When teaching a group of nursing and midwifery students about change management, the

following information would be most appropriate for the instructor to include EXCEPT:

Select one:

a. Change management is a system used to anticipate, activate and accelerate engagement

• b. Change management is critical to project management because projects are intended to

create changes

• c. Change management incorporates the organizational tools that can be utilized to help
individuals make successful personal transitions

• d. Change management views change that is something planned

2.Which of the following is an important assumption to make about change?

Select one:

a. A positive change represents a gain for everyone affected by the change

• b. The fewer the people involved in the process, the more likely the change will be accepted

c. When a series of changes is desired, it is more efficient to implement them all at once

• d. The shorter the gap between change initiator and decision maker, the more likely the change
will be implemented

3.Which delivery model of care, is a recent addition to care delivery structures?

Select one:

• a. Differentiated Practice

• b. Critical Pathways

• c. Clinical Microsystems

d. Synergy Model of Care

4.The concept of case management was first introduced in which year?

Select one:

• a. 19705

•b. 19005
• c. 18005

d. 1950s

5.Which nursing care delivery model focus on the adage "let's all work together".

Select one:

• a. The Functional nursing care delivery

b. The Team Nursing Care Delivery Model

c. The Total Patient Care Delivery Model

• d. The Primary Nursing Care Delivery Model

6.Gaining trust is a fundamental element in planned change. Which process or behavior would
hinder the development of trust?

Select one:

a. Providing only information deemed necessary by formal leaders

• b. Achieving buy-in from formal and informal leaders

c. Including all interested parties in the planning of the change

d. Providing all necessary information

7.According to Kurt Lewin, in which of the following stages of change is initiated after a careful
proces: of planning?

Select one:

O a. Moving

• b. Freezing

• c. Transforming

d. Unfreezing

8.Which change strategy is represented by changing the location of unit patient information
boards so the information cannot be seen except by those who need the information in order to
provide patient care?

Select one:

a. Rational-empirical
b. Normative-re-educative

c. Notional-intuitive

d. Power-coercive

9.The following are the Characteristics of Time

ХСЕPТ:

select one:

• a. Time is irreplaceable

• b. Time is precious

• c. Time is the most limiting factors of executing effectiveness.

d. Time spent keeping things ticking over.

10. Gaining trust is a fundamental element in planned change. Which process or behavior would
hinder the development of trust?

Select one:

a. Providing only information deemed necessary by formal leaders

b. Achieving buy-in from formal and informal leaders

c. Including all interested parties in the planning of the change

d. Providing all necessary information

11. By separating a change out into how things are done today, how things will be done and
how to move from the current state to the future state, change can be more effectively managed
as:

Select one:

a. Specific tactics can be developed for each of the states of change

b. The nurse can requests a schedule change due to a personal issue.

c. Employees generally prefer the current state

d. The future state is unknown to the employee.

12. There is an evidence that planning for change can be beneficial for all. Which sequence
would be best for the nurse/midwife to use when planning change?

Select one:

a. Communicating, problem solving, managing, and self-evaluating

b. Determining what to change, evaluating possible resistance, determining the appropriate rate
and degree of change

c. Planning, checking, implementing and evaluating

d. Unfreezing freezing and refreezing

13. The model of nursing care delivery in which the role of the nurse is broadened to coordinate
a team of multifunctional unit-based caregivers is known as:

Select one:

a Differentiated practice models

b. Case Management

c. c Partnership model

d. Patient Centered Care

14. Which phrase best describes the phases of change?

Select one:

a. Change is a natural process of individuals, groups, organizations, and society.

b. Change is any alteration in the current work environment

c. Change is the process of moving from one state current state to another future state

d. Change is the process of making something different from what it was.

15.Which change model is useful for individual change

Select one:

.a. innovation -decision process

• b. Learning Organizations

• c. Chaos theories

• d. Lewin's Force-Field Model

16. The change agent can increase the likelihood of the success of planned change by:_

Select one:

O a. implementing the change rapidly to prevent development of the objections

b. Including only formal leaders in planning the change to ensure management

support

c. Instituting the change process during a period of low staffing so fewer people will be affected

d. Being sensitive to the internal and external environment of the organization to ensure the
change

e.

