A) Disorder is a means to survival.
B) It is imperative to keep organizations in status quo.
C) An idea should have its own place and be labeled.
D) Change always produces positive growth.
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A) Limiting change
B) Desiring group cohesiveness
C) Honoring the past
D) Providing commitment
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A) Rigidity
B) Efficiency
C) Steadfastness
D) Flexibility
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A) Using a new acuity system
B) Having frequent staff meetings to discuss a possible change
C) Accepting the new documentation method
D) Evaluating the newly implemented procedure
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A) Thinking
B) Moving
C) Unfreezing
D) Refreezing
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A) Have all staff bring an article about the benefits and drawbacks of experienced staff nurses being mentors.
B) Announce that being a mentor is now required of any MICU nurse that has more than 5 years' experience.
C) Meet with all of the experienced nurses and tell them the unit cannot survive without each one of them being responsible for a less experienced nurse.
D) Refine the job description of the mentor's role to make it more acceptable to the experienced nurse.
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A
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A) Effective communication, recognition of staff welfare, and staff empowerment
B) Tangible awards for participating staff, arguments against the change by key people, and target dates for implementation of the change process
C) Staff unawareness, outcomes for the change, and time off work to discuss the change with participating staff
D) Consequences for staff who will not participate, favoritism toward all participating staff, and an evaluation plan for the change
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A) Preserving the status quo
B) Maintaining sacred cows
C) Empowering staff members to make change
D) Unionizing with other administrators
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A) Deemphasize empowerment of staff members.
B) Use the position's leverage.
C) Partner with agencies outside the organization.
D) Create to-do lists for those involved in the change.
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A) Quantum theory
B) Adaptation theory
C) Developmental theory
D) Scientific theory
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A) Takes positive action to deal with resistance to change
B) Uses courage to deal with resistance to change
C) Uses empathy to deal with resistance to change
D) Uses opposites to deal with resistance to change
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A) There are far more questions than there are answers.
B) Uncertainty breeds discontent.
C) Nurses should try to plan every step.
D) Life is an endless, thankless journey.
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A
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A) Rethinks the past and models self after previous nurse leaders
B) Develops specific short- and long-term plans with evaluation outcomes
C) Uses intuition and is comfortable with uncertainty
D) Works side by side with physician mentors
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A) Identify a need.
B) Encourage risk taking.
C) Gather the stakeholders.
D) Offer incentives for success of the goal.
E) Evaluate implications of the change as it takes hold.
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A) A clause that protects the provider from any legal ramifications of the patient's smoking cessation
B) Mutually developed (by the health-care provider and the patient) objectives
C) A clause describing the patient's nicotine addiction
D) A nonspecific time frame for objectives to be accomplished so no added pressure will be put on the patient
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A) Focus on predictability.
B) Avoid the edge of chaos.
C) Expect few nurses to be leaders.
D) Work smarter.
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D
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A) It is better to choose to change and design one's own approach to change than to have a change imposed by some external force.
B) The new company will most likely force the staff nurses to adopt this care delivery system on the first day after the merger.
C) Change should be quick so there is not enough time to complain about potential ramifications.
D) Change theory indicates the most beneficial changes are made spontaneously by only a few of the people who will be a part of the change process.
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A) Increase uncertainty.
B) Empower the group.
C) Build relationships.
D) Establish goals.
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A) Staff members refuse to attend orientation to electronic documentation on their own time even though lunch is provided at a nearby restaurant.
B) The division's suggestion box reveals eight complaint messages about the nurse manager from nurses on the unit.
C) No one attends a mandatory orientation class on electronic documentation even though staffing would allow for half of the unit to participate.
D) Staff members are attending the manager's summer party to kick-off a new initiative for the unit's electronic documentation change.
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A) "What determines a good leader from a poor leader"
B) "What energizes people"
C) "A way of working in a world of order"
D) "The dance and art of leadership"
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