Nursing 420 - Principles of Leadership and Management » Spring 2024 » Week 3 Video Case Ch. 8 Change Management

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Question #1
Which activity would the nurse manager expect in the unfreezing stage of change?
A.   Being present to support others through the implementation of the change
B.   Developing appropriate strategies to implement the change
C.   Setting target dates for the implementation of the change
D.   Making others aware of the need for the change to be implemented
Question #2
Which restraining force would the nursing leadership team identify when planning to implement a new self-scheduling system?
A.   A staff-based committee comprised of rotating staff members who oversee the self-scheduling process
B.   The vacancies of two full-time night employees
C.   The possibility of additional days off when two weekly schedules are combined into one schedule
D.   The opportunity to work twelve-hour shifts for those that are interested in doing so
Question #3
A new nurse manager on a med-surg unit is not satisfied with the consistently low scores on patient-satisfaction surveys in the area of staff responsiveness. The manager has also noticed that staff morale is quite low compared to other units. Which strategy is a priority for this new nurse manager?
A.   Inquire about strategies being used in other areas of the hospital to improve patient satisfaction.
B.   Develop an action plan to address the patient safety results.
C.   Request assistance in dealing with this situation from another nurse manager on a similar unit.
D.   Schedule a special staff meeting to address the survey results and add 'patient survey results' as a standing agenda item for each monthly staff meeting.
Question #4
Which response by the nurse manager is most appropriate when overhearing staff complaints about a new hospital-wide process to improve patient ID band identification?
A.   I hear your concerns and they are important to me, but this is a hospital mandate, so we have to work together to figure out how our unit can comply.
B.   I've put this topic on the agenda for next month's staff meeting so we can discuss it there.
C.   I understand your concerns, but since patient safety is our number one goal, we have to learn to make this work.
D.   Let's start today with addressing these new patient ID bands in every huddle, and then I'll send a memo before calling a special meeting to discuss this by the end of the week.
Question #5
The new evening charge nurse recalls that there are both internal as well as external forces that influence changes on a unit. In a staff meeting, she explains that what is NOT an external force?
A.   A patient safety report from the Hospital Safety Officer revealing that medication errors have increased by 15% across all inpatient units
B.   Demands from the collective bargaining union to increase wages of unlicensed assistive personnel
C.   A memo from the Director of Nursing requesting staff consider carpooling to cut down on overfilled parking lots
D.   Low morale of the unit staff due to several unexpected resignations

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