AND ANSWERS 2026 -27 LATEST AND COMPREHENSIVE
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1. Nursing professionals in the twenty-first century will accomplish most of their work:
a. Through teams of internationally prepared professionals.
b. In teams and through group work.
c. Through long-term, secure jobs.
d. In competitive environments and work groups.
CORRECT ANSWER: B
The future is about teams and group work. Competition will be out and collaboration will be in.
Job security will be out and career options will be in. Our brightest and best may leave more
often than they do at present to pursue career options internationally.
REF: Page 567 | Page 572
TOP: AONE competency: Knowledge of the Health Care Environment
2. Based on studies of workplace environments for nurses and future projections, the workplace
of the future will be:
a. Less intense because of more technology.
b. About the same as it is now.
c. More intense because of more technology.
d. Fluctuating between intense periods and less intense periods.
CORRECT ANSWER: C
,Technology will continue to revolutionize health care and contribute to complexity compression.
In addition to access to knowledge, electronic records, and current applications of technology,
technology will include robotics, which will change how chronic disease can be managed, and
bioengineering will make possible interventions that do not yet exist.
REF: Page 572 TOP: AONE competency: Business Skills
3. Which of the following actions is most representative of how health care of the future might
be delivered? As a nurse leader, you:
a. Refer families who require immediate help to a local food bank. You also work with local
agencies and families to establish a mothers collective in which mothers learn about nutrition
and prepare low-cost, nutritious meals that are shared with the mothers in the collective.
b. Work together with a local agency to set up a free clinic in which addicts and the homeless
can receive free health care and prescriptions for immediate needs.
c. Ensure that individuals who are admitted to your unit are asked about their smoking history
and that preoperative and postoperative planning takes into account how smoking will affect
status during and after surgery.
d. Address the health of those who are overweight and obese on your unit by ensuring that
hospital meals offer nutritious, healthy food choices that are satisfying.
CORRECT ANSWER: A
Referral to a food bank addresses the needs of a specific population, while exemplifying an
important leadership strength: thinking long-term, acting short-term. The project that involves
mothers will teach mothers about nutrition and engage them in preparation of low-cost,
healthy meals while promoting longer-term changes in healthy eating.
REF: Page 567 | Page 568 | Page 572 TOP: AONE competency: Leadership
,4. You notice that wait times in your Emergency Department are growing longer, because of
factors such as increases in the numbers of persons with chronic disorders, discharge of patients
into the community at a higher level of acuity, and limited resources for transfer of inpatients.
You begin to think about an application that would use your knowledge of the Emergency
Department but also software and business applications and wonder if this would reduce wait
times. You have not encountered anything similar to this idea. According to the Wise Forecast
Model©, you are in what phase?
a. Wild thinking
b. Act widely
c. Think wildly
d. Learn widely
CORRECT ANSWER: C
The second step in the Wise Forecast Model© is to think wildly. Step two is designed to create
connections among disparate thoughts. This thinking might be seen as the start of innovations.
REF: Page 570 TOP: AONE competency: Knowledge of the Health Care Environment
5. Your organization is in the middle of re-designing patient care units, with decisions based on
best practices and various other sources of evidence. In the middle of the transition, there is a
temporary halt called to the transition because of a re-design of the health care system and
greater emphasis on primary care. What would be a healthy response to this situation?
a. Salvage as much of the original planning as possible so as to reduce expenditures.
b. Engage in consultation to create innovative solutions that bridge the existing plans and the
new directions.
c. Abandon the current planning in favor of addressing the new trends.
d. Continue with the current planning because trends come and go.
CORRECT ANSWER: B
Stability and total chaos are the ends of a continuum. Moving in some way between those two
ends suggests that we live in a constant state of disequilibrium in which we strive toward
, stability while recognizing we experience chaos. As we continue to move from "traditional"
practices to evidence-based ones and from a heavy focus on tertiary care to one that values
primary care, we can assume that we might experience more chaos. Chaos can lead to new
learning and new, innovative solutions. As nurses, it is important to be able to function in an
evolving environment.
REF: Page 571 TOP: AONE competency: Leadership
6. Your organization is in the middle of re-designing patient care units, with decisions based on
best practices and various other sources of evidence. In the middle of the transition, there is a
temporary halt called to the transition because of a re-design of the health care system and
greater emphasis on primary care. As a manager in this situation, your staff experience a gap
between what they expected (the original re-design of the units) and what is actually happening
(a need to integrate primary care in some way). According to Selye, the nurses on your nursing
team are likely experiencing what?
a. Eustress
b. Distress
c. Stress
d. Compression
CORRECT ANSWER: C
Selye described stress as being on a continuum between stress that is positive (eustress) and
stress that is negative (distress). Because individuals perceive the same event differently, from
the information that is given, it is not possible to determine whether the nurses experience the
events as eustress or distress; what is most likely is that the nurses are experiencing stress,
which is what occurs when there is a gap between expectations and what is actually occurring.
REF: Page 571 TOP: AONE competency: Leadership