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Chapter 02: Change and Innovation
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. A hospital system is implementing an electronic health record. The facility conducts education
and training for nursing staff, medical staff, and ancillary staff over a period of 6 months. This
is an example of:
a. emergent change.
b. planned change.
c. transformation.
d. innovation.
ANS: B
Planned change is a decision to make a deliberate effort to improve a system.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The use of a new idea or method is the definition of:
a. change.
b. innovation.
c. resistance.
d. stereotyping.
ANS: B
Innovation is the use of a new idea or method.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The chief nursing officer (CNO) of a hospital system works with senior leadership for
approval to initiate an electronic health system. He recruits a nursing informaticist and a chief
medical informatics officer to begin the process of planning the education and rollout of the
new electronic system. The CNO could be viewed as the:
a. resister.
b. innovator.
c. change agent.
d. strategist.
ANS: C
The change agent is a person or thing that produces a particular effect or change. The change
agent can be a person who functions as a change facilitator.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care