Exam 2: Change and Innovation

A memo sent to the unit nurse manager reads that beginning next week, all nursing staff will be expected to conform to a new dress code selected by the hospital board of directors. The nurse manager understands that she needs to use her positional power to trigger a(n) _____ change cycle.

Which of the following statements are accurate descriptors regarding change (select all that apply)?

The use of a new idea or method is the definition of:

The probability of effectiveness of the change process can be increased through several techniques. Which of the following actions will likely increase effectiveness (select all that apply)?

A nurse manager recognizes that her staff's emotional responses to organizational change are similar to:

An organization has encountered a serious patient safety event that was reported to the state, The Joint Commission, and the Centers for Medicare & Medicaid Services (CMS). An extensive plan of correction was received, and the organization had to make some immediate changes in practice. Additionally the organization anticipates a costly lawsuit. What is the best method of educating staff about the practice changes that were issued?

A medical-surgical unit utilizes a group of nurses and patient care assistants to determine ways to reduce the number of falls in the unit. They conduct Internet research to locate best practice interventions. They create fall risk alerts in the unit, and they implement hourly rounding to assess the need for toileting. After putting these small changes into place, they will evaluate the data to determine effectiveness. This project is an example of:

A hospital system is implementing an electronic health record. The facility conducts education and training for nursing staff, medical staff, and ancillary staff over a period of 6 months. This is an example of:

How is the refreezing stage of change similar to the nursing process?

The identification of forces that drive and restrain change is called a(n):

Learning organizations adapt to change through their ability to be open, dynamic, and responsive to changes in the environment. Which of the following learning disciplines are true of these types of organizations (select all that apply)?

The nurse manager on a medical-surgical unit wants to change to "walking rounds" in the patients' rooms for change of shift report. In the past, it has been "face to face" at the nurses' station. The nurse manager is meeting resistance from the staff, because they think that it will take longer, and the nurses will not finish their shift on time. What could the manager do to increase the nurses' acceptance of this change?

The most difficult to change is:

During periods of stress and change, which of the following strategies should managers use to provide emotional support to staff members (select all that apply)?

The _____ is a tool which is useful in assessing the readiness for organizational change.

A nursing manager recognizes that the changes that she is expected by administration to implement will be met with staff resistance. She is committed to determining the root of the resistance and communicating positively with her staff. The nurse manager's actions characterize her as a(n):

A group of nurses is showing resistance to changes the manager is making with regards to staffing. Which of the following ways can the manager deal with the emotionality of the situation (select all that apply)?

_____ is an expected part of change and is often related to fear and anxiety.

Which of the following factors is used to describe the degree to which successful planned change is thought to be better than the status quo?

The chief nursing officer (CNO) of a hospital system works with senior leadership for approval to initiate an electronic health system. He recruits a nursing informaticist and a chief medical informatics officer to begin the process of planning the education and roll-out of the new electronic system. The CNO could be viewed as the: