Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

The INITIAL step in planned change is to:

1. Identify a need for change

2. Develop a plan for implementation

3. Assess resources available

4. Evaluate outcomes

The correct answer is: Identify a need for change

The initial step in planned change is to identify a need for change. This step is crucial because it sets the foundation for the entire change process. Without recognizing and understanding the specific need or problem that necessitates change, subsequent steps—such as developing a plan, assessing resources, and evaluating outcomes—lack direction and purpose. Identifying a need for change involves gathering data, analyzing current situations, and understanding gaps between the desired and actual states of practice or patient outcomes. This clarity guides decision-makers to develop targeted interventions that are relevant and effective. Moreover, acknowledging the need fosters buy-in from stakeholders, as they can see the rationale behind the change, which is essential for ensuring support and cooperation during implementation. This first step also lays the groundwork for further exploration of how to address the identified need effectively.