NURS 6003 — MODULE 5 ASSIGNMENT
CHANGE IMPLEMENTATION AND MANAGEMENT PLAN COMPREHENSIVE PRACTICE
2026/2027 EDITION
Transition to Graduate Study for Nursing — Change Management Theories, Implementation Planning,
Stakeholder Engagement, and Sustainability
Course: NURS 6003 (Walden University) | Assignment: Module 5 - Change Implementation and Management
Plan | Format: 50 Multiple-Choice Questions (4 options, one best answer) | Suggested Time: 75 Minutes
ASSIGNMENT PREPARATION INSTRUCTIONS
1. This comprehensive practice set contains 50 questions in five sections: Change Management Theories &
Models (Q1–Q10); Change Implementation Planning (Q11–Q20); Stakeholder Engagement & Communication
(Q21–Q30); Barriers & Facilitators to Change (Q31–Q40); and Evaluation & Sustainability (Q41–Q50).
2. Each question has four options (A–D) with exactly one correct answer. Select the single best response.
3. In this study edition, the correct option is marked [CORRECT], and the answer with a full rationale appears
immediately below each question for self-assessment.
4. Cognitive coverage: 30% recall, 50% application, 20% analysis — approximately 75% of items are
scenario-based clinical change situations.
Independently prepared study material aligned to the NURS 6003 Module 5 topic area. This is a practice set and is not an official Walden
University assignment or exam paper.
Section 1: Change Management Theories & Models - Lewin, Kotter, Rogers,
Transtheoretical (10 Questions)
Q1. A nurse manager opens a staff meeting by sharing six months of unit fall data and near-miss reports, then
asks the team, "Is our current approach keeping patients as safe as they deserve?" According to Lewin's
Change Model, the manager is working primarily in which stage?
A. Moving, because new fall-prevention practices are being taught and practiced.
B. Refreezing, because the data will stabilize the current fall-prevention routine.
C. Unfreezing, because the data challenge the status quo and create dissatisfaction that prepares
the group for change. [CORRECT]
D. None of Lewin's stages, because Lewin's model applies only to individual behavior change, not to
units or organizations.
Correct Answer: C
Rationale: Unfreezing creates the felt need for change by disconfirming the status quo - exactly what presenting
gap and harm data is designed to do. Moving describes learning and trying the new practice, which has not yet
begun; refreezing locks in a completed change rather than questioning current practice; and Lewin's model applies
to groups and organizations, not only individuals.
NURS 6003 | Module 5: Change Implementation and Management Plan | 2026/2027 Edition Page 1 of 17
, Q2. After a successful 90-day rollout of a new bedside handoff protocol, the manager embeds the protocol in
unit policy, builds the checklist into the EHR, and adds it to orientation for every new hire. Which stage of
Lewin's model do these actions represent?
A. Unfreezing.
B. Refreezing. [CORRECT]
C. Moving.
D. Diffusion.
Correct Answer: B
Rationale: Refreezing stabilizes and hardwires the new practice so it becomes the standard way of working and
resists regression. Unfreezing creates readiness and moving is the active learning phase; "diffusion" belongs to
Rogers' innovation theory, not Lewin's model.
Q3. A graduate nursing student presents benchmarking data showing the unit's catheter-associated urinary
tract infection rate is nearly triple the national average, prompting leadership to act. In Kotter's 8-Step Model,
which step has the student executed?
A. Establishing a sense of urgency. [CORRECT]
B. Building the guiding coalition.
C. Developing a change vision.
D. Empowering broad-based action.
Correct Answer: A
Rationale: Compelling performance-gap data that mobilizes leadership to act is Kotter's first step - creating
urgency. The coalition, vision, and empowerment steps come later in the sequence.
Q4. Immediately after establishing urgency for a sepsis-bundle initiative, the change leader assembles a team
of a respected clinical nurse specialist, an intensivist, a pharmacist, an informatics nurse, and a front-line staff
nurse. In Kotter's model, this represents:
A. Generating short-term wins.
B. Communicating the change vision.
C. Anchoring new approaches in the culture.
D. Building (forming) a powerful guiding coalition. [CORRECT]
Correct Answer: D
Rationale: Kotter's second step pairs urgency with a credible, committed team possessing the position power,
expertise, and respect needed to lead the effort. Communicating the vision and generating wins are later steps,
and anchoring comes last.
