Question 1

Phase two of the emancipatory relational framework is reflection and planning.Which of the following is most important in this phase?
A) Using experiential and propositional knowledge
B) Sharing change experiences early in the process.
C) Taking a biomedical perspective to change
D) Building a conceptual map

Accepted Answer

Using experiential and propositional knowledge is crucial in the reflection and planning phase of the emancipatory relational framework because it involves reflecting on past experiences and existing knowledge to inform future actions and decisions. This approach allows for a deeper understanding of the issues at hand and the development of more effective strategies for change.

Question 2

Senge's five disciplines of learning organizations are systems thinking,personal mastery,mental models,shared vision,and team learning.What is missing from Senge's in relation to the newer of the relational emancipatory model?
A) The impact of an emancipatory perspective
B) The importance of a relational aspect
C) The recognition of unpredictable situations
D) The importance of change

Accepted Answer

A

Question 3

An asset-based approach to change includes which of the following?
A) It is a strength-based approach.
B) Focuses on fixing deficits.
C) Addresses short term fixes.
D) It is the dominant approach to change.

Accepted Answer

An asset-based approach to change is a strength-based approach that focuses on identifying and building upon the strengths and resources of individuals, organizations, and communities to create sustainable change. It does not focus on fixing deficits or short-term fixes, and it is not necessarily the dominant approach to change.

Question 4

To effectively achieve a change goal/outcome in a change situation,the wound care specialist will:
A) Preserve the status quo.
B) Diminish facilitators of change and reinforce barriers to change.
C) Weigh the strength of forces.
D) Strengthen facilitating forces.

Accepted Answer

To effectively achieve a change goal/outcome in a change situation, the wound care specialist must strengthen facilitating forces. This means identifying and leveraging factors that support the desired change, rather than focusing on barriers or attempting to maintain the status quo. Weighing the strength of forces can help the specialist determine which factors to focus on, but the ultimate goal should be to strengthen facilitators of change.

Question 5

Chase,a Registered Nurse,is a new manager on an oncology unit.He wishes to initiate changes in communication to improve the accuracy of information between physicians and other health care personnel.From a relational participatory perspective which of the following is most important to consider to successfully approach this issue?
A) Defining collaboration
B) Developing partnerships
C) Negotiating power
D) Encouraging participation

Accepted Answer

The answer of Chase,a Registered Nurse,is a new manager on...

Question 6

The relational emancipatory framework consists of which of the following?
A) Critical thinking
B) Critical dialogue
C) Constructive criticism
D) All of the options

Accepted Answer

The relational emancipatory framework is characterized by critical thinking, critical dialogue, and constructive criticism. Therefore, all the options are included in this framework.

Question 7

As a new manager,you are shocked to learn that your unit is still using heparin in heparin locks.You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit.You are in which stage of Lewin's (1951)stages of change?
A) Unfreezing.
B) Experiencing the change.
C) Integrating the change.
D) Refreezing.

Accepted Answer

Unfreezing is the first stage of Lewin's (1951) stages of change. In this stage, the need for change is recognized, and the individual or group becomes motivated to learn more about the issue and to consider alternatives to their current practices. In this scenario, the new manager has just learned about the issue and is motivated to change the practice. Therefore, the best choice is A.

Question 8

The back-bone of the relational emancipatory change framework is?
A) Critical dialogue
B) Critical Consciousness
C) Reflexivity
D) Collaboration

Accepted Answer

The answer of The back-bone of the relational emancipatory change...

Question 9

To create collaborative relationships the most important aspect is?
A) Developing partnerships
B) Negotiating power
C) Compromising
D) Cooperating

Accepted Answer

The answer of To create collaborative relationships the most important...

Question 10

The heart of critical dialogue is?
A) Interpreting dialogue
B) Reasoning dialogue
C) Following dialogue
D) Authentic listening

Accepted Answer

The heart of critical dialogue is authentic listening, which involves listening fully and openly without judgment or interruption. It is essential to understand the perspectives of others in order to engage in meaningful dialogue and develop a deeper understanding of different viewpoints. Authentic listening allows for the exchange of ideas and promotes mutual respect and empathy, which are important aspects of critical dialogue.

Question 11

According to Freire which of the following is not part of problem posing?
A) Listening
B) Participatory dialogue
C) Problem solving
D) Action

Accepted Answer

Problem solving is not part of problem posing according to Freire. Problem posing involves active listening, participatory dialogue, and taking action, but the goal is not necessarily to solve the problem at hand. Instead, the focus is on raising critical consciousness and empowering individuals to question the status quo and take action to promote social change.

Question 12

Which of the following is not an aspect of reflection?
A) Is social
B) Is action oriented
C) Is easily practiced
D) Is political

Accepted Answer

Reflection requires active thinking, analysis, and evaluation which do not come easily to everyone. Therefore, it is not easily practiced. The other options (A, B, and D) are aspects of reflection.

Question 13

Chase has initiated the first phase of the relational emancipatory approach to change in defining collaboration.What describes this term from other definition of collaboration?
A) A shared governance perspective
B) A partnership
C) A synergistic alliance
D) A compromise

Accepted Answer

The answer of Chase has initiated the first phase of...

Question 14

Critical dialogue encourages change agents to stay in a state of not knowing,to question taken-for-granted assumptions and habits,and to ask the unaskable.This approach is similar to the notion of transdisciplinarity.Which of the following are aspects of transdisciplinarity.
A) Uses reflexivity
B) Uses collaboration for social justice
C) Engages in critical consciousness
D) All of the options

Accepted Answer

All of the options are aspects of transdisciplinarity. Transdisciplinarity uses reflexivity, collaboration for social justice, and engages in critical consciousness. Similarly, critical dialogue encourages change agents to question assumptions and habits, which aligns with the principles of transdisciplinarity.

