1. When assessing organizational effectiveness, which of the following is a key indicator of a need for change? A) High employee turnover B) Increased profit margins C) Stable management structures D) Unchanged policies over five years Correct Answer: A Rationale: High employee turnover often indicates dissatisfaction among staff, which can be a sign that change is necessary to improve working conditions and retain talent. 2. Which strategy is most effective for creating a culture of change within a nursing program? A) Implementing top-down directives B) Encouraging open communication C) Maintaining status quo D) Reducing operational costs