NUR 426 Exam 3 UPDATED Exam
Questions and CORRECT Answers
open - CORRECT ANSWER - healthcare systems operate as ________ (open/closed)
systems meaning they constantly react to internal and external forces around them
economy
hiring freeze
populations seeing more of (ex baby boomers)
increased violence
no insurance - ED primary care
evidence based practice
pandemic - CORRECT ANSWER - examples of external forces
ration supplies
complex illnesses
demanding patients
drug and alcohol abuse
super bugs
chronic illness - CORRECT ANSWER - internal forces
planned, unplanned - CORRECT ANSWER - 1st order, linear changes are ___________
(planned/unplanned) and 2nd order, nonlinear changes are __________ (planned/unplanned)
planned (1st order) - CORRECT ANSWER - what kind of change is used when the steps
are smaller and less complex, environment is stable, led by a change agent
planning
organization
,implementation
evaluating
seeking feedback - CORRECT ANSWER - what 5 functions are used in all models of
planned change
Lewin's Force Field Analysis - CORRECT ANSWER - Highlights that at any moment
there are forces for and against change. This model identifies how change may be brought about.
unfreezing
moving
refreezing - CORRECT ANSWER - 3 phases in Lewin's force field analysis
facilitators, barriers - CORRECT ANSWER - in Lewin's force field analysis, driving
forces, or __________, must exceed restraining forces, or __________, for change to occur
complexity theory
chaos theory - CORRECT ANSWER - what are two nonlinear models of change
complexity theory - CORRECT ANSWER - which theory is this? views change as
ongoing, systems continually change and realign themselves
chaos theory - CORRECT ANSWER - what thoery is this? views universe as chaotic,
organizations need to adapt to survive, change is inevitable and unrelenting
learning organizations - CORRECT ANSWER - organizations that embrace this constant
change are known as ______________ organizations
attitude of service
be a role model
,involve others
motivate (reward successes)
communicate
build trust - CORRECT ANSWER - what are some ways the leader can be an effective
change agent?
emotional reaction similar to grieving
resistance is natural and common
different assessment of a situation
desire to protect the status quo
perceived losses with change
implied criticism - CORRECT ANSWER - why is there resistance to change?
roger's diffusion of innovation theory - CORRECT ANSWER - when you accept the
change
communication
support and training
involvement
cooptation
coercion (last resort) - CORRECT ANSWER - strategies to facilitate change in times of
resistance
motivational interviewing - CORRECT ANSWER - non-judgemental, non-confrontational
counseling approach that moves clients past ambivalence and engages clients' intrinsic
motivation. Helps clients to see potential results of behaviors and envisions a brettter future.
warm, genuine empathy is needed
express empathy
develop discrepancy (desire vs reality)
, roll with resistance
support self-efficacy - CORRECT ANSWER - 4 general principles of motivational
interviewing
see world through their eyes - CORRECT ANSWER - how can you express empathy in
motivational interviewing
what would you like to see change - CORRECT ANSWER - question to ask to develop
discrepancy in MI
explore ways to overcome - CORRECT ANSWER - how can you roll with resistance in
MI
not persuasion - CORRECT ANSWER - what should you avoid in MI that is replaced with
self efficacy
precontemplation
contemplation
preparation
action
maintenance
relapse - CORRECT ANSWER - what are teh stages of change according to prochaska
and Diclemente
normative: objective and routine, follow policy
descriptive: subjective - CORRECT ANSWER - describe the difference between
normative and descriptive models of decision making
satisficing: choosing best decision for the moment
Questions and CORRECT Answers
open - CORRECT ANSWER - healthcare systems operate as ________ (open/closed)
systems meaning they constantly react to internal and external forces around them
economy
hiring freeze
populations seeing more of (ex baby boomers)
increased violence
no insurance - ED primary care
evidence based practice
pandemic - CORRECT ANSWER - examples of external forces
ration supplies
complex illnesses
demanding patients
drug and alcohol abuse
super bugs
chronic illness - CORRECT ANSWER - internal forces
planned, unplanned - CORRECT ANSWER - 1st order, linear changes are ___________
(planned/unplanned) and 2nd order, nonlinear changes are __________ (planned/unplanned)
planned (1st order) - CORRECT ANSWER - what kind of change is used when the steps
are smaller and less complex, environment is stable, led by a change agent
planning
organization
,implementation
evaluating
seeking feedback - CORRECT ANSWER - what 5 functions are used in all models of
planned change
Lewin's Force Field Analysis - CORRECT ANSWER - Highlights that at any moment
there are forces for and against change. This model identifies how change may be brought about.
unfreezing
moving
refreezing - CORRECT ANSWER - 3 phases in Lewin's force field analysis
facilitators, barriers - CORRECT ANSWER - in Lewin's force field analysis, driving
forces, or __________, must exceed restraining forces, or __________, for change to occur
complexity theory
chaos theory - CORRECT ANSWER - what are two nonlinear models of change
complexity theory - CORRECT ANSWER - which theory is this? views change as
ongoing, systems continually change and realign themselves
chaos theory - CORRECT ANSWER - what thoery is this? views universe as chaotic,
organizations need to adapt to survive, change is inevitable and unrelenting
learning organizations - CORRECT ANSWER - organizations that embrace this constant
change are known as ______________ organizations
attitude of service
be a role model
,involve others
motivate (reward successes)
communicate
build trust - CORRECT ANSWER - what are some ways the leader can be an effective
change agent?
emotional reaction similar to grieving
resistance is natural and common
different assessment of a situation
desire to protect the status quo
perceived losses with change
implied criticism - CORRECT ANSWER - why is there resistance to change?
roger's diffusion of innovation theory - CORRECT ANSWER - when you accept the
change
communication
support and training
involvement
cooptation
coercion (last resort) - CORRECT ANSWER - strategies to facilitate change in times of
resistance
motivational interviewing - CORRECT ANSWER - non-judgemental, non-confrontational
counseling approach that moves clients past ambivalence and engages clients' intrinsic
motivation. Helps clients to see potential results of behaviors and envisions a brettter future.
warm, genuine empathy is needed
express empathy
develop discrepancy (desire vs reality)
, roll with resistance
support self-efficacy - CORRECT ANSWER - 4 general principles of motivational
interviewing
see world through their eyes - CORRECT ANSWER - how can you express empathy in
motivational interviewing
what would you like to see change - CORRECT ANSWER - question to ask to develop
discrepancy in MI
explore ways to overcome - CORRECT ANSWER - how can you roll with resistance in
MI
not persuasion - CORRECT ANSWER - what should you avoid in MI that is replaced with
self efficacy
precontemplation
contemplation
preparation
action
maintenance
relapse - CORRECT ANSWER - what are teh stages of change according to prochaska
and Diclemente
normative: objective and routine, follow policy
descriptive: subjective - CORRECT ANSWER - describe the difference between
normative and descriptive models of decision making
satisficing: choosing best decision for the moment
