Chapter 15: Leading Change and Managing Conflict

MULTIPLE CHOICE

1. Which traditional change model would be indicated for a health-care organization that is looking to implement technological changes?

1. Innovation decision process

2. Force-field model

3. Phases of change model

4. Eight-stage model of creating change

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2. Which information is represented by the framed question, “how” of change?

1. Participant stakeholders

2. Rationale

3. Timing

4. Technique

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3. Which action by a nurse manager would be viewed as a barrier to change in the clinical setting?

1. Instilling confidence in staff by acknowledging competence

2. Limiting communication among members of staff

3. Allowing staff members to apply for another job in the facility

4. Fostering a collaborative approach among staff

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4. In a hospital setting, there appears to be conflict between two nurses, one who works in the emergency department and the other who works in the operating room. What type of conflict could be applied to this situation?

1. Intrapersonal

2. Organizational

3. Interpersonal

4. Intergroup

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5. A nurse manager is viewed by the nursing staff as aggressive and power driven to any identified conflict on the unit. What type of conflict management strategy is being displayed?

1. Accommodating

2. Competing

3. Avoidance

4. Collaborating

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6. Nurses on a medical-surgical unit are reluctant to suggest any changes at a staff meeting as to how policies and procedures are implemented on the unit because in the past, the nurse manager has listened but not included any of their suggestions and just places her own ideas to direct change. The nurse manager views this process as being evidence of compromise, but the staff does not feel that this has occurred. What type of conflict are the staff nurses experiencing?

1. Avoiding
2. Competing
3. Compromising
4. Collaborating

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MULTIPLE RESPONSE

7. When considering implementing a traditional change theory in clinical practice, what expectations would be evident? Select all that apply.

1. Expected change would be sequential.

2. No further action is required once the change has been implemented.

3. Stakeholders must be vested in the change process.

4. The change can be applied without additional instruction.

5. In order to integrate the change, each step of the process must be completed.

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8. Which characteristics are attributed to emerging change theories? Select all that apply.

1. Are linear in nature

2. Have inherent complexity

3. Exhibit flexibility

4. Can be classified as simplistic and cyclical in appearance

5. Are dynamic

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9. Which behaviors are considered to be common human responses to change? Select all that apply.

1. Universal equivocal acceptance

2. Adjustment period needed

3. Resistance

4. Feeling threatened by the change

5. Not needing further explanations

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10. Which elements should be included in nurse leaders’ and managers’ responses in handling conflict in the clinical care setting? Select all that apply.

1. Assessing needs versus wants

2. Reminding staff that every member should be treated with respect

3. Emphasizing the importance of listening

4. Focusing on “we” rather than “I”

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