Essentials of Nursing Leadership and
Management 8, 9, 10, & 11 (2)
12. Providing psychological safety is accomplished by:
A. Designing the change to be high quality.
B. Allowing time for learning a new procedure.
C. Delaying change implementation as long as possible.
D. Putting the changes into effect as fast as possible. - correct answer-B. Allowing time for
learning a new procedure 9
12. The most common source of incivility to new graduates are:
A. Co-workers.
B. Supervisors.
C. Physicians.
D. CNAs. - correct answer-A. Co-workers 8
14. The nurse manager of a busy pediatric unit noticed that a new infusion system seemed
to be difficult to use. What should the manager do first?
A. Call the manufacturer to complain
B. Bring in the nurse educator for more training sessions
C. Ask the staff if they are having problems with the system
D. Resend the instructions for using the system to all nursing staff - correct answer-C. Ask
the staff if they are having problems with the system 9
15. Why do some nurses consider it unprofessional to become a member of union?
A. Membership is too expensive
B. Unions are anti-professional
C. Strikes may affect ability to provide high quality care
D. All of the above - correct answer-C. Strikes may affect ability to provide quality care 8
16. Which of the following is likely to be necessary when introducing a new piece of complex
equipment?
A. Opportunity to practice using it
B. A brainstorming session on the purpose of the equipment
C. Opportunity for staff to express their feelings about receiving new equipment
D. A strict timeline for implementation - correct answer-A. Opportunity to practice using it 9
18. According to research done by Kalisch, which group is most likely to embrace change?
A. Staff nurses
B. Nurse managers
C. Nursing assistants
D. All of the above - correct answer-B. Nurse managers 9
2. Once resistance to change is recognized, it must be:
A. Ignored.
, B. Pacified.
C. Addressed.
D. Justified. - correct answer-C. Addressed 9
3. One way to lower the resistance to change would include:
A. Centralization of information.
B. Confirmation of currently held beliefs.
C. Provision of psychological safety.
D. Keeping involvement to a few people to reduce confusion. - correct answer-C. Provision
of psychological safety 9
3. When issues and problems arise that cannot be resolved through discussion, the next
step might be:
A. Negotiation.
B. Discussion.
C. Problem-solving.
D. Arguments. - correct answer-A. Negotiation 8
5. Anne wanted to simplify the current method of ordering missing medications. She devised
what she thought was an excellent idea and presented her plan to the nurse manager on the
unit. Her idea was rejected. What step in the process of change did Anne forget to follow?
A. Threatening others
B. Provoking resistance
C. Unfreezing
D. Refreezing - correct answer-C. Unfreezing 9
6. To control costs and decrease the money lost from uncharged supplies, the hospital has
decided to move to a controlled distribution system for supplies. This requires the nurses to
attend several in-service sessions to learn how to work with the new system. The nurses are
complaining that they do not have time to "learn another thing!" The lesson here is that for
change to be successful, it must be accepted by:
A. The administration.
B. The persons who will be involved.
C. The persons who designed the change.
D. The managers. - correct answer-B. The person who will be involved 9
A circumstance surrounding health care work that contributes to workers susceptibility to
violence includes
A) Working in low-crime areas
B) Having good hospital security
C) Inexperienced staff to deal with problems
D) Working in large groups - correct answer-C. Inexperienced staff to deal with problems 11
Case Management, Client-Focused Care with Cross-Training, Product Line Management,
and Differentiated Practice are examples of a:
A. Traditional model.
B. Functional model.
C. Modular nursing model.
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