NURS 6003 Module 5 Assignment : Change
Implementation and Management Plan |
2026 Update with complete solutions.
1. Which change model describes change as unfreezing, moving, and
refreezing?
A. Kotter’s 8-step model
B. Lewin’s change model
C. PDSA cycle
D. Rogers’ diffusion of innovations
B. Lewin’s change model
Lewin’s model is a foundational change theory that explains change
through three stages: unfreezing, moving, and refreezing.
2. In Kotter’s 8-step model, what is the first step?
A. Create a sense of urgency
B. Build a guiding coalition
C. Generate short-term wins
D. Anchor new approaches in culture
A. Create a sense of urgency
Kotter emphasizes that change begins by helping stakeholders see the
need for change and feel urgency.
3. Which strategy is most effective for reducing staff resistance to change?
A. Ignoring concerns
B. Communicating early and often
C. Delaying implementation
D. Mandating change without rationale
B. Communicating early and often
Clear, ongoing communication reduces uncertainty, builds trust, and
addresses resistance.
,4. Who is considered a key stakeholder in a change initiative?
A. Only the CEO
B. Anyone affected by the change
C. Only nursing staff
D. Only the finance department
B. Anyone affected by the change
Stakeholders include all individuals and groups impacted by or
influencing the change.
5. What does PDSA stand for in quality improvement?
A. Plan-Do-Study-Act
B. Prepare-Develop-Solve-Assess
C. Plan-Delegate-Supervise-Act
D. Process-Design-Study-Apply
A. Plan-Do-Study-Act
PDSA is a cyclical improvement method used to test and refine changes
on a small scale.
6. Which is an example of a process measure in change evaluation?
A. Patient satisfaction score
B. Compliance with hand hygiene
C. Fall rate
D. Mortality rate
B. Compliance with hand hygiene
Process measures evaluate whether the intended actions or steps are
being performed.
7. What is a change agent?
A. A person who resists change
B. A person who facilitates and supports change
C. A person who evaluates finances only
D. A person who avoids change
B. A person who facilitates and supports change
, Change agents guide, motivate, and support individuals and teams
through the change process.
8. Which factor is a common barrier to successful change implementation?
A. Strong leadership
B. Clear vision
C. Staff burnout
D. Adequate resources
C. Staff burnout
Burnout reduces energy, engagement, and capacity to adopt new
practices.
9. Which is a strong sustainability strategy after a change is implemented?
A. One-time training only
B. Hardwiring the change into workflow
C. Eliminating audits
D. Removing change champions
B. Hardwiring the change into workflow
Embedding new practices into daily workflow increases the likelihood
they will continue long term.
10.What is the main purpose of a pilot test?
A. Test the change on a small scale before spreading it
B. Avoid evaluating outcomes
C. Replace stakeholder input
D. Eliminate the need for data
A. Test the change on a small scale before spreading it
Pilot testing allows teams to identify problems, refine the change, and
build evidence before full implementation.
11.Which is a key element of a change vision?
A. Vague goals
B. Clear purpose
C. Hidden agenda
, D. No timeline
B. Clear purpose
A change vision must be clear, compelling, and easy to understand.
12.What is a guiding coalition?
A. Group of influential stakeholders
B. Only executives
C. Patients
D. External regulators
A. Group of influential stakeholders
A guiding coalition includes people with power, expertise, credibility,
and leadership to drive change.
13.Short-term wins are important because they:
A. Prove change is working
B. End change
C. Replace vision
D. Reduce communication
A. Prove change is working
Early wins build momentum, credibility, and motivation.
14.Which is a force field analysis concept?
A. Driving and restraining forces
B. Only driving forces
C. Only restraining forces
D. No forces
A. Driving and restraining forces
Force field analysis weighs forces for and against change.
15.What is readiness for change?
A. Extent individuals are prepared
B. Financial status
C. Staff count
D. Building size
Implementation and Management Plan |
2026 Update with complete solutions.
1. Which change model describes change as unfreezing, moving, and
refreezing?
A. Kotter’s 8-step model
B. Lewin’s change model
C. PDSA cycle
D. Rogers’ diffusion of innovations
B. Lewin’s change model
Lewin’s model is a foundational change theory that explains change
through three stages: unfreezing, moving, and refreezing.
2. In Kotter’s 8-step model, what is the first step?
A. Create a sense of urgency
B. Build a guiding coalition
C. Generate short-term wins
D. Anchor new approaches in culture
A. Create a sense of urgency
Kotter emphasizes that change begins by helping stakeholders see the
need for change and feel urgency.
3. Which strategy is most effective for reducing staff resistance to change?
A. Ignoring concerns
B. Communicating early and often
C. Delaying implementation
D. Mandating change without rationale
B. Communicating early and often
Clear, ongoing communication reduces uncertainty, builds trust, and
addresses resistance.
,4. Who is considered a key stakeholder in a change initiative?
A. Only the CEO
B. Anyone affected by the change
C. Only nursing staff
D. Only the finance department
B. Anyone affected by the change
Stakeholders include all individuals and groups impacted by or
influencing the change.
5. What does PDSA stand for in quality improvement?
A. Plan-Do-Study-Act
B. Prepare-Develop-Solve-Assess
C. Plan-Delegate-Supervise-Act
D. Process-Design-Study-Apply
A. Plan-Do-Study-Act
PDSA is a cyclical improvement method used to test and refine changes
on a small scale.
6. Which is an example of a process measure in change evaluation?
A. Patient satisfaction score
B. Compliance with hand hygiene
C. Fall rate
D. Mortality rate
B. Compliance with hand hygiene
Process measures evaluate whether the intended actions or steps are
being performed.
7. What is a change agent?
A. A person who resists change
B. A person who facilitates and supports change
C. A person who evaluates finances only
D. A person who avoids change
B. A person who facilitates and supports change
, Change agents guide, motivate, and support individuals and teams
through the change process.
8. Which factor is a common barrier to successful change implementation?
A. Strong leadership
B. Clear vision
C. Staff burnout
D. Adequate resources
C. Staff burnout
Burnout reduces energy, engagement, and capacity to adopt new
practices.
9. Which is a strong sustainability strategy after a change is implemented?
A. One-time training only
B. Hardwiring the change into workflow
C. Eliminating audits
D. Removing change champions
B. Hardwiring the change into workflow
Embedding new practices into daily workflow increases the likelihood
they will continue long term.
10.What is the main purpose of a pilot test?
A. Test the change on a small scale before spreading it
B. Avoid evaluating outcomes
C. Replace stakeholder input
D. Eliminate the need for data
A. Test the change on a small scale before spreading it
Pilot testing allows teams to identify problems, refine the change, and
build evidence before full implementation.
11.Which is a key element of a change vision?
A. Vague goals
B. Clear purpose
C. Hidden agenda
, D. No timeline
B. Clear purpose
A change vision must be clear, compelling, and easy to understand.
12.What is a guiding coalition?
A. Group of influential stakeholders
B. Only executives
C. Patients
D. External regulators
A. Group of influential stakeholders
A guiding coalition includes people with power, expertise, credibility,
and leadership to drive change.
13.Short-term wins are important because they:
A. Prove change is working
B. End change
C. Replace vision
D. Reduce communication
A. Prove change is working
Early wins build momentum, credibility, and motivation.
14.Which is a force field analysis concept?
A. Driving and restraining forces
B. Only driving forces
C. Only restraining forces
D. No forces
A. Driving and restraining forces
Force field analysis weighs forces for and against change.
15.What is readiness for change?
A. Extent individuals are prepared
B. Financial status
C. Staff count
D. Building size
