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Sarah, RN, is one of your most enthusiastic staff members and has been to a
workshop on preparing educational materials for patients. On the basis of this
workshop, she would like to develop an information Website for patients who are
being admitted to the ward. An appropriate response to Sarah's suggestion would
be:
a. "That is a great suggestion, but we have no resources for such an expensive
undertaking right now."
b. "Perhaps you can keep that in mind as we redesign our charting system."
c. "We have too many seniors as patients, and you know that they don't use
technology."
d. "There is a great group here that meets to look at technology pilots. Let's see if
you can join them and discuss your idea further." - ANSWER ✓ ANS: D
Involving Sarah with others who enjoy new ideas and who are able to try out new
ideas in pilot projects enables her to remain on the cutting edge and to try out
innovative solutions with the least amount of disruption.
Edith has been vocal about her negative concerns related to a new charting system
and frequently expresses the view that keeping the "old system" would have been
"just fine." In facilitating change, your best approach to Edith would be to:
a. Put her in the pilot planning group for the change.
b. Determine if she has considered retirement.
c. Schedule her work assignment so that it coincides with those of two staff
members who are confident with technology and the change.
d. Avoid discussion of the change, and trust that with sufficient training and
information, she will change. - ANSWER ✓ ANS: C
, Laggards prefer keeping traditions and openly express their resistance to new
ideas. Having a group of change agents and innovators on board to champion an
idea builds what Patterson et al. call "social motivation" and "social ability." This
group can help staff, such as laggards, who are less adept at change.
Which of the following are examples of application of the Leadership Rounding
Tool? (Select all that apply.)
a. "What is working well for you during bedside reporting?"
b. "What has not worked for you today?"
c. "Is there someone on your team who deserves special recognition for her efforts
in the implementation?"
d. "Did you have a good vacation?" - ANSWER ✓ ANS: A, B, C, D
The Leadership Rounding Tool suggests establishing and maintaining rapport and
asking what is working well, what was a barrier, and who should be recognized, as
well as answering tough questions.
When goals/outcomes are somewhat unclear in early preparation for a complex
change, the manager and the change management team develop several acceptable
goals/outcomes. This change in management approach is termed:
a. Unfreezing.
b. Nonlinear.
c. Cybernetic.
d. Linear. - ANSWER ✓ ANS: B
While Lewin's theory was designed to describe planned or first-order changes,
many scholars think the theory is too simplistic to address how unplanned or
second-order change occurs. In complex situations with an uncertain change
environment, a nonlinear approach that involves flexibility improves overall
outcomes. Linear change is appropriate to stable, less complex, and more
predictable situations
The home health agency hired an expert in financial management to evaluate and
propose a plan for reversing growing expenses and decreasing revenues. The
expert is well respected, both personally and professionally, by members living in
this small community. To be effective, staff will need to perceive this change agent
as:
a. Trusted, quiet.
b. Flexible, informal.