Test Bank for Leadership in Nursing Practice Changing

Test Bank for Leadership in Nursing Practice Changing the Landscape of Health Care, 3e Daniel Weberg, Mangold, O'Grady, Malloch (All Chapters)

Chapter 1

1. Change is:

• an alteration of the current state.
• normative in a complex system.
• something to be minimized in a linear system.

*d. All of these are correct.

• A hospital or healthcare facility that begins to offer a concierge

service to assist patients with setting up and getting to appointments as well as navigating throughout the facil ity is an example of which of the following?

• Change
• Modernization
• Digitization

*d. Innovation

• The dynamics of change and innovation are best understood and

advanced when several things are known. These include:

• key stakeholders of the work to be changed (who).
• a rationale for the change (why).
• the content to be changed (what).
• the timing for the change (when).
• the technique to change effectively (how).
• key stakeholders of the work to be changed (who), a rationale

for the change (why), and the timing for the change (when .*g. All of these are correct.

• An awareness of personal change abilities is important fo r a leader.

This includes:

• the need to understand personal comfort and competence with

change.

• an assessment of strengths specific to the ability to identify

critical issues for change.

• the ability to overcome obstacles.
• both the need to u nderstand personal comfort and competence

with change and an assessment of strengths specific to the ability to identify critical issues for change.*e. All of these are correct.

• / 4

• Change should be considered if all of the following are true except

when:

• safety is enhanced.
• new evidence is available.

*c. cost is not an issue.

• excellence is advanced.

6. Reasons not to change include:

• a lack of compelling evidence.
• when there is no significant risk to patients and employees.
• isolated issues that are closely linked with individual

performance rather than system performance.

• indications that an intervention or change is more likely to

be a fad of the moment.*e. All of these are correct.

7. Competencies that are essenti al for change effectiveness include:

• personal knowledge and accountability for one's own strengt hs

and limitations specific to change and innovation, including technical capability and computer literacy.

• understanding the essence of change and inn ovation concepts as

well as the tools of innovation.

• the ability to collaborate and fully engage team members.
• competence in embracing vulnerability and risk taking.
• personal knowledge and accountability for one's own strengths

and limitations specific to change and innovation, including technical capability and computer literacy, understandin g the essence of change and innovation concepts as well as the tools of innovation; and competence in embracing vulnerability; and risk taking.*f. All of these are correct.

• You are asked to lead a committee to update the emergency room at

your facility. As leader, you recommend analyzing workflows, taking photos, and interviewing current members of the staff to ensure the proper needs of the departme nt are being met and to achieve the desired outcome. Which tool have you chosen to advance this chang e and innovation?

*a. Deep dive

• Directed creativity
• Mind mapping
• Brainstorming

9. Rational risk taking is:

• taking risks for the right reasons.
• focused. 2 / 4

• consistent.
• viewed negatively.

*e. taking risks for the right reasons , focused, and consistent are correct.

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Chapter 2

1. All of the following are considered elements of a profession except:

• great knowledge.
• important work.
• making a difference.

*d. being governed by another profession.

2. Membership in a profession is earned by:

*a. obtaining a unique body of knowledge.

• joining an organization.
• applying for a position.
• None of these is correct.

• You were a nurse for 20 years and decided to take a break for a

while to pursue other interests. You started a business which has become successful and you have no thoughts of practicing nursing again; however, you would be able to practice as long as what is kept active?

*a. License

• Membership
• Continuing education
• Job vacancy

• The concept of professionalism providing a socially sanctioned or

mandated service means that:

• licensing regulations may exist.
• the mandate includes language about the service that is

provided.

• competence is necessary to hold membership.
• there are penalties for nonperformance or professional wrongs.

*e. All of these are correct.

• A nurse notices that it is much more difficult to provide proper

nursing care on the 3 -11 shift than it is on the 7 -3 shift. She documents her findings, presents them to the supervisor, and it is found that there are fewer staff members employed on the 3 -11 shift than on the 7-3 shift. This documentation and systematic method of presenting the facts to achieve a desired outcome is an example of which of the following?

• Knowledge-based practice

*b. Evidentiary dynamics

• Patient autonomy
• Social mandates

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