Leadership NUR 4120 Chapter 8 Prep PDF 2026 | Questions
& Correct Answers | Graded A+
1. In a healthcare setting, if a nurse-manager has successfully implemented a
new patient care protocol, what action should they take during the refreezing
stage to ensure the protocol is sustained?
Immediately introduce another change to keep staff engaged.
Focus solely on rewarding those who adapted quickly.
Establish regular check-ins to monitor adherence to the new
protocol.
Conduct a survey to assess staff satisfaction with the change.
2. In a scenario where a hospital is facing significant pushback from staff
regarding a new policy, what strategy should a leader-manager employ to
facilitate acceptance of the change?
Engage in open dialogue with staff about the benefits of the new
policy.
Encourage staff to maintain the status quo.
Mobilize resistance in a respectful but assertive way.
Implement the policy immediately without staff input.
3. What is a key action a leader-manager should take during a planned change
in a healthcare setting?
Implementing the change as rapidly as possible
Demonstrating a positive attitude toward the prospect of change
Dialoguing with staff about the benefits of maintaining the status quo
Mobilizing resistance in a respectful but assertive way
,4. A team has been formed to consider a change in medication delivery. How
can the team leaders best promote a successful change?
Bring in outside experts to implement the change.
Enforce compliance with the change fairly and consistently.
When planning, involve as many people who will be affected by the
change as possible.
Implement the change as rapidly as possible in order to diffuse
resistance.
5. Which characteristic indicates that a healthcare organization may be
considered aged?
The organization used to be the largest in the region but is now
smaller than several similar organizations.
The organization was established more than 75 years ago.
The organization has a history of stifling innovation.
The organization is having difficulty attracting new graduates.
6. In a scenario where a nurse-manager faces significant resistance from staff
when implementing a new electronic health record system, what approach
should they take based on the understanding of resistance in change
management?
Implement power-coercive strategies to enforce compliance.
Reassess the need for the electronic health record system based on
resistance.
Ignore the resistance and proceed with the implementation as
planned.
, Engage staff in discussions to understand their concerns and
involve them in the implementation process.
7. In a scenario where a healthcare organization is implementing a new
electronic health record system, how should a nurse-manager approach the
team to facilitate acceptance of this change?
By delaying the implementation to avoid resistance.
By communicating a vision that emphasizes the benefits of the new
system for patient care.
By only discussing the technical aspects of the new system.
By mandating compliance without explanation.
8. "A 32-year-old female is considering enrolling in a weight management
program. Her BMI is 30 kg/m 2 . She acknowledges that her weight is causing
some negative health consequences & affecting her QOL. However, she feels
constrained by her work schedule, family & social
activities. Which of the following is most likely her current stage of change?
Preparation
Pre-contemplation"
Action
Contemplation
9. What phase of change are the nurses likely experiencing if they express
frustration about the quality of care?
Unfreezing phase
Implementation phase
Refreezing phase
, Movement phase
10. Why is it important for a leader-manager to demonstrate a positive attitude
during a change process?
A positive attitude can help to motivate staff and reduce resistance
to change.
A positive attitude is irrelevant to the change process.
A positive attitude only benefits upper management.
A positive attitude ensures that changes are implemented without
discussion.
11. What is the primary focus of normative-reeducative strategies in change
management?
Providing training on new procedures
Addressing likely points of resistance before they can be stated by
nurses who are reluctant to change
Involving all staff in the decision-making process
Communicating the fact that change is necessary
12. Which factor is the greatest contributor to the resistance encountered with
organizational change?
Presence of employee mistrust
Insufficient staff involvement in the process
Poor organizational leadership
Ineffective organizational management
& Correct Answers | Graded A+
1. In a healthcare setting, if a nurse-manager has successfully implemented a
new patient care protocol, what action should they take during the refreezing
stage to ensure the protocol is sustained?
Immediately introduce another change to keep staff engaged.
Focus solely on rewarding those who adapted quickly.
Establish regular check-ins to monitor adherence to the new
protocol.
Conduct a survey to assess staff satisfaction with the change.
2. In a scenario where a hospital is facing significant pushback from staff
regarding a new policy, what strategy should a leader-manager employ to
facilitate acceptance of the change?
Engage in open dialogue with staff about the benefits of the new
policy.
Encourage staff to maintain the status quo.
Mobilize resistance in a respectful but assertive way.
Implement the policy immediately without staff input.
3. What is a key action a leader-manager should take during a planned change
in a healthcare setting?
Implementing the change as rapidly as possible
Demonstrating a positive attitude toward the prospect of change
Dialoguing with staff about the benefits of maintaining the status quo
Mobilizing resistance in a respectful but assertive way
,4. A team has been formed to consider a change in medication delivery. How
can the team leaders best promote a successful change?
Bring in outside experts to implement the change.
Enforce compliance with the change fairly and consistently.
When planning, involve as many people who will be affected by the
change as possible.
Implement the change as rapidly as possible in order to diffuse
resistance.
5. Which characteristic indicates that a healthcare organization may be
considered aged?
The organization used to be the largest in the region but is now
smaller than several similar organizations.
The organization was established more than 75 years ago.
The organization has a history of stifling innovation.
The organization is having difficulty attracting new graduates.
6. In a scenario where a nurse-manager faces significant resistance from staff
when implementing a new electronic health record system, what approach
should they take based on the understanding of resistance in change
management?
Implement power-coercive strategies to enforce compliance.
Reassess the need for the electronic health record system based on
resistance.
Ignore the resistance and proceed with the implementation as
planned.
, Engage staff in discussions to understand their concerns and
involve them in the implementation process.
7. In a scenario where a healthcare organization is implementing a new
electronic health record system, how should a nurse-manager approach the
team to facilitate acceptance of this change?
By delaying the implementation to avoid resistance.
By communicating a vision that emphasizes the benefits of the new
system for patient care.
By only discussing the technical aspects of the new system.
By mandating compliance without explanation.
8. "A 32-year-old female is considering enrolling in a weight management
program. Her BMI is 30 kg/m 2 . She acknowledges that her weight is causing
some negative health consequences & affecting her QOL. However, she feels
constrained by her work schedule, family & social
activities. Which of the following is most likely her current stage of change?
Preparation
Pre-contemplation"
Action
Contemplation
9. What phase of change are the nurses likely experiencing if they express
frustration about the quality of care?
Unfreezing phase
Implementation phase
Refreezing phase
, Movement phase
10. Why is it important for a leader-manager to demonstrate a positive attitude
during a change process?
A positive attitude can help to motivate staff and reduce resistance
to change.
A positive attitude is irrelevant to the change process.
A positive attitude only benefits upper management.
A positive attitude ensures that changes are implemented without
discussion.
11. What is the primary focus of normative-reeducative strategies in change
management?
Providing training on new procedures
Addressing likely points of resistance before they can be stated by
nurses who are reluctant to change
Involving all staff in the decision-making process
Communicating the fact that change is necessary
12. Which factor is the greatest contributor to the resistance encountered with
organizational change?
Presence of employee mistrust
Insufficient staff involvement in the process
Poor organizational leadership
Ineffective organizational management
