

Change Management in Nursing
Mock Exam
Course Introduction
Change Management in Nursing explores the theories, strategies, and practical approaches necessary for effective leadership during organizational change within healthcare settings. This course examines the unique challenges nurses face when adapting to evolving healthcare environments, including technological advancements, policy updates, and shifts in patient care standards. Students will develop critical skills in communication, team building, and conflict resolution while learning to implement evidence-based change initiatives. Emphasis is placed on fostering a culture of innovation, resilience, and continuous improvement to ensure high-quality patient outcomes and staff engagement during periods of transition.
Recommended Textbook
Nursing Leadership and Management 2nd Canadian Edition by Patricia Kelly
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22 Chapters
442 Verified Questions
442 Flashcards
Source URL: https://quizplus.com/study-set/2429

Page 2

Chapter 1: Canadas Health Care Environment
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20 Verified Questions
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Source URL: https://quizplus.com/quiz/48250
Sample Questions
Q1) Which of the following best describes the current health status of the Canadian population?
A) The Canadian population is generally healthier than ever.
B) Canadians are not affected by new infectious disease strains.
C) Cardiovascular disease is no longer prevalent among Canadians.
D) Canadians experience few mental health problems.
Answer: A
Q2) Total health care spending estimates include both public and private payment sources.Approximately what percentage of total health spending in Canada for 2010 was paid for from tax dollars?
A) 100 percent
B) 70 percent
C) 50 percent
D) 25 percent
Answer: B
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Chapter 2: Basic Clinical Health Care Economics
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of these terms do citizen involvement,accreditation and credentialing,and complaints procedures exemplify?
A) performance indicators
B) stakeholder involvement
C) accountability processes
D) managerial functions
Answer: C
Q2) Through what mechanism do most regions receive funding from their provincial government?
A) a needs-based funding formula
B) a program budgeting and marginal analysis (PBMA)
C) a global budget
D) program budgets
Answer: C
Q3) Which of these systems has replaced in-house costing in many Canadian hospitals?
A) case-costing
B) resource benchmarking
C) resource intensity weights (RIWs)
D) activity-based costing (ABC)
Answer: C
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Chapter 3: Evidence-Based Practice
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) What is the purpose of the Canadian Health Services Research Foundation (CHSRF)?
A) to promote the development of evidence-based care
B) to bridge the gap between research and health care management and policy
C) to conduct primary research
D) to provide funding for research
Answer: B
Q2) In researching a focused clinical question,what type of source would provide an appraisal of comprehensive current evidence?
A) synthesis
B) a systematic review
C) a database
D) narrative review
Answer: B
Q3) At which university's school of medicine was the term evidence-based medicine first coined?
A) Johns Hopkins University
B) University of Toronto
C) McMaster University
D) Oxford University
Answer: C
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Chapter 4: Nursing and Health Care Informatics
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following first developed the definition of nursing informatics?
A) Gorn
B) Canadian Nurses Association
C) Canadian Association of Schools of Nursing
D) Ball and Hannah
Q2) What is the term for the interoperability of systems and linkages for exchange of data across disparate systems?
A) data capture
B) storage
C) patient-focused system
D) information communication
Q3) In web addresses,what do the terms .com and .org refer to?
A) databases
B) domains
C) uniform resource locaters
D) websites
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Chapter 5: Population-Based Health Care Practice
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Sample Questions
Q1) What is the name of the federal agency in Canada that oversees federal efforts to prevent and control disease and promote health?
A) Public Health Agency of Canada
B) Health Canada
C) Department of Health and Social Services
D) Canadian Institute of Health Research
Q2) Which of the following is considered the most serious threat to health?
A) lack of adequate food
B) violence
C) contaminated water supply
D) poverty
Q3) Which of the following states that the prerequisites for health include peace,food,social relations,and empowerment of women?
A) Alma-Ata Declaration
B) Declaration of Montevideo
C) the Jakarta Declaration
D) the Ottawa Charter
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Chapter 6: Personal and Interprofessional Communication
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20 Flashcards
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Sample Questions
Q1) Which of these is the "who" in the process of communication?
A) the sender
B) a manager
C) the receiver
D) the client
Q2) Which of the following factors will most influence the interactive process of communication?
A) context
B) gender
C) mode of communication
D) culture
Q3) Which form of communication is touching considered to be?
A) visual
B) auditory
C) kinesthetic
D) message
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Chapter 7: Politics and Consumer Partnerships
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20 Flashcards
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Sample Questions
Q1) Which of these factors is linked to every aspect of health care?
A) theoretical knowledge and clinical practice
B) education and practice
C) research and politics
D) politics and economics
Q2) Which of these conditions exists when there is politics in any system?
A) abundant resources
B) unlimited control of resources
C) competing interests for resources
D) unlimited distribution of resources
Q3) Which of these terms refers to a group that represents the same political perspective or position on an issue?
A) partnership
B) voting block
C) alliance
D) lobby group
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Chapter 8: Nursing Leadership and Management
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48257
Sample Questions
Q1) Which of these theories is a process motivation theory?
A) equity theory
B) Maslow's theory
C) Alderfer's theory
D) Herzberg's theory
Q2) Which of the following are the desirable leadership characteristics identified by Kirkpatrick and Locke?
A) respectability,trustworthiness,flexibility
B) self-confidence,innate qualities,progression of experiences,influence of significant others,personal life factors
C) intelligence,self-confidence,determination,integrity,sociability
D) drive,desire to lead,honesty,self-confidence,cognitive ability,knowledge of business
Q3) Which of these is a characteristic of the consideration dimension of leadership behaviour?
A) focus on the work to be done
B) focus on the task
C) focus on production
D) focus on the employee
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10
Chapter 9: Effective Team Building
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these functions is a key role of the leader of an interdisciplinary team?
A) set meeting times
B) ensure that every member has an opportunity to participate
C) plan a meeting schedule
D) arrange meeting facilities
Q2) Which of the following should you look for when team-building efforts do NOT work?
A) poor communication
B) ineffective leadership
C) vague goals and objectives
D) unsupportive environment
Q3) Which dysfunctional group member tends to monopolize the group discussion?
A) detailer
B) controller
C) pleaser
D) antagonist
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11

Chapter 10: Budget Concepts for Client Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In terms of the budget,which category would include a donation coming to an organization?
A) profit
B) revenue
C) dashboard
D) variance
Q2) Which of the following are considerations in determining a capital expense?
A) effectiveness and equipment life expectancy
B) cost and clinical application
C) cost and equipment life expectancy
D) number of clients to be served and cost
Q3) Which kind of budget takes into account demographics,regulations,and strategic plans?
A) a capital budget
B) an annual budget
C) a balanced budget
D) a project budget
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Chapter 11: Effective Staffing
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20 Flashcards
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Sample Questions
Q1) Which of the following is a disadvantage of applying the clinical pathways concept?
A) ability to manage care
B) shortened length of stay
C) ability to collect variances
D) standardized care
Q2) How many hours does a full-time employee work per year?
A) 1,040 hours
B) 1,664 hours
C) 1,872 hours
D) 1,950 hours
Q3) Which of these terms refers to the time spent on activities that are client related but are NOT done directly to the client?
A) direct care
B) productive time
C) indirect care
D) non-productive time
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13

Chapter 12: Delegation of Nursing Care
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Sample Questions
Q1) Which of these factors is a key early factor for the nurse to consider when determining the appropriate utilization of unregulated care providers (UCPs)for client care?
A) the simplicity of the nursing task
B) the amount of direct care the registered nurse will be able to provide
C) the education of the unlicensed assistive personnel
D) the client's condition and complexity of required care
Q2) Which of these factors is important for a registered nurse to consider when delegating?
A) evaluating the effectiveness of the delegation of duties at the end of the shift
B) removing duties periodically
C) accepting major variations in the style in which the duties are performed
D) communicating the duty to be performed and the expected outcomes
Q3) Which of the following is one of the five rights of delegation?
A) right group
B) right concept
C) right committee
D) under the right circumstance
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14
Chapter 13: Strategic Planning and Organizing Client Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Successful leadership in health care in the 21st century most requires which of the following?
A) organizational structure
B) a mission statement
C) planning for continuous improvement
D) bureaucracy
Q2) The Canadian Adverse Events Study estimates that 9,000 to 24,000 deaths occur each year as a result of which of the following?
A) staffing shortages
B) lack of knowledge
C) preventable adverse events
D) new infectious agents
Q3) Which of the following is an important criterion of a unit's vision statement?
A) It is reviewed annually.
B) It is shared verbally with new staff.
C) It is written in the present tense using action words and broad time frame.
D) It is shared with clients.
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15
Chapter 14: Change and Conflict Resolution
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Sample Questions
Q1) Which of the following is one of the three main reasons to introduce a change?
A) solve a problem
B) maintain efficiency
C) maintain workload
D) acknowledge that change is inevitable
Q2) Which of the following is one "discipline" that Senge identified as necessary for an organization to achieve the "learning organization status"?
A) systems thinking
B) group mastery
C) self-learning
D) physical models
Q3) Which of the following is one way a change agent can manage the process of change?
A) by ignoring rumours
B) by ignoring political forces
C) by maintaining consistent meetings
D) by accepting appointed change project team
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Page 16
Chapter 15: Power
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which of the following tends to result from visible reciprocal acknowledgement of expertise among group members?
A) maintenance of productivity
B) enhancement of power
C) balance of power
D) decreased productivity
Q2) Nurses empower themselves through which of the following factors?
A) media involvement
B) self-perception of power
C) gender
D) self-decision making
Q3) Which type of power do nurses exercise when they teach others in their practice?
A) expert power
B) connection power
C) information power
D) legitimate power
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Page 17

