Nursing Chapter 3 This Trait Critical Thinker This Example Intellectual

subject Type Homework Help
subject Pages 9
subject Words 3069
subject Authors Anita Finkelman

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17) What are the common external factors that drive change in a healthcare organization? Select
all that apply.
1. Changes in reimbursement by third party payers
2. Changes in the demographics of employees in the facility
3. Changes in local, state, or national laws
4. Changes in professional standards of care
5. Changes in the organization's salary structure
18) 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?
1. Unfreezing
2. A "slow death"
3. A force-field analysis
4. A "deep change"
19) 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.
1. Some staff will never be ready to change.
2. The change cannot go forward until this nurse is convinced.
3. The nurse is being negative for the sake of negativity.
4. The nurse will have to be terminated in order for the change to occur.
20) 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?
1. Management should refrain from making any additional changes for a few months.
2. Management should continue to make changes, but at a rate no faster than 1 change a month.
3. Management should abandon plans for any additional changes.
4. Management should institute the remaining changes as quickly as possible.
21) 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?
1. "What do you mean, not again?"
2. "Please don't be negative."
3. "This is going to happen. We can't do anything about it."
4. Ignore the comment and continue the meeting.
22) 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?
1. P
2. D
3. S
4. A
23) Critical thinking is key to successful planning. Which statements are evidence that the nurse
manager is a critical thinker? Select all that apply.
1. "I need to research the topic before I comment."
2. "Let's be fair in our consideration of this change."
3. "Let's go ahead and make the change, I have a feeling it is correct."
4. "I'm trying to understand your point of view."
5. "I have to take back something I said in the last meeting; it was wrong."
24) 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.
1. Planning for the next 3-5 years
2. Changes in the core values of the organization
3. Changes in regulations governing the organization
4. Changes in the departmental structure of the organization
25) Which statements are true about the evaluation step of the decision making process? Select
all that apply.
1. Only the change agent is responsible for the evaluation phase.
2. Management is usually not involved in the evaluation phase.
3. Evaluation needs to be incorporated in all the steps of the change process.
4. All members of the team are required to evaluate the process at the end of the project.
5. Neglecting this step has long-term consequences.
26) What is the goal of the Center to Champion Nursing in America?
1. Advertise nursing
2. Mobilize stakeholders
3. Describe nursing education changes
4. Recognize importance of APRNs
27) You are using SWOT for a review of your unit. Which of the following would be part of this
process? Select all that apply.
1. Identify strengths
2. Identify opportunities
3. Identify stakeholders
4. Identify weaknesses
5. Identify outcomes
28) What are the first three steps used in proactive leadership? Select all that apply.
1. Listen and learn, adjusting the nature of the solution and the speed of the process as needed.
2. Implement the proposed change by integrating it into organizational culture, structure, and
3. Engage in debate or dialogue about the need for change and the nature of the proposed
4. Form a coalition to manage the change process.
29) What is a method used to describe performance over time and identify trends?
1. Graph
2. Cost-benefit analysis
3. WOTS-up
4. Solution Analysis Field
30) Which of the following data collection methods is not one of the three common data
collection methods mentioned in the textbook?
1. Observation
2. Survey
3. Record review
4. Interview

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