lOMoAR cPSD| 47061011
Chapter 02: Change and Innovation
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. A hospital system is implementing an electronic health record. The facility conducts education
and training for nursing staff, medical staff, and ancillary staff over a period of 6 months. This
is an example of:
a. emergent change.
b. planned change.
c. transformation.
d. innovation.
ANS: B
Planned change is a decision to make a deliberate effort to improve a system.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The use of a new idea or method is the definition of:
a. change.
b. innovation.
c. resistance.
d. stereotyping.
ANS: B
Innovation is the use of a new idea or method.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The chief nursing officer (CNO) of a hospital system works with senior leadership for approval
to initiate an electronic health system. He recruits a nursing informaticist and a chief medical
informatics officer to begin the process of planning the education and rollout of the new
electronic system. The CNO could be viewed as the: a. resister.
b. innovator.
c. change agent.
d. strategist.
ANS: C
, lOMoAR cPSD| 47061011
The change agent is a person or thing that produces a particular effect or change. The change
agent can be a person who functions as a change facilitator.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A small critical care unit forms a team of nurses to implement bedside rounds at shift change.
The nurses have researched the efficacy of bedside rounds and have determined that this
evidence-based practice will lead to improved communication of patient status. Which type of
change does this demonstrate?
a. Transforming care at the bedside
b. Second-order change
c. Emergent change
d. Organizational change
ANS: A
Transforming care at the bedside was an initiative created to improve quality and safety on
medical-surgical acute care units by engaging in changes to improve practice.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
5. How is the refreezing stage of change similar to the nursing process?
a. Refreezing is similar to the assessment phase of the nursing process.
b. Refreezing is similar to the problem identification phase of the nursing process.
c. Refreezing is like the planning and implementation phase of the nursing process.
d. Refreezing is like evaluation in the nursing process.
ANS: D
Refreezing is like evaluation in the nursing process.
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Which of the following factors is used to describe the degree to which successful planned
change is thought to be better than the status quo? a. Complexity
b. Compatibility
c. Trialability
d. Relative advantage
ANS: D
Chapter 02: Change and Innovation
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. A hospital system is implementing an electronic health record. The facility conducts education
and training for nursing staff, medical staff, and ancillary staff over a period of 6 months. This
is an example of:
a. emergent change.
b. planned change.
c. transformation.
d. innovation.
ANS: B
Planned change is a decision to make a deliberate effort to improve a system.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The use of a new idea or method is the definition of:
a. change.
b. innovation.
c. resistance.
d. stereotyping.
ANS: B
Innovation is the use of a new idea or method.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The chief nursing officer (CNO) of a hospital system works with senior leadership for approval
to initiate an electronic health system. He recruits a nursing informaticist and a chief medical
informatics officer to begin the process of planning the education and rollout of the new
electronic system. The CNO could be viewed as the: a. resister.
b. innovator.
c. change agent.
d. strategist.
ANS: C
, lOMoAR cPSD| 47061011
The change agent is a person or thing that produces a particular effect or change. The change
agent can be a person who functions as a change facilitator.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A small critical care unit forms a team of nurses to implement bedside rounds at shift change.
The nurses have researched the efficacy of bedside rounds and have determined that this
evidence-based practice will lead to improved communication of patient status. Which type of
change does this demonstrate?
a. Transforming care at the bedside
b. Second-order change
c. Emergent change
d. Organizational change
ANS: A
Transforming care at the bedside was an initiative created to improve quality and safety on
medical-surgical acute care units by engaging in changes to improve practice.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
5. How is the refreezing stage of change similar to the nursing process?
a. Refreezing is similar to the assessment phase of the nursing process.
b. Refreezing is similar to the problem identification phase of the nursing process.
c. Refreezing is like the planning and implementation phase of the nursing process.
d. Refreezing is like evaluation in the nursing process.
ANS: D
Refreezing is like evaluation in the nursing process.
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Which of the following factors is used to describe the degree to which successful planned
change is thought to be better than the status quo? a. Complexity
b. Compatibility
c. Trialability
d. Relative advantage
ANS: D