17. Which delivery model of care, does the goal of the nursing staffs not to manage a disease
but to change how daily care is delivered by clinical teams? Instead of reacting to changes in the
patient's condition, the team provides proactive interventions.

Select one:

a. Synergy Model of Care

b. Differentiated Practice

c. Clinical Microsystems

d. The chronic care model

18.The central issue to creating change is never just strategy, structure, culture, or systems.

The core of the matter is always about:

Select one:

a. Changing behavior of people and the organization

b. Changing behavior of people, organizations and its processes

c. Changing the status quo of the organization

d. Changing behavior of people

19.The concept of case management was first introduced in which year?

Select one:
• a. 19705

• b. 1900s

c. 18005

d. 1950s

20.For people to consistently behave in a new way in change management approaches, some
conditions must be met which include the following EXCEPT that the person must:

Select one:

a. Be aware of what the new desired behavior is

b. Adapt and conform Organizational goals

c. Have the skills to perform the desired behavior successfully

d. Be motivated to change his/her old behavior

21.The decision-making process that results in a systematic order in which to accomplish

identified tasks is known as:

Select one.

a. Protection

• b. Prioritization

c Procrastination

d. Perfectionism

22. Responsibilities of the case manager include all of the following EXCEPT?

Select one:

a. Assessing client's and their homes and communities

b. b. Coordinating and planning

c. Monitoring and evaluating client's progress and outcomes

d. Reviewing the client's history and current status

23. Change Management efforts can be based on which of the following factors?
Select one:

a. Validated and reliable tools and processes

b. Authenticated and consistent structures and

processes

c. Validated and reliable culture or systems

d. Adjusted strategies to fit the current

situation

24.Which change model is useful for individual change

Select one:

O a. Innovation-decision process

• b. Learning Organizations

c. Chaos theories

O d. Lewin's Force-Field Model

25.Which delivery model of care is commonly used by Magnet-certified hospitals?

Select one:

a. The patient-centered care model

b. Differentiated Practice

c. Clinical Microsystems

d. The chronic care model

26.Resistance to change is part of organizational life.

Which action (s) would be most effective in approaching this resistance?

Select one:

• a. Containing the anxiety in a small group and moving forward with the initiative

• b. Reprimanding those who oppose the new initiative

O c. Ignoring the environmental chart

d. Seeking guidance from staff

27.To implement a program of change a nurse manager must be aware of the following EXCEPT:

Select one:

a. Aware of the way people in an organization

react to change

b. What techniques can be used to modify change

c. Why change effort fail

d. Perception that the change will bring an

economic gain

28. Which phrase best describes the phases of change?

Select one:

a. Change is a natural process of individuals, groups, organizations, and society.

b. Change is any alteration in the current work environment

c. Change is the process of moving from one state current state to another future state

d. d. Change is the process of making

29.Which delivery model of care is commonly used by Magnet-certified hospitals?

Select one:

a. The patient-centered care model

b. Differentiated Practice

c. Clinical Microsystems

d. The chronic care model

30. By separating a change out into how things are done today, how things will be done and
how to move from the current state to the future state, change can be more effectively managed
as:

Select one:
`

b. The nurse can requests a schedule change due to a personal issue.

C. Employees generally prefer the current state

d. The future state is unknown to the employee.

31.Which of the following NCDs may not fit well in the new health care system?

Select one:

a. Total patient care

b. Functional Nursing

c. Team Nursing

d. Modular Nursing

A new-grad RN is working with the CNA on the team, and realizes at the end of the
day that they didn't delegate any tasks to the CNA, so the nurse has not finished all of
the work needed for the day and now will need to work overtime. What is the likely
reason for this lack of time management by the RN?
a. The nurse doesn't have the communication skills needed
b. The nurse doesn't want to have overdependence on others
c. The nurse may worry that no one else can do the tasks as well as an RN can
d. The nurse knows that the state nurse practice act is very strict on what can be
delegated