Question 1

The first step in change is to plan carefully.Which of the following questions should be asked during the design stage of change?

Accepted Answer

During the design stage of change, it is important to question whether the change is really needed. This helps to ensure that the change is not implemented unnecessarily and resources are not wasted. While the other questions are important to consider, they may be more relevant during other stages of the change process. For example, involving stakeholders and assessing the difficulty and urgency of the change may be more relevant in the planning and implementation stages respectively.

Question 2

Which of the following is true about behavior changes?

Accepted Answer

Research has shown that individuals who are active and engaged can learn to make a change more successfully than those who are passive or disengaged. A crisis may indeed prompt behavior change, but it is not necessarily a more powerful motivation than other factors such as positive incentives or social support. Fear can be a motivator for change, but it is not the only motivator, and may not be the most effective or sustainable one. While small changes can be helpful for starting to make a behavior change, larger changes may ultimately be more effective in achieving the desired outcome.

Question 3

Which of the following is a way to appeal to feelings in order to increase receptivity for a change?

Accepted Answer

Sharing a patient's story and how a catheter-associated urinary tract infection impacted them personally can appeal to staff's emotions and increase their receptivity to making changes that could prevent similar experiences for future patients. Presenting statistics, providing reports, and discussing costs may not evoke as strong of an emotional response and may not be as effective in increasing receptivity for change.

Question 4

Management on a nursing unit has decided to upgrade to new beds in an effort to decrease occurrences of skin breakdown on the unit.The manager begins the staff in-service on the new beds by reviewing the recent incidence of skin breakdown and comparing it with statistics from similar units.Which stage of the change process is the manager addressing?

Accepted Answer

The manager is addressing the unfreezing stage of the change process by presenting the current issue of skin breakdown and comparing it with statistics from similar units. This stage involves creating awareness of the need for change and preparing individuals and the organization to accept the change.

Question 5

Which of the following is an example of a macro-level change?

Accepted Answer

Policy changes are an example of a macro-level change as they impact the overall organization or system as a whole. Adjustments to shift change report, implementing a new EBP, and quality improvement changes are more likely to be considered micro-level changes as they may impact specific units or processes within the organization but not the entire system.

Question 6

A nursing unit updated their barcode scanners because the batteries of the old ones were not replaceable and stopped holding charge.The proposed new scanners are wired so that batteries are not required.However, the registered nurses (RNs) resist this change because the placement of the scanners could make it difficult to reach the patients if they were not in bed.Which of the following most likely describes the source of the resistance?

Accepted Answer

The RNs are resisting the change due to practical reasons, as they are concerned about the placement of the scanners potentially making it difficult to reach patients who are not in bed. This is not a design flaw or an issue of personal needs or position and power.

Question 7

Which of the following will provide psychological safety when making a major change?

Accepted Answer

Providing opportunities for individuals to ask questions fosters psychological safety by creating an environment where they feel comfortable expressing their concerns and seeking clarification, which can help them better understand and accept the change.

Question 8

Nurses on a unit have prepared a presentation for their administrators on a proposal for a change in practice based on current evidence.They begin the presentation with a description of the current practice and evidence of why it is inefficient.This is an example of lowering resistance through which method?

Accepted Answer

By describing the current practice and providing evidence of its inefficiency, the nurses are disconfirming currently held beliefs, which can help lower resistance to change by challenging the status quo and encouraging consideration of new practices.

Question 9

A nurse manager is planning for implementation of a change in practice based on current evidence.When planning for implementation, which of the following is the priority consideration?

Accepted Answer

The answer of A nurse manager is planning for implementation...

Question 10

Which of the following is a good recommendation when planning change?

Accepted Answer

The answer of Which of the following is a good...

Question 11

An RN is considering returning to school for a bachelor of science in nursing (BSN) degree.The RN realizes the knowledge gained will improve his practice and could impact patient outcomes.However, the RN is not sure about when to start the process.The RN's manager shares her own story with the RN, explaining why the manager decided to return to school and how this has impacted her professional life and personal life.Which of the following stages of change is the RN most likely in?

Accepted Answer

The RN is actively considering returning to school but has not yet taken any significant steps to start the process. This indicates that the RN is in the contemplation stage of change.

Question 12

Which of the following is true about personal change?

Accepted Answer

The process of personal change, like organizational change, often involves identifying goals or areas for improvement, creating a plan, taking action, and evaluating progress. Therefore, choice C is true. Choices A, B, and D are false. Effective leaders recognize the importance of personal growth and development, and small changes can also have a significant impact over time. Additionally, while radical changes may be necessary in certain circumstances, small, incremental progress is often more sustainable and manageable in the long run. Finally, even small personal changes can require effort and commitment.

Question 13

To increase the number of baccalaureate-prepared RNs on the unit, the manager has proposed starting a cohort of RNs in a BSN program at one time.The manager has scheduled an information session for all who are interested.During the session, six RNs sign up for assistance with the application process.Which stage of change are these RNs most likely in?

Accepted Answer

The fact that these RNs have signed up for assistance with the application process shows that they are in the preparation stage of change, actively seeking out resources and taking steps towards enrolling in a BSN program. The precontemplation stage refers to individuals who have not yet considered making a change, while the contemplation stage involves considering the benefits and drawbacks of changing but not yet taking action. The action stage involves implementing and maintaining the desired behavior or change.

Question 14

A nurse manager reflects on current practice and notes that a recent change has become a part of daily practice.Which stage of change does this scenario best describe?

Accepted Answer

The scenario best describes the integration stage of change because the change has become a part of daily practice, indicating that it has been successfully implemented and is now fully integrated into the organization's processes.

Question 15

Which of the following best describes a reason why radical changes are often easier to maintain than relatively smaller changes?

Accepted Answer

Support groups for radical changes often focus on the emotional aspects of the change, providing a network of encouragement and understanding that can help individuals maintain their commitment to the change. This emotional support is crucial for sustaining significant lifestyle or behavioral adjustments.

Quiz 10: Organizations, People, and Change