At a staff meeting, a nurse manager introduces a new, cutting-edge voice communication device that the staff will be required to use in the upcoming months. The staff is hesitant to the change, expressing that the device is too difficult to use. Which of the following strategies and principles should the manager consider to assist with the successful adoption of the proposed change? Select all that apply.

Recipients of change must perceive that the change will be beneficial.

The nurse manager should remain firm and not negotiate the change goal and process of change with the staff.

The nature of the nurse manager's relationship with the group is a significant factor in accomplishing change.

Recipients of change must participate in identifying the problem warranting the change.

The manager should promote the sharing of ideas and honest reactions, but discourage the sharing of fears to preserve team morale.

Answer and Explanation

Correct Answer : A,C,D

A. It is crucial that staff members perceive the change as beneficial; otherwise, they will resist adoption. Clear communication of the advantages of the new device can foster acceptance.
B. A successful change process often involves negotiation and collaboration, allowing staff to express concerns and participate in the transition, enhancing buy-in and ownership.
C. The relationship between the nurse manager and the staff significantly impacts the change process; a positive relationship can lead to greater trust and willingness to adapt.
D. Involving staff in identifying the problem for the change promotes ownership and commitment, making them more likely to embrace the new device.
E. While sharing ideas and reactions is beneficial, discouraging the expression of fears can lead to unresolved issues and resentment, which could hinder the change process. It is essential to create an environment where all feelings and concerns can be shared openly.

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Correct Answer is B

Explanation

A. Implementing a plan without first establishing a clear vision and mission could lead to confusion and misalignment among team members regarding the goals of the program.
B. Establishing a vision and mission statement is crucial as it provides direction and purpose for the strategic planning process, guiding subsequent actions and decisions.
C. While assessing strengths, weaknesses, opportunities, and threats is important, it typically comes after defining the vision and mission to ensure that planning aligns with overall goals.
D. Collaborating with an interdisciplinary team to develop a strategy is essential but should occur after establishing a foundational vision and mission statement to ensure that everyone is aligned toward common objectives.

A. A charge nurse speaks to an assistive personnel (AP) with a demeaning tone. B. A charge nurse is rude to their nurse manager when speaking. C. A nursing supervisor refuses to help a charge nurse with staffing. D. A nurse rolls their eyes at another nurse after providing report.

Correct Answer is D

Explanation

A. Speaking to an assistive personnel with a demeaning tone represents vertical violence, where a person in a position of authority mistreats a subordinate.
B. Rudeness towards a nurse manager is also an example of vertical violence because it involves an inappropriate interaction between different hierarchical levels.
C. Refusing to help a charge nurse is a form of unprofessional behavior but does not exemplify lateral violence, as it doesn't involve peers at the same level.
D. Rolling one's eyes at another nurse after providing a report is a clear example of lateral violence, where one peer demonstrates disrespect or hostility towards another peer.

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Naxlex Comprehensive Predictor Exams

Planning is a process designed to achieve goals in dynamic, competitive environments. As a new manager, what is the first step you will undertake to develop a strategic plan of action for a congestive heart failure program?

Correct Answer is B

Explanation

A charge nurse is providing an in-service to a group of staff members on incivility. Which of the following situations should the nurse include as an example of lateral violence?

Correct Answer is D

Explanation

A night shift nurse is assigning a specific component of care to an unlicensed nursing personnel (UNP) employee. The night nurse shift nurse understands that though the unlicensed personnel is for the task, the nurse would remain for the patient's wellbeing.

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment the RN assumes:

A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?

An RN is delegating a task to an unlicensed assistive personnel. Which of the following scenarios best demonstrates appropriate delegation?

By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:

An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). Which of the following statements by the RN indicates appropriate delegation to the LPN?

As a nurse manager, you notice that one of your new nurses has provided exceptional care for a patient with complex needs. What would be the MOST effective way of acknowledging the nurse's performance?