Chapter 15: Managing Change

Chapter 15: Managing Change

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

How should the nurse describe change?

1. Positive or negative, planned or unplanned
2. Prevented and managed
3. Negative, doesn’t have to occur, easily managed
4. Difficult and always negative

Correct Answer: 1

Rationale: Change can be positive or negative, planned or unplanned. Change is a part of everyone’s life; it is the way in which people grow, develop, and adapt. Change is inevitable and can not be prevented. Change can be spontaneous or unplanned, or also be a planned event. Change can be seen as both positive and negative depending on the event that the change is related to. With careful planning, communication, and ensuring employee confidence, change can be managed.

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: IV.C.5. Value local change (in individual practice or team practice on a unit) and its role in creating joy in work.

AACN Essential Competencies: II.12. Participate in the development and implementation of imaginative and creative strategies to enable systems to change.

NLN Competencies: Personal and Professional Development; Knowledge; Change, uncertainty, complexity theories

Nursing/Integrated Concepts: Implementation; Nursing Process

Learning Outcome: 1. Differentiate spontaneous, developmental, and planned change.

Page Number: p. 284

Question 2

The nurse is expected to use new intravenous equipment. After receiving instruction on the use, the nurse is still nervous about using the new equipment. What type of change is this nurse experiencing?

1. Planned change
2. Spontaneous change
3. Developmental change
4. Pendulum change

Correct Answer: 1

Rationale: Planned change is an intended, purposive attempt by an individual, group, organization, or larger social system to influence the status quo of itself, another organism, or a situation. Spontaneous change is not fully anticipated, it cannot be avoided, and there is little or no time to plan response strategies. Developmental change refers to physiopsychologic changes that occur during an individual’s life cycle or to the growth of an organization as it becomes more complex. Pendulum change refers to the ideal that, “I was wrong before, but now I’m right.”

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: IV.C.5. Value local change (in individual practice or team practice on a unit) and its role in creating joy in work.

AACN Essential Competencies: II.12. Participate in the development and implementation of imaginative and creative strategies to enable systems to change.

NLN Competencies: Personal and Professional Development; Knowledge; Change, uncertainty, complexity theories

Nursing/Integrated Concepts: Evaluation; Nursing Process

Learning Outcome: 1. Differentiate spontaneous, developmental, and planned change.

Page Number: p. 286

Question 3

Which statement explains the empirical-rational approach to planned change?

1. Using knowledge as the power ingredient and self-interest
2. Using command and control
3. Using sociocultural norms as the motivator
4. Using personalized 1:1 education

Correct Answer: 1

Rationale: The empirical-rational approach is based on two beliefs; that people are rational, and that they will change if it is in their self-interest. Command and control are characteristics of the power-coercive approach to change. Using sociocultural norms as the motivator is the normative-reeducative approach to change. Using personalized 1:1 education is not a characteristic of the empirical-rational approach to change.

Cognitive Level: Remembering

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: IV.C.5. Value local change (in individual practice or team practice on a unit) and its role in creating joy in work.

AACN Essential Competencies: II.12. Participate in the development and implementation of imaginative and creative strategies to enable systems to change.

NLN Competencies: Personal and Professional Development; Knowledge; Change, uncertainty, complexity theories

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Explain the empirical-rational, normative-reeducative, and power-coercive approaches to change.

Page Number: p. 286

Question 4

Which approach to change relies on interpersonal relationships as the power ingredient?

1. Empirical-rational
2. Technostructural
3. Normative-reeducative
4. Power-coercive

Correct Answer: 3

Rationale: The normative-reeducative approach is based on the assumption that human motivation depends on the sociocultural norms and the individual’s commitment to these norms. The empirical-rational approach is based on two beliefs; that people are rational, and that they will change if it is in their self-interest. The technostructural strategy alters the technology to access the social structure in groups or alters the social structure to get at technology. With the power-coercive approach, power lies with one or more persons of influence.

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: IV.C.5. Value local change (in individual practice or team practice on a unit) and its role in creating joy in work.

AACN Essential Competencies: II.12. Participate in the development and implementation of imaginative and creative strategies to enable systems to change.

NLN Competencies: Personal and Professional Development; Knowledge; Change, uncertainty, complexity theories

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Explain the empirical-rational, normative-reeducative, and power-coercive approaches to change.

Page Number: p. 287