Leadership Chapter 18 (Exam 3) UPDATED
ACTUAL Exam Questions and CORRECT
Answers
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. - CORRECT ANSWER - nonlinear.
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.
c. credible, enthusiastic
d. communicative, personable - CORRECT ANSWER - credible, enthusiastic
The nurse manager frequently interacts with staff and other hospice facility employees.
Communication is purposeful because the manager assesses current issues, such as specific
satisfactions and dissatisfactions with the newly implemented computerized documentation
system. Informally, the manager gathers available staff members to address similar learning
needs. Many times, staff members are found coaching other staff about improving use of the new
system. According to Senge (1990), the activities demonstrated in this example are:
a. dialogue, team learning.
b. resilience, personal mastery.
c. shared vision, systems thinking.
d. mental models, teachable moments. - CORRECT ANSWER - dialogue, team learning.
, The clinical coordinator expects the position description of the new wound care specialist to
change nurses' responsibilities in caring for clients with skin integrity problems. The best
approach to address this need for change, yet to have the best outcomes for clients, staff nurses,
and the organization, is to:
a. select one of the change models.
b. use Lewin's model and principles of change.
c. apply both planned and complexity theory approaches.
d. form a task force of nursing staff and wound care specialists. - CORRECT ANSWER -
apply both planned and complexity theory approaches.
Complex change situations require that the change leader promote ongoing visioning among staff
members. One strategy is to:
a. consciously evaluate invisible mental models.
b. allow for individual outcomes.
c. encourage cooperative activities.
d. operate between order and disorder. - CORRECT ANSWER - consciously evaluate
invisible mental models.
To effectively achieve a change goal/outcome in a change situation, the wound care specialist
will:
a. preserve the status quo.
b. diminish facilitators and reinforce barriers.
c. weigh the strength of forces.
d. strengthen facilitating forces. - CORRECT ANSWER - strengthen facilitating forces.
The wound care nurse decided to involve those to be affected by change early in the change
management process. This can positively result in:
a. coordination.
b. resistance.
c. anticipation.
ACTUAL Exam Questions and CORRECT
Answers
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. - CORRECT ANSWER - nonlinear.
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.
c. credible, enthusiastic
d. communicative, personable - CORRECT ANSWER - credible, enthusiastic
The nurse manager frequently interacts with staff and other hospice facility employees.
Communication is purposeful because the manager assesses current issues, such as specific
satisfactions and dissatisfactions with the newly implemented computerized documentation
system. Informally, the manager gathers available staff members to address similar learning
needs. Many times, staff members are found coaching other staff about improving use of the new
system. According to Senge (1990), the activities demonstrated in this example are:
a. dialogue, team learning.
b. resilience, personal mastery.
c. shared vision, systems thinking.
d. mental models, teachable moments. - CORRECT ANSWER - dialogue, team learning.
, The clinical coordinator expects the position description of the new wound care specialist to
change nurses' responsibilities in caring for clients with skin integrity problems. The best
approach to address this need for change, yet to have the best outcomes for clients, staff nurses,
and the organization, is to:
a. select one of the change models.
b. use Lewin's model and principles of change.
c. apply both planned and complexity theory approaches.
d. form a task force of nursing staff and wound care specialists. - CORRECT ANSWER -
apply both planned and complexity theory approaches.
Complex change situations require that the change leader promote ongoing visioning among staff
members. One strategy is to:
a. consciously evaluate invisible mental models.
b. allow for individual outcomes.
c. encourage cooperative activities.
d. operate between order and disorder. - CORRECT ANSWER - consciously evaluate
invisible mental models.
To effectively achieve a change goal/outcome in a change situation, the wound care specialist
will:
a. preserve the status quo.
b. diminish facilitators and reinforce barriers.
c. weigh the strength of forces.
d. strengthen facilitating forces. - CORRECT ANSWER - strengthen facilitating forces.
The wound care nurse decided to involve those to be affected by change early in the change
management process. This can positively result in:
a. coordination.
b. resistance.
c. anticipation.
