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NR 446 Exam 1 Study Guide 2025: Complex Adult Health Practice Questions

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Prepare for your NR 446 Exam 1 in 2025. Get comprehensive review materials, practice questions, and key concepts for complex adult health conditions and advanced nursing interventions.

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Page 1 of 181


EXAM 1: NR446 / NR 446 COLLABORATIVE

HEALTHCARE EXAM (LATEST 2025 UPDATES STUDY

BUNDLE WITH COMPLETE SOLUTIONS) | 100%

CORRECT | GRADE A - CHAMBERLAIN

In regards to change strategies, explain Normative Re-educative

strategy .....ANSWER.....Because peer pressure is often used to

effect change, another group of strategies exists, which use

group process. These strategies use group norms and peer

pressure to socialize and influence people so that change will

occur. The change agent assumes that humans are social

creatures, more easily influenced by others than by facts. This

strategy does not require the change agent to have a legitimate

power base. Instead, the change agent gains power by skill in

interpersonal relationships. He or she focuses on non-cognitive

determinants of behavior, such as people's roles and

,Page 2 of 181


relationships, perceptual orientations, attitudes, and feelings, to

increase acceptance of change.

―Does not require change agent to have legitimate power base

―Change agent gains power by skill in interpersonal

relationship

Example: He or she focuses on non-cognitive determinants of

behavior, such as people's roles and relationships, perceptual

orientations, attitudes and feelings to increase acceptance of

change.

Explain Power-Coercive Strategies .....ANSWER.....The

application of power by legitimate authority, economic sanctions,

or political clout of the change agent. Strategies include:

•Influencing the enactment of new laws and using group power

for strikes or sit-ins

,Page 3 of 181


•Using authority inherent in an individual position to effect

change

•These strategies assume that people are set in their ways and

will change only when rewarded for the change or when they

are forced by some other power-coercive method

•Resistance is handled by authority measures the individual must

accept it or leave.

What is the most important or critical component of time

management? .....ANSWER.....Priority setting

What does monochromic and polychromic mean?

.....ANSWER.....Single taskers and multi-taskers

What are some characteristics of great polychromics?

.....ANSWER.....-Self awareness (regarding values of how they

use their time).

-Have clearly defined goals

, Page 4 of 181


-Prioritization skills

-High energy

Conflict .....ANSWER.....A struggle between opposing forces

causes of conflict? .....ANSWER.....-number 1 cause is

miscommunication

Three types of conflict .....ANSWER.....intergroup conflict: 2 or

more groups involved, example: ICU nurse vs ED nurses




intrapersonal conflict: conflict with ones self




interperonsal conflict: two or more people with different views or

beliefs. Bullying is an example

conflict process 5 stages .....ANSWER.....stage 1: latent conflict:

no conflict yet but the risk factors are very high for it

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