NURS 6003 | Module 5: Change Implementation and Management Plan | 2026/2027 Edition Page 2 of 17
, Q5. Sixty days into a medication-safety initiative, the team publicizes that pilot-unit medication errors fell 22
percent and holds a celebration to recognize unit contributors. Which Kotter step does this illustrate, and why
does it matter?
A. Consolidating gains and producing more change, because the project is complete.
B. Generating short-term wins, which build credibility, reward contributors, and sustain
momentum for the harder work ahead. [CORRECT]
C. Declaring victory and disbanding the team, because the goal has been achieved.
D. Empowering broad-based action by removing the need for further measurement.
Correct Answer: B
Rationale: Visible, unambiguous wins within about a year validate the effort and keep skeptics and leadership
engaged - Kotter's step of creating short-term wins. Declaring victory too early is the classic error that allows
regression; consolidation comes later, and wins never eliminate the need for continued measurement.
Q6. Before committing to a new electronic documentation system, each nurse is allowed to use it personally
on a trial unit for two weeks. According to Rogers' Diffusion of Innovations theory, which attribute of the
innovation is the organization leveraging?
A. Relative advantage.
B. Compatibility.
C. Trialability. [CORRECT]
D. Observability.
Correct Answer: C
Rationale: Trialability - the ability to experiment with an innovation on a limited basis - lowers perceived risk and
accelerates adoption. Relative advantage is perceived superiority over current practice, compatibility is fit with
existing values and workflow, and observability is how visible the results are to others.
Q7. A change committee wants to accelerate adoption of a new wound-care protocol. According to Rogers'
adopter categories, which group should the committee recruit first, and why?
A. Early adopters, because they are respected opinion leaders whose endorsement persuades the
skeptical early majority. [CORRECT]
B. Innovators, because their venturesome nature makes them the most trusted voices for mainstream
staff.
C. The late majority, because they represent the largest share of staff and set the tone.
D. Laggards, because converting the most resistant users first guarantees success.
Correct Answer: A
Rationale: Early adopters are local opinion leaders whose visible use legitimizes an innovation for the early
majority; innovators are trusted less by mainstream staff precisely because they try everything, and the late
majority and laggards adopt only after most others have.
NURS 6003 | Module 5: Change Implementation and Management Plan | 2026/2027 Edition Page 3 of 17
CHANGE IMPLEMENTATION AND MANAGEMENT PLAN COMPREHENSIVE PRACTICE
2026/2027 EDITION
Transition to Graduate Study for Nursing — Change Management Theories, Implementation Planning,
Stakeholder Engagement, and Sustainability
Course: NURS 6003 (Walden University) | Assignment: Module 5 - Change Implementation and Management
Plan | Format: 50 Multiple-Choice Questions (4 options, one best answer) | Suggested Time: 75 Minutes
ASSIGNMENT PREPARATION INSTRUCTIONS
1. This comprehensive practice set contains 50 questions in five sections: Change Management Theories &
Models (Q1–Q10); Change Implementation Planning (Q11–Q20); Stakeholder Engagement & Communication
(Q21–Q30); Barriers & Facilitators to Change (Q31–Q40); and Evaluation & Sustainability (Q41–Q50).
2. Each question has four options (A–D) with exactly one correct answer. Select the single best response.
3. In this study edition, the correct option is marked [CORRECT], and the answer with a full rationale appears
immediately below each question for self-assessment.
4. Cognitive coverage: 30% recall, 50% application, 20% analysis — approximately 75% of items are
scenario-based clinical change situations.
Independently prepared study material aligned to the NURS 6003 Module 5 topic area. This is a practice set and is not an official Walden
University assignment or exam paper.
Section 1: Change Management Theories & Models - Lewin, Kotter, Rogers,
Transtheoretical (10 Questions)
Q1. A nurse manager opens a staff meeting by sharing six months of unit fall data and near-miss reports, then
asks the team, "Is our current approach keeping patients as safe as they deserve?" According to Lewin's
Change Model, the manager is working primarily in which stage?
A. Moving, because new fall-prevention practices are being taught and practiced.
B. Refreezing, because the data will stabilize the current fall-prevention routine.
C. Unfreezing, because the data challenge the status quo and create dissatisfaction that prepares
the group for change. [CORRECT]
D. None of Lewin's stages, because Lewin's model applies only to individual behavior change, not to
units or organizations.
