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Essentials of Nursing Leadership and Management Ch 10 questions and and answers
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Essentials of Nursing Leadership andManagement Ch 10
After implementing change, how can you assess to make sure refreezing is appropriate? -
correct answer-Ask self: Was it well integrated into everyday routine? Did it work well? Are
staff members comfort with it? Was it well accepted?
How does preference of certainty effect change? - correct answer-Helping teams recognize
preference for certainity will increase receptivity to change.
How to implement change.. - correct answer-Assess magnitude (major or minor change),
complexity (Is it difficult?, New skill/knowledge required?, Is it time consuming?), Pace
(Urgent? Gradually?), Stress ( Is there more than one change occurring at a time?, How
stressful is it?, Is it tolerable?).
How to lower resistance.. - correct answer-Share info (alleviate misunderstanding),
disconfirm current beliefs (show current methods as faulty), psychological safety (reduce
threats to personal needs), and dictate change.
How to plan a change.. - correct answer-Communicate vision, motivate, include, deal with
conflict, eliciting cooperation, providing coordination, and fostering teamwork.
The overuse of dictating change can... - correct answer-It can lead to passive, dependent,
unmotivated, and unempowered staff.
What are local changes? - correct answer-Changes that are confined to one nursing unit.
What are macro-level changes? Ex? - correct answer-These changes affect virtually every
health-care facility.
Ex: Medicare and Medicaid, Affordable Cares Act
What are micro-level changes? Ex? - correct answer-These changes only affect one facility
or unit.
Ex: Nursing units, teams, or individuals.
What are organization changes? - correct answer-Changes that only affect one organization.
What are sources of resistant? - correct answer-Technical concerns (design flaws, is it a
good idea?), relation to personal needs (Maslow's hiearchy, risk causes discomfort), threats
to position and power (ppl do not like relinquishing power, status, or influence).
What are the stages of change? - correct answer-Unfreezing (actions that create readiness
to change, ppl coming out of comfort zone), changing (Implementation), refreezing (New
change as a part of everyday function).
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