LEADING AND MANAGING IN
NURSING 7TH EDITION TEST BANK
2026 NURSING MANAGEMENT TEST
PAPER QUESTIONS ANSWERS
GRADED A+
◉ 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.
Answer: ANS: 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
Answer: ANS: 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
Answer: ANS: 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.
, Answer: ANS: 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
Answer: ANS: C
Selye described stress as being on a continuum between stress that is
positive (eustress) and stress that is negative (distress). Because
NURSING 7TH EDITION TEST BANK
2026 NURSING MANAGEMENT TEST
PAPER QUESTIONS ANSWERS
GRADED A+
◉ 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.
Answer: ANS: 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
Answer: ANS: 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
Answer: ANS: 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.
, Answer: ANS: 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
Answer: ANS: C
Selye described stress as being on a continuum between stress that is
positive (eustress) and stress that is negative (distress). Because
