M 6 Leadership and Management

Question 1

What is change

Answer 1

Organization transitioning from it’s current to a more desired state

Question 2

Change theory

Answer 2

How change should occur to meet the least resistance

Question 3

Planned change

Answer 3

Deliberate application of knowledge and skills

Question 4

Drift change

Answer 4

Happens accidentally

Question 5

Change agent

Answer 5

Group person or agent designated to bring about change

Question 6

Change agent skills

Answer 6

Leadership
Conflict resolution

Question 7

Change agent characteristics

Answer 7

Developmental
Rational
Time oriented

Question 8

3 stages of the lewis’ model for change

Answer 8

Unfreeze (contemplation)
Change (movement)
Refreeze (maintenance)

Question 9

Unfreeze contemplation stage

Answer 9

Change agent convinces a group to change

Gather data

Question 10

Change movement stage

Answer 10

ID plans and implement them

Set goals, develop strategies, evaluate change

Question 11

Refreeze maintenance stage

Answer 11

Stabilize new system

Full integration
most important step

Question 12

Different change strategies

Answer 12

Rational/empirical
Normative/reeducative
Power/coercive

Question 13

Rational/empirical strategy

Answer 13

use of rational to ease resistance

Question 14

Normative/reeducative strategy

Answer 14

use of peer pressure to influence change

Question 15

Power/coercive strategy

Answer 15

use of authority, law and policies to force change

Question 16

The expected response to change

Answer 16

Resistance

Question 17

Contributors to change resistance

Answer 17

Lack of trust
Edu level
Culture
Life experience

Question 18

To encourage collaboration, key is to ID

Answer 18

Driving force of resistance

Question 19

Collaboration can also be encouraged through

Answer 19

Making benefits clear
Addressing rumors and gossip
Including those impacted in the planning process

Question 20

Key concepts of care coordination

Answer 20

Right care
Right time
Right person
Right setting
Most efficient/cost effective manner

Question 21

Goal of care coordination

Answer 21

Link pt to resources
Improve info exchange
Reduce duplication of services

Question 22

To have effective care coordination you need to know the patients

Answer 22

preferences

Question 23

Results of good care coordination

Answer 23

cost decrease
better handoffs
patient satisfaction

Question 24

Patient centered care focus

Answer 24

Client or designee are in full partnership and control

Question 25

To provide patient centered care we need to have

Answer 25

compassion and coordination based on patients

preferences
values
needs

Question 26

Keys to advocacy

Answer 26

Representation of patient
Self determination
Whistle blowing
Trustworthiness

Question 27

Cultural competence involves respecting peoples

Answer 27

values
beliefs
practices

Question 28

National standards issues by the office of minority health

Answer 28

All people are to be provided equitable treatment

Question 29

To understand a patients culture it is important for a nurse to grasp

Answer 29

Their culture first

Question 30

To develop cultural knowledge

Answer 30

Learn about the people and teh culture of your area