Question 15

The wound care nurse decided to inform members of the health care team to be affected by change early in the change management process.This can positively result in:
A) Coordination.
B) Resistance.
C) Anticipation.
D) Participation.

Accepted Answer

By informing members of the healthcare team early in the change process, the wound care nurse is inviting their participation in the process as well. This can lead to greater buy-in and cooperation from the team, ultimately leading to more successful implementation of the change. Anticipation and coordination may also result from early communication, but participation is the most likely positive outcome. Resistance is not a positive outcome.

Question 16

Complex change situations require that the change leader promote ongoing envisioning among staff members.One strategy is to:
A) Consciously evaluate invisible mental models.
B) Allow for individual outcomes.
C) Encourage cooperative activities.
D) Operate between order and disorder.

Accepted Answer

Consciously evaluating invisible mental models refers to identifying and examining individuals' underlying beliefs and assumptions, which can constrain their thinking and actions. By promoting this amongst staff members, change leaders can help them become aware of their mental models and challenge them to envision new possibilities. This can lead to a better understanding of the changes required and how they can be achieved. Therefore, A is the best choice.

B is not the best choice because allowing for individual outcomes can sometimes result in a lack of alignment and can lead to fragmentation, making it harder to achieve overall goals.

C is not the best choice because although cooperative activities are important, they do not necessarily promote ongoing envisioning, which is crucial in complex change situations.

D is not the best choice because operating between order and disorder can be helpful in some contexts but does not necessarily promote ongoing envisioning amongst staff members.

Question 17

The nurse manager frequently interacts with staff and other hospice facility employees.Communication was purposeful because the manager assessed current issues,such as specific satisfactions and dissatisfactions with the newly implemented computerized documentation system.Informally,the manager gathered available staff members to address similar learning needs.Many times staff members were found coaching other staff about improving use of the new system.According to Senge (1990),the activities demonstrated in this example are:
A) Dialogue and team learning.
B) Resilience and personal mastery.
C) Shared vision and systems thinking.
D) Mental models and teachable moments.

Accepted Answer

The activities described involve dialogue among staff and the manager to address issues and learn from each other, which aligns with team learning. Coaching and informal gatherings for addressing learning needs also indicate a focus on dialogue and collective learning, characteristic of Senge's concept of dialogue and team learning.

Question 18

Chase and the health care team have defined collaboration and started on negotiating power.The third phase of the emancipatory model is participation.Which of the following is not part of the participation phase?
A) Requires commitment
B) Is a conscious choice
C) Demands engagement
D) Represents an activity

Accepted Answer

The participation phase involves active involvement and engagement in the collaborative process, conscious choice, and commitment from all parties involved. However, it does not specifically represent an activity, as the focus is more on the engagement and participation of individuals rather than specific actions or tasks.

Question 19

Which of the following is not a component of critical thinking?
A) Challenging assumptions
B) Exploring alternatives
C) Engaging in reflection
D) Accepting context

Accepted Answer

Accepting context is actually a component of critical thinking. It is important to consider the context and factors influencing a situation in order to make informed decisions and judgments. The other three options (challenging assumptions, exploring alternatives, and engaging in reflection) are all key components of critical thinking.

Question 20

To engage your staff in awareness of their current practice and how it is affirmed or not by evidence,you plan a short series of learning presentations on evidence and use of heparin and saline to maintain intravenous patency.You meet with the educator to plan the goals for each session with the overall purpose of increasing knowledge and assess which staff members are ready to begin to question current intravenous practice.This learning approach is an example of which change management approach?
A) Linear.
B) Nonlinear.
C) Facilitative.
D) Integrative.

Accepted Answer

The answer of To engage your staff in awareness of...

Quiz 19: Nursing Leading Change: a Relational Emancipatory Framework for Health and Social

Phase two of the emancipatory relational framework is reflection and planning.Which of the following is most important in this phase?

Senge's five disciplines of learning organizations are systems thinking,personal mastery,mental models,shared vision,and team learning.What is missing from Senge's in relation to the newer of the relational emancipatory model?

An asset-based approach to change includes which of the following?

To effectively achieve a change goal/outcome in a change situation,the wound care specialist will:

The relational emancipatory framework consists of which of the following?

As a new manager,you are shocked to learn that your unit is still using heparin in heparin locks.You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit.You are in which stage of Lewin's (1951) stages of change?

The back-bone of the relational emancipatory change framework is?

To create collaborative relationships the most important aspect is?

The heart of critical dialogue is?

According to Freire which of the following is not part of problem posing?

Which of the following is not an aspect of reflection?

Chase has initiated the first phase of the relational emancipatory approach to change in defining collaboration.What describes this term from other definition of collaboration?

Critical dialogue encourages change agents to stay in a state of not knowing,to question taken-for-granted assumptions and habits,and to ask the unaskable.This approach is similar to the notion of transdisciplinarity.Which of the following are aspects of transdisciplinarity.

The wound care nurse decided to inform members of the health care team to be affected by change early in the change management process.This can positively result in:

Complex change situations require that the change leader promote ongoing envisioning among staff members.One strategy is to:

Chase and the health care team have defined collaboration and started on negotiating power.The third phase of the emancipatory model is participation.Which of the following is not part of the participation phase?

Which of the following is not a component of critical thinking?