NURS 550 EXAM 2 PRACTICE SOLUTION 2026
QUESTIONS WITH COMPLETE CORRECT
ANSWERS
◉ Resisting. Answer: ______ change conflicts with nursing's
processional values and ethics, nurses are obligated to adapt
practice to reflect best practice, safest, relevant care.
-Change is NECESSARY for growth and sustainability of an
organization
-Need to communicate the WHO, WHY, WHAT, WHEN and HOW of
change
◉ Who, why, what, when & how of Change. Answer: •Who - key
stakeholders of the work to be changed
•Why - rationale for the change
•What - content to be changed
•When - timing for the change
•How - techniques to change effectively
◉ Who. Answer: ______ of change, *CHANGE BEGINS WITH THE
INDIVIDUAL*. It's nearly impossible to change or motivate others.
,-Stakeholder must understand personal comfort and competence
with change
-Facilitator of change must be comfortable with personal limitations
-Combined wisdom of the team creates effective change
◉ Why. Answer: ______ of change, Often not clearly defined (*leads to
resistance*).
-Rationale of change should be clearly linked to improvements in
patient care outcomes & quality of experience
Reasons to change:
-Enhance patient safety
-New evidence is available (Patient-Centered Outcomes Research
Initiative (PCORI) - evidence-driven foundation or Agency for
Healthcare Research & Quality - evidence-driven recommendations
& resources)
-Excellence is advanced
-Costs are controlled
,◉ Reasons why NOT to Change. Answer: *Resist change when not
appropriate for the conditions and the time.*
•Lack of compelling evidence
•No significant risk to patients and employees
•Isolated issues linked with individual performance, rather than
system performance
•Interventions is likely to be a fad rather than a solution
◉ What. Answer: ______ of change, begins with identification of
specific processes & policies needing to be changed, replaced or
created.
May need to change relational competencies to facilitate change
(challenging)
-->Individual attitudes towards change
-->Behaviors to support change
-->Understanding or processes that need to be eliminated
◉ When. Answer: _______ of change, is best determined by taking
specific unit and system needs and resources into account
•"Timing is everything" vs. "Is there ever a good time to change or
innovate?"
, •Act when there is the greatest potential to positively impact
outcomes
◉ How. Answer: _____ of change, Leadership Competencies:
1. Personal Knowledge
2. Change and Innovation Knowledge
3. Collaboration
4. Embracing Vulnerability
5. Managing Risk:
-Rational risk-taking
-Irrational risk
-Negative fantasies
◉ Personal Knowledge. Answer: Part of the "How" of change, clear
understanding of personal strengths specific to facilitating change &
innovation.
QUESTIONS WITH COMPLETE CORRECT
ANSWERS
◉ Resisting. Answer: ______ change conflicts with nursing's
processional values and ethics, nurses are obligated to adapt
practice to reflect best practice, safest, relevant care.
-Change is NECESSARY for growth and sustainability of an
organization
-Need to communicate the WHO, WHY, WHAT, WHEN and HOW of
change
◉ Who, why, what, when & how of Change. Answer: •Who - key
stakeholders of the work to be changed
•Why - rationale for the change
•What - content to be changed
•When - timing for the change
•How - techniques to change effectively
◉ Who. Answer: ______ of change, *CHANGE BEGINS WITH THE
INDIVIDUAL*. It's nearly impossible to change or motivate others.
,-Stakeholder must understand personal comfort and competence
with change
-Facilitator of change must be comfortable with personal limitations
-Combined wisdom of the team creates effective change
◉ Why. Answer: ______ of change, Often not clearly defined (*leads to
resistance*).
-Rationale of change should be clearly linked to improvements in
patient care outcomes & quality of experience
Reasons to change:
-Enhance patient safety
-New evidence is available (Patient-Centered Outcomes Research
Initiative (PCORI) - evidence-driven foundation or Agency for
Healthcare Research & Quality - evidence-driven recommendations
& resources)
-Excellence is advanced
-Costs are controlled
,◉ Reasons why NOT to Change. Answer: *Resist change when not
appropriate for the conditions and the time.*
•Lack of compelling evidence
•No significant risk to patients and employees
•Isolated issues linked with individual performance, rather than
system performance
•Interventions is likely to be a fad rather than a solution
◉ What. Answer: ______ of change, begins with identification of
specific processes & policies needing to be changed, replaced or
created.
May need to change relational competencies to facilitate change
(challenging)
-->Individual attitudes towards change
-->Behaviors to support change
-->Understanding or processes that need to be eliminated
◉ When. Answer: _______ of change, is best determined by taking
specific unit and system needs and resources into account
•"Timing is everything" vs. "Is there ever a good time to change or
innovate?"
, •Act when there is the greatest potential to positively impact
outcomes
◉ How. Answer: _____ of change, Leadership Competencies:
1. Personal Knowledge
2. Change and Innovation Knowledge
3. Collaboration
4. Embracing Vulnerability
5. Managing Risk:
-Rational risk-taking
-Irrational risk
-Negative fantasies
◉ Personal Knowledge. Answer: Part of the "How" of change, clear
understanding of personal strengths specific to facilitating change &
innovation.
