Leadership NUR 4120 Chapter 8 questions with answers
A nurse-manager is applying chaos theory to a proposed change in the structure of care at a
clinic. What skills will best facilitate the manager's application of this theory?
a. Creating "buy-in" from the stakeholders
b. Finding solutions to resistance to change
c. Changing attitudes more than increasing knowledge
d. Finding underlying order in seemingly random data - ANSWER: D
The nurse-manager would be justified in making a change for which reasons? Select all that
apply.
a. To solve an existing problem
b. To test workers' abilities to adapt
c. To increase staff efficiency
d. To reduce unnecessary workload
e. To improve staff productivity - ANSWER: A, C, D, E
What characteristic of a health-care organization most clearly suggests that is an aged
organization?
a. The organization was established more than 75 years ago.
b. The organization used to be the largest in the region but is now smaller than
several similar organizations.
c. The organization has a history of stifling innovation.
d. The organization is having difficulty attracting new graduates. - ANSWER: C
The manager on a hospital unit has highlighted some of the large gaps between desired client outcomes and actual client outcomes. What component of Lewin's change theory is
the manager demonstrating?
a. Unfreezing
b. Movement
c. Refreezing
d. Resistance - ANSWER: A
A nurse is ostracizing a staff member who dresses "unprofessionally" and is encouraging
other nurses to treat the staff member in the same way. This most closely represents which
change strategy?
a. Power-coercive
b. Normative-reeducative
c. Rational-empirical
d. Resistance-withdrawal - ANSWER: B
Which action represents a management function in planned change?
a. Inspiring group members to be involved in planned change
b. Visionary forecasting
c. Role modeling high-level interpersonal communication skills in providing support
for individuals undergoing rapid or difficult change
d. Identifying the options and resources available to implement change - ANSWER: D
Many nurses at an ambulatory clinic have expressed frustration about the low quality of care
that clients have been receiving. How should a manager best interpret this situation?
a. The nurses may be in the unfreezing phase of change.
b. The clinic is likely an aged organization.
c. The movement phase of change will be difficult to initiate.
d. There is a need for the manager to demonstrate power-coercive strategies. - ANSWER: A
A nurse-manager is applying chaos theory to a proposed change in the structure of care at a
clinic. What skills will best facilitate the manager's application of this theory?
a. Creating "buy-in" from the stakeholders
b. Finding solutions to resistance to change
c. Changing attitudes more than increasing knowledge
d. Finding underlying order in seemingly random data - ANSWER: D
The nurse-manager would be justified in making a change for which reasons? Select all that
apply.
a. To solve an existing problem
b. To test workers' abilities to adapt
c. To increase staff efficiency
d. To reduce unnecessary workload
e. To improve staff productivity - ANSWER: A, C, D, E
What characteristic of a health-care organization most clearly suggests that is an aged
organization?
a. The organization was established more than 75 years ago.
b. The organization used to be the largest in the region but is now smaller than
several similar organizations.
c. The organization has a history of stifling innovation.
d. The organization is having difficulty attracting new graduates. - ANSWER: C
The manager on a hospital unit has highlighted some of the large gaps between desired client outcomes and actual client outcomes. What component of Lewin's change theory is
the manager demonstrating?
a. Unfreezing
b. Movement
c. Refreezing
d. Resistance - ANSWER: A
A nurse is ostracizing a staff member who dresses "unprofessionally" and is encouraging
other nurses to treat the staff member in the same way. This most closely represents which
change strategy?
a. Power-coercive
b. Normative-reeducative
c. Rational-empirical
d. Resistance-withdrawal - ANSWER: B
Which action represents a management function in planned change?
a. Inspiring group members to be involved in planned change
b. Visionary forecasting
c. Role modeling high-level interpersonal communication skills in providing support
for individuals undergoing rapid or difficult change
d. Identifying the options and resources available to implement change - ANSWER: D
Many nurses at an ambulatory clinic have expressed frustration about the low quality of care
that clients have been receiving. How should a manager best interpret this situation?
a. The nurses may be in the unfreezing phase of change.
b. The clinic is likely an aged organization.
c. The movement phase of change will be difficult to initiate.
d. There is a need for the manager to demonstrate power-coercive strategies. - ANSWER: A
