Deck 19: Nursing Leading Change: a Relational Emancipatory Framework for Health and Social

Question 1

Phase two of the emancipatory relational framework is reflection and planning.Which of the following is most important in this phase?

A) Using experiential and propositional knowledge
B) Sharing change experiences early in the process.
C) Taking a biomedical perspective to change
D) Building a conceptual map

Answer 1

Using experiential and propositional knowledge

Question 2

Senge's five disciplines of learning organizations are systems thinking,personal mastery,mental models,shared vision,and team learning.What is missing from Senge's in relation to the newer of the relational emancipatory model?

A) The impact of an emancipatory perspective
B) The importance of a relational aspect
C) The recognition of unpredictable situations
D) The importance of change

Answer 2

The impact of an emancipatory perspective

Question 3

An asset-based approach to change includes which of the following?

A) It is a strength-based approach.
B) Focuses on fixing deficits.
C) Addresses short term fixes.
D) It is the dominant approach to change.

Answer 3

It is a strength-based approach.

Question 4

To effectively achieve a change goal/outcome in a change situation,the wound care specialist will:

A) Preserve the status quo.
B) Diminish facilitators of change and reinforce barriers to change.
C) Weigh the strength of forces.
D) Strengthen facilitating forces.

Question 5

Chase,a Registered Nurse,is a new manager on an oncology unit.He wishes to initiate changes in communication to improve the accuracy of information between physicians and other health care personnel.From a relational participatory perspective which of the following is most important to consider to successfully approach this issue?

A) Defining collaboration
B) Developing partnerships
C) Negotiating power
D) Encouraging participation

Question 6

The relational emancipatory framework consists of which of the following?

A) Critical thinking
B) Critical dialogue
C) Constructive criticism
D) All of the options

Question 7

As a new manager,you are shocked to learn that your unit is still using heparin in heparin locks.You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit.You are in which stage of Lewin's (1951)stages of change?

A) Unfreezing.
B) Experiencing the change.
C) Integrating the change.
D) Refreezing.

Question 8

The back-bone of the relational emancipatory change framework is?

A) Critical dialogue
B) Critical Consciousness
C) Reflexivity
D) Collaboration

Question 9

To create collaborative relationships the most important aspect is?

A) Developing partnerships
B) Negotiating power
C) Compromising
D) Cooperating

Question 10

The heart of critical dialogue is?

A) Interpreting dialogue
B) Reasoning dialogue
C) Following dialogue
D) Authentic listening

Question 11

According to Freire which of the following is not part of problem posing?

A) Listening
B) Participatory dialogue
C) Problem solving
D) Action

Question 12

Which of the following is not an aspect of reflection?

A) Is social
B) Is action oriented
C) Is easily practiced
D) Is political

Question 13

Chase has initiated the first phase of the relational emancipatory approach to change in defining collaboration.What describes this term from other definition of collaboration?

A) A shared governance perspective
B) A partnership
C) A synergistic alliance
D) A compromise

Question 14

Critical dialogue encourages change agents to stay in a state of not knowing,to question taken-for-granted assumptions and habits,and to ask the unaskable.This approach is similar to the notion of transdisciplinarity.Which of the following are aspects of transdisciplinarity.

A) Uses reflexivity
B) Uses collaboration for social justice
C) Engages in critical consciousness
D) All of the options

Question 15

The wound care nurse decided to inform members of the health care team to be affected by change early in the change management process.This can positively result in:

A) Coordination.
B) Resistance.
C) Anticipation.
D) Participation.

Question 16

Complex change situations require that the change leader promote ongoing envisioning among staff members.One strategy is to:

A) Consciously evaluate invisible mental models.
B) Allow for individual outcomes.
C) Encourage cooperative activities.
D) Operate between order and disorder.

Question 17

The nurse manager frequently interacts with staff and other hospice facility employees.Communication was purposeful because the manager assessed current issues,such as specific satisfactions and dissatisfactions with the newly implemented computerized documentation system.Informally,the manager gathered available staff members to address similar learning needs.Many times staff members were found coaching other staff about improving use of the new system.According to Senge (1990),the activities demonstrated in this example are:

A) Dialogue and team learning.
B) Resilience and personal mastery.
C) Shared vision and systems thinking.
D) Mental models and teachable moments.

Question 18

Chase and the health care team have defined collaboration and started on negotiating power.The third phase of the emancipatory model is participation.Which of the following is not part of the participation phase?

A) Requires commitment
B) Is a conscious choice
C) Demands engagement
D) Represents an activity

Question 19

Which of the following is not a component of critical thinking?

A) Challenging assumptions
B) Exploring alternatives
C) Engaging in reflection
D) Accepting context

Question 20

To engage your staff in awareness of their current practice and how it is affirmed or not by evidence,you plan a short series of learning presentations on evidence and use of heparin and saline to maintain intravenous patency.You meet with the educator to plan the goals for each session with the overall purpose of increasing knowledge and assess which staff members are ready to begin to question current intravenous practice.This learning approach is an example of which change management approach?

A) Linear.
B) Nonlinear.
C) Facilitative.
D) Integrative.

Question 21

What is at the heart of critical dialogue? (Select all that apply.)

A) Listening to words only.
B) Listening and responding.
C) Allowing change to occur.
D) Listening to feelings and experiences.

Question 22

Doane and Varcoe (2016)recommended a relational view of leadership.Which of the following support this leadership view? (Select all that apply.)

A) Influence of both formal and informal leaders is shaped by specific contexts.
B) The people who they work with.
C) Is a deficit approach.
D) Relationships with whom they work.

Question 23

The first phase of the relational emancipatory framework that Chase is using is?

A) Subsequent cycles
B) Initiation
C) Follow up action
D) Reflection and planning

Question 24

A relational emancipatory framework is an alternative approach to leadership for nurses leading change.What are the three components of this framework? (Select all that apply.)

A) Reflection in action.
B) Engaging in critical dialogue.
C) Creating collaborative relationships.
D) Engages as a traditional model.

Question 25

Chase understands that to engage the health care team in critical dialogue he will need to initiate problem posing.This phase consists of all except??

A) Listening
B) Participatory dialogue
C) Action
D) Change

Question 26

In which phase of the relational emancipatory model does a team develop and articulate the purpose and goals of the change process?

A) Reflection and planning
B) Critical thinking
C) Critical dialogue
D) Authentic listening

Question 27

Subsequent cycles in the relational emancipatory framework does not include which of the following?

A) Includes reflection
B) Includes planning
C) Includes action
D) Includes immediate change

Question 28

Chase recognizes that change within nursing practice does not always take into account lived realities of nurses and clients.When assessing the improvement of communication between the members of his health care team within the relational emancipatory framework how were these lived realities addressed?

A) Through authentic listening
B) Through immediate changes
C) Through immediate planning
D) Through immediate action