A Comprehensive Exam Study Guide on Yoder
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Questions. Latest Update Guide 2026/2027.
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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. - ansANS: 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. - ansANS: 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 - ansANS: 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.
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REF: Page 567 | Page 568 | Page 572 TOP: AONE competency: Leadership
Latest Updated Guide 2026/2027
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 - ansANS: 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. - ansANS: 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
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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
Latest Updated Guide 2026/2027
b. Distress
c. Stress
d. Compression - ansANS: 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
7. As a nurse manager, it is important to become a "future thinker." Which is an example of a
"future thinker"?
a. Keeping traditional practices
b. Moving toward evidence-based practices
c. Finding less need for more knowledge
d. Believing that macromarketing will be a necessity - ansANS: B
Future forecasts include evolutions in power, structure, and knowledge; rapid change in the
healthcare system; the demise of macromarketing; and increased evidence-based practice.
REF: Page 571 TOP: AONE competency: Leadership
8. As a team, you and the staff have determined that there is a need to reduce medication
errors on your unit. Together, you developed the questions that you would like addressed and
searched the literature for relevant research studies. Based on the evidence, you suggested a
change to your practices and now are involved in implementation of these changes. Today,
there was a major study released that would significantly change what you have decided to
do. What are you and your staff experiencing? a. Compression complexity
b. Distress
c. Information lag
d. Technology advancement - ansANS: A
This situation exemplifies complexity compression, a term that means many changes are
happening almost simultaneously and before one practice can be firmly implanted in our
minds, we are already addressing some other new change. This compression can be
distracting or useful.
REF: Page 572 TOP: AONE competency: Leadership
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