Question 1

Nurses on a medical-surgical unit are reluctant to suggest any changes at a staff meeting as to how policies and procedures are implemented on the unit because in the past,the nurse manager has listened but not included any of their suggestions and just places her own ideas to direct change.The nurse manager views this process as being evidence of compromise,but the staff does not feel that this has occurred.What type of conflict are the staff nurses experiencing?

A)Avoiding
B)Competing
C)Compromising
D)Collaborating

Competing

Accepted Answer

The staff nurses are experiencing competing conflict because they want to suggest changes, but the nurse manager is not considering their ideas and is imposing her own ideas.

Question 2

A nurse manager is viewed by the nursing staff as exhibiting avoidance behavior relative to any identified conflict on the unit.What type of conflict management strategy is being displayed?&#10;A)Accommodating&#10;B)Competing&#10;C)Avoidance&#10;D)Collaborating&#10;

Accepted Answer

The nurse manager is exhibiting avoidance behavior, which is a type of conflict management strategy where they try to avoid the conflict altogether instead of addressing it directly.

Question 3

In a hospital setting,there appears to be conflict between two nurses,one who works in the emergency department and the other who works in the operating room.What type of conflict could be applied to this situation?

A)Intrapersonal
B)Organizational
C)Interpersonal
D)Intergroup

Interpersonal

Accepted Answer

Interpersonal conflict occurs between individuals or groups who have opposing goals, interests, values, or personalities. In this situation, the conflict appears to be between two individual nurses who work in different departments, indicating interpersonal conflict.

Question 4

Which traditional change model would be indicated for a health-care organization that is looking to implement technological changes?&#10;A)Innovation decision process&#10;B)Force-field model&#10;C)Phases of change model&#10;D)Eight-stage model of creating change&#10;

Accepted Answer

The Innovation decision process is the best fit for a health-care organization looking to implement technological changes as it focuses on the adoption of new ideas or technologies within an organization. This model involves five stages, including knowledge, persuasion, decision, implementation, and confirmation, which are particularly relevant to healthcare technology implementation.

Question 5

What element should not be included in nurse leaders' and managers' responses in handling conflict in the clinical care setting?&#10;A)Assessing needs versus wants&#10;B)Reminding staff that every member should be treated with respect&#10;C)Emphasizing the importance of listening&#10;D)Focusing on &#34;we&#34; rather than &#34;I&#34;&#10;

Accepted Answer

Focusing on "we" rather than "I" is generally a positive approach in conflict resolution, promoting teamwork and collaboration. However, the question asks for what should not be included, and the other options are more directly related to conflict management strategies.

Question 6

Which information is represented by the framed question,&#34;how&#34; of change?&#10;A)Participant stakeholders&#10;B)Rationale&#10;C)Timing&#10;D)Technique&#10;

Accepted Answer

The "how" of change relates to the technique or method that will be used to implement the change.

Question 7

Which action by a nurse manager would be viewed as a barrier to change in the clinical setting?&#10;A)Instilling confidence in staff by acknowledging competence&#10;B)Limiting communication among members of staff&#10;C)Allowing staff members to apply for another job in the facility&#10;D)Fostering a collaborative approach among staff&#10;

Accepted Answer

Limiting communication among members of staff would be a barrier to change as it hinders communication and collaboration necessary for implementing change. The other options are all facilitators of change. Instilling confidence in staff, allowing for job application within the facility, and fostering a collaborative approach among staff are all conducive to change in the clinical setting.

Question 8

When considering implementing a traditional change theory in clinical practice,what expectations would be evident? Select all that apply.&#10;A)Expected change would be sequential.&#10;B)No further action is required once the change has been implemented.&#10;C)Stakeholders must be vested in the change process.&#10;D)The change can be applied without additional instruction.&#10;E)In order to integrate the change,each step of the process must be completed.&#10;

Accepted Answer

Traditional change theories such as Lewin's three-step model and Kotter's eight-step model suggest that change is a sequential and systematic process that involves various stages. Therefore, expected change would be sequential (A). Additionally, stakeholders must be vested in the change process (C) because they will be affected by the change and may need to provide input or support. In order to integrate the change, each step of the process must be completed (E) to ensure that the change is implemented effectively. No further action is required once the change has been implemented (B) is not a valid expectation because continuous monitoring and evaluation must occur to ensure that the change is sustainable and effective. The change may also require additional instruction or training for staff (D) to ensure that they understand how to implement the change correctly.

Deck 14: Leading Change and Managing Conflict