Question 1

The hospital has planned a day of celebration called Cultural Diversity Day.At this celebration,employees of different cultures are allowed to bring their favorite foods to share with other employees.The hospital is demonstrating what stage of intercultural sensitivity?

Accepted Answer

Integration of differences is the internalization of bicultural frames of reference.It is the acceptance of an identity that is not based entirely on one culture.

Question 2

The nurse manager attempted to help staff members adjust to the new organizational merger by explaining the need for changes and modeling tolerance of these changes.The nurse manager demonstrated what type of tolerance?

Accepted Answer

Tolerance of ambiguity involves at least three factors: tolerance of novelty,tolerance of complexity,and tolerance of insolubility.

Question 3

The hospital has approved the nurse manager's suggestion to have more social activities for employees.The hospital will now implement the next track of Kilmann's process for organizational planned change,which is:

Accepted Answer

Once the cultural change has been accomplished,it is important to sustain the change by implementing the management skills track and then the team building track to develop leadership.

Question 4

In a staff meeting,the staff complain that they would like to have more events that allow them to socialize with their co-workers.The nurse manager recognizes that there is a culture gap on the unit.The culture gap relates to which of the following?

Accepted Answer

Social relationship norms are norms about mixing business with pleasure and socializing with co-workers.

Question 5

The hospital was experiencing low staff morale and decreased productivity after it merged with another corporation.The staff from the hospital became territorial when staff members from the other corporation were scheduled to work with hospital staff.This is an indication that the change induced by the merger has been influenced by:

Accepted Answer

Attitudes and behaviors are the most significant internal barriers to change.

Question 6

Several senior nurses have opposed the installation of the new computerized charting system.The nurse manager hears these senior nurses make negative comments to the novice nurses about the new system.According to Rogers,the senior nurses are which kind of adopters?

Accepted Answer

The rejecters were identified in Rogers's 1983 book as opposing change and encouraging others to reject change as well.

Question 7

Student nurses joined a professional organization for student nurses while enrolled in a baccalaureate nursing program.This is an example of:

Accepted Answer

Subcultures or microsystems have the same elements that cultures have,including distinct patterns of shared ideologies and sets of cultural forms.

Question 8

The hospital's mission statement includes the phrase,"We are committed to providing multicultural services." An example of carrying out this mission is:

Accepted Answer

Multiculturalism refers to the maintenance of several different cultures simultaneously.

Question 9

The nurse manager assessed the culture of the unit before instituting policy changes.The nurse manager found that the environmental culture fostered teamwork and consensus building.This best describes what type of culture?

Accepted Answer

A collective culture is characterized by highly affiliative staff who can embrace the mission,values,and vision statements of the organization.Teamwork,consensus building,interdependency,and following orders are not a part of an expert culture,an individualistic culture,or transculturalism.

Question 10

A nurse manager was asked to select nurses for a new geriatric unit and interviewed several nurses for the job of patient care coordinator.The nurse who was selected has a master's degree in adult health with a focus on gerontologic nursing.This nurse manager used which kind of change strategy?

Accepted Answer

Nurse managers who use empirical-rational strategies are likely to want the appropriate persons for specific positions.

Question 11

With the new career ladder in place,the hospital expects nurse managers to attend budget meetings,prepare staffing schedules,and enroll in a health management systems graduate program.One nurse manager with three small children is at high risk for:

Accepted Answer

Role stress or role dissonance is caused by a difference between role enactment and role expectations.The greater the difference,the greater the stress.

Question 12

When the hospital merged with another institution,many workers decided to retire instead of remaining to work for the new organization.These employees are said to be:

Accepted Answer

If people do not reach the stage of acceptance and personal reorganization after experiencing an organizational change that they perceive as a loss,they may disengage by quitting or retiring.

Question 13

A Hispanic nurse was interviewed for a position at a small rural hospital.The nurse was told that the hospital has written policies regarding the provision of equal support and career development resources to all employees.This hospital deals with cultural diversity through:

Accepted Answer

Clearly written policies and provision of equal support and career development resources to all employees can help reduce both discrimination and reverse discrimination.

Question 14

A nurse manager requests in-service training about the new computerized system that is to be implemented once a planned merger between the nurse manager's agency and another agency is completed.Based on Lewin's force-field analysis,the nurse manager's strategy is to:

Accepted Answer

The nurse manager plans a strategy for reducing the restraining forces and strengthening the driving forces.

Question 15

The staff members question the nurse manager about the effects of the new computerized charting system on their workload.They are unsure if the computerized charting system will be easy to learn.The staff members are in which of the stages of the innovation process as defined by Rogers?

Accepted Answer

The persuasion stage is a feeling phase in which people form a favorable or unfavorable attitude toward an innovation.People want to know how easily the innovation can be implemented and what its advantages and disadvantages are for them.

Question 16

A nurse manager motivates her employees and serves on community service boards as a representative of the organization.The nurse is said to be:

Accepted Answer

Heroes personify the values of the organizational culture.They show that success is attainable,set a standard for performance,preserve what is special in the organization,motivate employees,serve as role models,and symbolize the organization to the outside world.

Question 17

First-line managers can apply Lewin's framework for planned change to nursing care.Which part of Lewin's framework is comparable to the evaluation step of the nursing process?

Accepted Answer

Refreezing is comparable to the evaluation and reaffirmation steps of the nursing process.

Question 18

Within the organization,staff members continued to express negative comments about the changes that had occurred when a merger took place.The staff felt that after the merger,the new organization had lost its vision and mission.The members of this new organization were experiencing:

Accepted Answer

Culture shock occurs when the members of an organization realize that the organization is out of touch with its settings,mission,and assumptions.

Question 19

Because the nurse manager has served the organization through two corporate buyouts,he has developed the skills of steward,inspirer,and promoter.This nurse manager is most likely to create what type of culture?

Accepted Answer

The cultivation culture is attentive,emotional,enabling,humanistic,nurturing,people driven,personal,promotive,and relaxed.The leader is a catalyst,cultivator,empowerer,inspirer,promoter,and steward.

Question 20

A hospital specializing in women's and children's services opened in a mid-sized town.As the organization grew,more staff members were needed to accommodate the new services added.The hospital developed job descriptions,policies,and procedures for the employees working in the new services.This hospital was going through which developmental stage?

Accepted Answer

Changes in organizational and decision-making structures are needed to adapt to new complexity.The organization copes by developing job descriptions,programs,policies,and procedures.

Quiz 11: Organizational Culture, Change, and Innovation