Correct Answer: C
Rationale: Unfreezing creates the felt need for change by disconfirming the status quo - exactly what presenting
gap and harm data is designed to do. Moving describes learning and trying the new practice, which has not yet
begun; refreezing locks in a completed change rather than questioning current practice; and Lewin's model applies
to groups and organizations, not only individuals.
NURS 6003 | Module 5: Change Implementation and Management Plan | 2026/2027 Edition Page 1 of 17
, Q2. After a successful 90-day rollout of a new bedside handoff protocol, the manager embeds the protocol in
unit policy, builds the checklist into the EHR, and adds it to orientation for every new hire. Which stage of
Lewin's model do these actions represent?
A. Unfreezing.
B. Refreezing. [CORRECT]
C. Moving.
D. Diffusion.
Correct Answer: B
Rationale: Refreezing stabilizes and hardwires the new practice so it becomes the standard way of working and
resists regression. Unfreezing creates readiness and moving is the active learning phase; "diffusion" belongs to
Rogers' innovation theory, not Lewin's model.
Q3. A graduate nursing student presents benchmarking data showing the unit's catheter-associated urinary
tract infection rate is nearly triple the national average, prompting leadership to act. In Kotter's 8-Step Model,
which step has the student executed?
A. Establishing a sense of urgency. [CORRECT]
B. Building the guiding coalition.
C. Developing a change vision.
D. Empowering broad-based action.
Correct Answer: A
Rationale: Compelling performance-gap data that mobilizes leadership to act is Kotter's first step - creating
urgency. The coalition, vision, and empowerment steps come later in the sequence.
Q4. Immediately after establishing urgency for a sepsis-bundle initiative, the change leader assembles a team
of a respected clinical nurse specialist, an intensivist, a pharmacist, an informatics nurse, and a front-line staff
nurse. In Kotter's model, this represents:
A. Generating short-term wins.
B. Communicating the change vision.
C. Anchoring new approaches in the culture.
D. Building (forming) a powerful guiding coalition. [CORRECT]
Correct Answer: D
Rationale: Kotter's second step pairs urgency with a credible, committed team possessing the position power,
expertise, and respect needed to lead the effort. Communicating the vision and generating wins are later steps,
and anchoring comes last.
NURS 6003 | Module 5: Change Implementation and Management Plan | 2026/2027 Edition Page 2 of 17
, Q5. Sixty days into a medication-safety initiative, the team publicizes that pilot-unit medication errors fell 22
percent and holds a celebration to recognize unit contributors. Which Kotter step does this illustrate, and why
does it matter?
A. Consolidating gains and producing more change, because the project is complete.
B. Generating short-term wins, which build credibility, reward contributors, and sustain
momentum for the harder work ahead. [CORRECT]
C. Declaring victory and disbanding the team, because the goal has been achieved.
D. Empowering broad-based action by removing the need for further measurement.
Correct Answer: B
Rationale: Visible, unambiguous wins within about a year validate the effort and keep skeptics and leadership
engaged - Kotter's step of creating short-term wins. Declaring victory too early is the classic error that allows
regression; consolidation comes later, and wins never eliminate the need for continued measurement.
Q6. Before committing to a new electronic documentation system, each nurse is allowed to use it personally
on a trial unit for two weeks. According to Rogers' Diffusion of Innovations theory, which attribute of the
innovation is the organization leveraging?
A. Relative advantage.
B. Compatibility.
C. Trialability. [CORRECT]
D. Observability.
Correct Answer: C
Rationale: Trialability - the ability to experiment with an innovation on a limited basis - lowers perceived risk and
accelerates adoption. Relative advantage is perceived superiority over current practice, compatibility is fit with
existing values and workflow, and observability is how visible the results are to others.
Q7. A change committee wants to accelerate adoption of a new wound-care protocol. According to Rogers'
adopter categories, which group should the committee recruit first, and why?
A. Early adopters, because they are respected opinion leaders whose endorsement persuades the
skeptical early majority. [CORRECT]
B. Innovators, because their venturesome nature makes them the most trusted voices for mainstream
staff.
C. The late majority, because they represent the largest share of staff and set the tone.
D. Laggards, because converting the most resistant users first guarantees success.
Correct Answer: A
Rationale: Early adopters are local opinion leaders whose visible use legitimizes an innovation for the early
majority; innovators are trusted less by mainstream staff precisely because they try everything, and the late
majority and laggards adopt only after most others have.
NURS 6003 | Module 5: Change Implementation and Management Plan | 2026/2027 Edition Page 3 of 17
