NURS 3021
Professional Nurses as Change
Agents
MIDTERM EXAM GUIDE
©WU 2024/2025
,1. Multiple Choice: Which theory emphasizes the importance of
interpersonal relationships in nursing and is crucial for nurses as
change agents?
a) Health Belief Model
b) Social Cognitive Theory
c) Peplau's Theory of Interpersonal Relations
d) Lewin's Change Theory
Answer: c) Peplau's Theory of Interpersonal Relations
Rationale: Peplau's theory specifically focuses on the nurse-
patient relationship and the role of the nurse in facilitating the
patient's movement towards improved health, making it essential
for nurses acting as change agents.
2. Fill-in-the-Blank: ____________ is the process by which nurses
use their clinical skills and knowledge to advocate for
improvements in healthcare policy.
Answer: Health policy advocacy
Rationale: Health policy advocacy is a key responsibility of
professional nurses, requiring them to leverage their expertise to
influence health policy decisions that affect patient care and
outcomes.
©WU 2024/2025
,3. True/False: Transformational leadership is not an effective style
for nurses who wish to act as change agents.
Answer: False
Rationale: Transformational leadership is highly effective for
nurses as change agents because it encourages a shared vision,
inspires change, and fosters an environment of collaboration and
innovation.
4. Multiple Response: Select all the competencies that are essential
for a professional nurse acting as a change agent. (Select all that
apply)
a) Clinical expertise
b) Political savvy
c) Financial acumen
d) Strategic planning
e) Communication skills
Answers: a) Clinical expertise, b) Political savvy, d) Strategic
planning, e) Communication skills
Rationale: These competencies are crucial for effectively
implementing change within healthcare settings, as they encompass
the knowledge, skills, and attitudes necessary for leading and
managing change.
©WU 2024/2025
, 5. Multiple Choice: The _________ model is a step-by-step guide
to transforming practice at the bedside and is vital for nurse change
agents.
a) PDSA (Plan-Do-Study-Act)
b) ADKAR (Awareness, Desire, Knowledge, Ability,
Reinforcement)
c) Iowa Model of Evidence-Based Practice
d) Stetler Model
Answer: c) Iowa Model of Evidence-Based Practice
Rationale: The Iowa Model provides a structured method for
implementing evidence-based practices, which is a key aspect of the
role of nurses as change agents in clinical settings.
6. True/False: Only senior nursing staff can be effective change
agents.
Answer: False
Rationale: Nurses at all levels of practice can be change agents, as
change agency is more about influence and the ability to drive
progress than positional authority.
7. Fill-in-the-Blank: The _________ is a framework that helps
nurses assess, plan, and implement change in practice settings.
Answer: ACE Star Model of Knowledge Transformation
©WU 2024/2025
Professional Nurses as Change
Agents
MIDTERM EXAM GUIDE
©WU 2024/2025
,1. Multiple Choice: Which theory emphasizes the importance of
interpersonal relationships in nursing and is crucial for nurses as
change agents?
a) Health Belief Model
b) Social Cognitive Theory
c) Peplau's Theory of Interpersonal Relations
d) Lewin's Change Theory
Answer: c) Peplau's Theory of Interpersonal Relations
Rationale: Peplau's theory specifically focuses on the nurse-
patient relationship and the role of the nurse in facilitating the
patient's movement towards improved health, making it essential
for nurses acting as change agents.
2. Fill-in-the-Blank: ____________ is the process by which nurses
use their clinical skills and knowledge to advocate for
improvements in healthcare policy.
Answer: Health policy advocacy
Rationale: Health policy advocacy is a key responsibility of
professional nurses, requiring them to leverage their expertise to
influence health policy decisions that affect patient care and
outcomes.
©WU 2024/2025
,3. True/False: Transformational leadership is not an effective style
for nurses who wish to act as change agents.
Answer: False
Rationale: Transformational leadership is highly effective for
nurses as change agents because it encourages a shared vision,
inspires change, and fosters an environment of collaboration and
innovation.
4. Multiple Response: Select all the competencies that are essential
for a professional nurse acting as a change agent. (Select all that
apply)
a) Clinical expertise
b) Political savvy
c) Financial acumen
d) Strategic planning
e) Communication skills
Answers: a) Clinical expertise, b) Political savvy, d) Strategic
planning, e) Communication skills
Rationale: These competencies are crucial for effectively
implementing change within healthcare settings, as they encompass
the knowledge, skills, and attitudes necessary for leading and
managing change.
©WU 2024/2025
, 5. Multiple Choice: The _________ model is a step-by-step guide
to transforming practice at the bedside and is vital for nurse change
agents.
a) PDSA (Plan-Do-Study-Act)
b) ADKAR (Awareness, Desire, Knowledge, Ability,
Reinforcement)
c) Iowa Model of Evidence-Based Practice
d) Stetler Model
Answer: c) Iowa Model of Evidence-Based Practice
Rationale: The Iowa Model provides a structured method for
implementing evidence-based practices, which is a key aspect of the
role of nurses as change agents in clinical settings.
6. True/False: Only senior nursing staff can be effective change
agents.
Answer: False
Rationale: Nurses at all levels of practice can be change agents, as
change agency is more about influence and the ability to drive
progress than positional authority.
7. Fill-in-the-Blank: The _________ is a framework that helps
nurses assess, plan, and implement change in practice settings.
Answer: ACE Star Model of Knowledge Transformation
©WU 2024/2025