Chapter 16: Managing Performance and Outcomes Using an Organizational Quality Improvement Model
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these acronyms stands for a model that describes a stepwise process of how to move through the improvement process?
A) COFUS
B) SOCFU
C) FOCUS
D) CUSFO
Q2) Which of these terms could include the example of a client who is having a chest X-ray done?
A) system
B) process
C) benchmarking
D) sentinel event
Q3) Which of these acronyms stands for a model that outlines a methodology for improvement?
A) ACDP
B) CDPA
C) DPAC
D) PDCA
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Chapter 17: Decision Making
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20 Flashcards
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Sample Questions
Q1) Which is the correct order of the steps in the nominal group process?
A) present ideas;write ideas;discuss ideas and evaluate ideas;vote on ideas
B) write ideas;present ideas;discuss ideas and evaluate ideas;vote on ideas
C) present ideas;discuss ideas and evaluate ideas;write ideas;vote on ideas
D) discuss ideas and evaluate ideas;write ideas;present ideas;vote on ideas
Q2) What is the correct order of the steps in the problem-solving process?
A) select an action;implement the selected action;generate alternatives;gather and analyze data;identify the problem;and evaluate the action
B) gather and analyze data;identify the problem;select an action;implement the selected action;generate alternatives;and evaluate the action
C) identify the problem;gather and analyze data;generate alternatives;select an action;implement the selected action;and evaluate the action
D) identify the problem;generate alternatives;gather and analyze data;select an action;implement the selected action;and evaluate the action
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Chapter 18: Legal Aspects of Client Care
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20 Verified Questions
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Sample Questions
Q1) In which of the following categories does a Nurse Practice Act belong?
A) a provincial statute
B) a federal law
C) an administrative agency
D) a judicial action
Q2) What is the highest law in Canada?
A) pubic law
B) provincial law
C) The Canadian Constitution
D) judicial action
Q3) Which law protects health care professionals from legal liability for actions rendered in an emergency situation?
A) a Good Samaritan law
B) a tort law
C) the CNA Code
D) a Nurse Practice Act
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Chapter 19: Spirituality and the Profession of Nursing
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20 Verified Questions
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Source URL: https://quizplus.com/quiz/48268
Sample Questions
Q1) What should nurses be concerned about if they observe secretiveness,suppression of criticism,and inappropriate obedience?
A) spiritual distress
B) spiritual abuse
C) grief
D) depression
Q2) What is the Canadian Nurses Association's (CNA)position on spirituality?
A) It is a minor part of nursing care.
B) It is best left to chaplains and priests.
C) It is important to nursing practice.
D) Nurses have no role.
Q3) What is the term for intentionally trying to convert others to your belief system?
A) proselytizing
B) conversion
C) preaching
D) praying
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Page 21

Chapter 20: Ethics and the Profession of Nursing
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Sample Questions
Q1) What is the name of a document that contains the wishes of the client to be carried out when they are no longer competent?
A) power of attorney
B) an advance directive
C) a will
D) a DNR order
Q2) What influences encouraged the emergence of nursing ethics?
A) some seeing nursing as a "moral practice"
B) the need for a contextual approach to nursing ethics
C) the need to respond to societal ethical issues
D) the need to examine the ethical norms,unique relationships,and sphere of nursing practice
Q3) Which of the following statements best defines ethics?
A) a response to a situation or similar situations
B) a way of understanding moral issues,norms,and practices
C) the study of right and wrong behaviour
D) the study of problems associated with the practice of nursing
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Chapter 21: Collective Bargaining
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which province was the first to form a nurses union in Canada?
A) Prince Edward Island
B) Saskatchewan
C) Québec
D) Manitoba
Q2) What is the term for withholding labour in order to force management to accept union terms?
A) bargaining
B) strike
C) lockout
D) work-to-rule
Q3) Which term refers to the act of an individual disclosing information regarding violation of a law,rule,or regulation or a substantial and specific danger to public health?
A) free speech
B) whistle-blowing
C) tattletale
D) gossip
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Page 23
Chapter 22: Career Planning and Development: Creating

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20 Flashcards
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Sample Questions
Q1) Which type of résumé is best suited to students and new graduates?
A) adjustable
B) adaptable
C) functional
D) chronological
Q2) Which of these activities facilitates meeting with others in your area of interest?
A) networking
B) visioning
C) interviewing
D) marketing
Q3) Which of these people is a person whom you admire and who takes a personal interest in your career?
A) supervisor
B) mentor
C) career counsellor
D) manager
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Page 24