Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which type of change is not encountered by adult gerontology clinical nurse specialists?

1. Coercive change

2. Managed change

3. Indoctrination change

4. Interactional change

The correct answer is: Managed change

Managed change is typically characterized by a structured approach that organizations or individuals apply to implement adjustments, often ensuring that the processes are systematic and orderly to achieve a desired outcome. In the context of adult gerontology clinical nurse specialists, their role involves addressing direct patient care concerns, navigating complex healthcare environments, and implementing clinical practices rather than engaging primarily in systematically managed changes. In contrast, coercive change, indoctrination change, and interactional change relate more closely to the dynamics of healthcare settings and practice. Coercive change often involves pressures or mandates that compel a change, which can be seen in scenarios such as policy changes or regulatory requirements in clinical settings. Indoctrination change includes the integration of new beliefs or practices, which may happen in clinical teams or practice settings when implementing evidence-based practices. Interactional change refers to adaptations that arise from interpersonal interactions among healthcare team members or between providers and patients, which are common in geriatric care due to the diverse needs and preferences of the aging population. Thus, while adult gerontology clinical nurse specialists may experience various types of changes, the concept of managed change as a formal and systematic approach is less typical in their daily practice compared to the other types mentioned.