Chapter 11 Verified Test Bank Change And Innovation

Chapter 11. Change and Innovation

Questions

Multiple Choice

1. Why is it important to understand theories of change?

1. Understanding theories assists us to move from being reactive to proactive.

2. Understanding theories helps us to realize the empirical-rational nature of man.

3. Understanding theories explains human motivation and norms within groups.

4. Understanding theories describes the driving forces that support change.

Answer: _____

2. Which is the best description of unfreezing in Lewin’s classic change model?

1. The existing structure is rearranged and realistic goals are set.

2. Activities occur that disrupt the existing balance in the system.

3. Focus is placed on maintaining the goal that has been reached.

4. A new normal and balance are achieved while behavior is reinforced.

Answer: _____

3. Which concepts are part of Havelock’s system and process model?

1. Consultation

2. Communication

3. Environmental considerations

4. Interpersonal relationships

Answer: _____

4. Which describes the role of the change agent as coordinator, as described by Lippitt in the moving phase of change?

1. The change agent as manager plans, organizes, and directs efforts.

2. The change agent is the expert on methods and change strategies.

3. The change agent seeks, clarifies, and provides information.

4. The change agent acts as the expert, trainer, and collaborator.

Answer: _____

5. Which theorist developed the model that has a five-stage view of change: knowledge, persuasion, decision, implementation, and confirmation?

1. Havelock

2. Lippitt

3. Rogers

4. Lewin

Answer: _____

6. How does the Diffusion of Innovations model apply to nursing practice today?

1. It requires the change agent to be an experienced nurse.

2. It suggests a need for self-renewal for the patient.

3. It recognizes the need for new, advanced approaches.

4. It provides for the nurse’s perception of patient needs.

Answer: _____

7. A spiral with five stages of change (precontemplation, contemplation, preparation, action, and maintenance) is associated with which theory of change?

1. Field theory

2. Diffusion of innovations

3. Transtheoretical approach

4. Psychological process of change

Answer: _____

8. Which theorist is associated with the psychological processes of change?

1. Rogers

2. Bridges

3. Lewin

4. Lippitt

Answer: _____

9. What is the “Joy in Work” initiative by the Institute for Healthcare Improvement (IHI) intended to address?

1. The negative attitudes present in older staff members

2. The high rates of professional burnout in healthcare

3. The needs of new graduate nurses entering the workforce

4. The increase in medical errors due to fatigue and stress

Answer: _____

10. To view organizational change, which approach should one use to view the internal and external forces?

1. Singular system

2. Multisystem

3. Collaborative system

4. Limited system

Answer: _____

Multiple Response

11. Which did Lippitt identify as human behaviors that must be considered in his theory of change? Select all that apply.

1. Environmental causation

2. Human motivation

3. Multiple causation

4. Over-rationalized habits

5. Varied life stages

Answer: _____

12. Which are the components of Rogers’s Diffusion of Innovations five-stage model of change? Select all that apply.

1. Persuasion

2. Knowledge

3. Confirmation

4. Tolerance

5. Diagnosis

Answer: _____

13. Which is/are part of the first stage of the psychological processes of change? Select all that apply.

1. Ending

2. Losing

3. Letting go

4. Evaluating

5. Assessment

Answer: _____

14. Which is/are the skills of a change agent? Select all that apply.

1. Creativity

2. Conflict management

3. Perseverance

4. Vision for the future

5. Care planning

Answer: _____

15. Which are strategies used to get patient involvement to create lasting change? Select all that apply.

1. Education

2. Socialization

3. Contemplation

4. Letting go

5. Facilitation

Answer: _____