ACTUAL PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
●● Why is it important that nurses lead, manage, and collaboratively
follow in the healthcare system? Answer: - According to the Institute of
Medicine (IOM) and patient protection and affordable care act
(PPACA), no substantial healthcare reform can occur without active
nursing involvement
- nurses must lead, manage and collaborate in order for:
+ Interdisciplinary collaboration to meet the Triple AIM
+ Today leading managing and following are no longer such formal roles
(this has shifted to a model of collaboration and shared decision making)
+ Nurses shift between a leader, manager and follower no matter if you
are a bedside nurse or the chief nurse executive.
●● IHI Triple Aim Answer: - Improve the patient experience of care
(including quality and satisfaction)
- Improve the health of populations (improve access)
- Reduce the per capita cost of health care. (cost)
●● How do nurses work to improve healthcare access as laid out by IHI
Triple Aim? Answer: - Nurses practice in places beyond the hospital
setting (ambulatory settings, school clinics, public health, home health)
, ●● How do nurses work to improve the quality of care as laid out by IHI
Triple Aim? Answer: - Sensitive to patients needs
- Safety (audits), freedom from medical errors
- Educate and ensure understanding of their care
●● How do nurses work to decrease healthcare costs as laid out by IHI
Triple Aim? Answer: - Costs have increased.
- Challenge of healthcare workers to work in new ways to coordinate
care to be safe, efficient and cost effective
- Encourage innovation at the bedside
●● What does being able to lead, manage, and follow collaboratively
allow the nurse to do? Answer: - Make important clinical decisions
- Consider the organization and societal context of decisions
- Advocate for the patients and nurses
●● management Answer: process of planning, organizing directing and
coordinating the work within the organization.
- process of guiding others through a set of practices and procedures that
are evidence-based and know to satisfy pre-established outcomes based
on repeated clinical situations (quality improvement projects)
- doesn't always have to be conducted by top person in authority