D221 NURS 3630 Organizational Systems & Healthcare Transformation Final Exam Review Q & A 2026 (Complete And Verified Study material) (16pages) LEARNEXAMS

1. A nursing unit is transitioning to a patient-centered care model. Which organizational change theory best supports this transformation? a) Lewin's Change Theory b) Lippitt's Phases of Change Theory c) Kotter's 8-Step Change Model d) Havelock's Change Model Answer: a) Lewin's Change Theory Rationale: Lewin's Change Theory, with its three stages of unfreezing, changing, and refreezing, is particularly suited to healthcare settings where changes in patient care models require careful planning and solidification of new practices. 2. In the context of healthcare transformation, what is the primary purpose of implementing an Electronic Health Record (EHR) system? a) To reduce the use of paper in the clinic b) To facilitate billing processes c) To improve patient care coordination d) To comply with healthcare policies Answer: c) To improve patient care coordination Rationale: While EHRs have multiple benefits, their primary purpose in the context of healthcare transformation is to improve patient care coordination by providing a comprehensive and accessible patient history. 3. Which quality improvement model focuses on rapid, small-scale testing of changes before full-scale implementation? a) Total Quality Management (TQM) b) Six Sigma c) Plan-Do-Study-Act (PDSA) Cycle d) Continuous Quality Improvement (CQI) Answer: c) Plan-Do-Study-Act (PDSA) Cycle Rationale: The PDSA Cycle is designed for rapid testing of changes, allowing for adjustments based on results before wider adoption, making it ideal for iterative quality improvement. 4. A nurse leader is advocating for a shift to a more decentralized organizational structure. What is a potential benefit of this change? a) Increased central control over decision-making