adversely effected
D. A and C
19. The Four Habits Model described in Case 2 served as ______.
A. the foundation for a diverse array of KP programs
Instructor Resource
Burke, Organization Change, 5th edition
SAGE Publishing, 2018
10
B. a new personnel model involving psychology
C. f our approaches to scientific research
D. none of these
20. The secret to success of the Four Habits Model was in ______.
A. the execution
B. applying the skills associated with each habit to each individual patient
C. applying the skills in a unique manner to each patient
D. all of these
21. With respect to Case 3, involving a medical school institution, simply explaining the
new plan to the faculty would ______.
A. fail to overcome suspicion
B. impede ratification
C. create resistance
Instructor Resource
Burke, Organization Change, 5th edition
SAGE Publishing, 2018
11
D. all of these
22. Case 3 demonstrates the fundamental principle of organizational change that
______.
A. it is always met by resistance
B. involvement leads to commitment
C. is evolutionary only
D. none of these
23. The four healthcare organization cases demonstrate that ______.
A. positions in management and leadership roles have considerable influence and
control
B. the rate of change in these organizations can vary
C. techniques and interventions used in change of business and industry can work
effectively in the healthcare world
D. A and C
Instructor Resource
Burke, Organization Change, 5th edition
SAGE Publishing, 2018
24. The reasons for the meager amount of literature on organization change in
government organizations are ______.
A. government organizations are large
B. government organizations serve many different constituents
C. even though changes are discussed, very few change efforts are actually undertaken
D. all of these
25. In the study conducted comparing change efforts from the Clinton and Bush
administration, researchers sought answers to ______.
A. how a lofty vision is able to exceed
B. whether a clear strategy necessary and present
C. what leadership behavior may be critical
D. all of these