LEADERSHIP AND NURSING CARE
MANAGEMENT ACTUAL EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ What could be a potential outcome of not addressing staffing
concerns with the nursing manager? Answer: The nurse may
prematurely seek employment elsewhere without understanding
the situation.
◉ What is the significance of engaging nurses in the change process?
Answer: It makes change more palatable and allows nurses to see its
worth.
◉ What is one way to communicate the necessity of a change in shift
report? Answer: Inform all shifts about lapses in communication
regarding patient needs.
◉ What is the purpose of trying a new change for a limited time?
Answer: To allow staff to evaluate its effectiveness after a trial
period.
◉ What does the acronym MSC stand for in the context of nursing
needs? Answer: Management of Care.
,◉ What is the importance of open communication during the change
process? Answer: It allows for early involvement of staff and
addresses their input and concerns.
◉ What does the acronym DIF represent in the context of nursing
assessments? Answer: Cognitive Level.
◉ What is the main focus of the nursing process during
implementation of change? Answer: To ensure safe and effective
care environment.
◉ What can be a result of forced change on nursing staff? Answer: It
may threaten their security or seem unnecessary.
◉ What is a key factor in sustaining organizational change? Answer:
Active participation of nurses in the change process.
◉ What are the characteristics of learning organizations that adapt
to change? Answer: Learning organizations are open, dynamic, and
responsive to changes in the environment.
◉ Which learning disciplines are true for organizations that adapt to
change? Answer: B. Systems thinking, C. Mental models, D. Shared
vision.
,◉ What is systems thinking in the context of learning organizations?
Answer: Viewing the organization as an interrelated system rather
than in unrelated parts.
◉ How do mental models affect decision-making in organizations?
Answer: They allow individuals to develop and project a personal
vision and understand how these views affect their decisions.
◉ What is the role of shared vision in learning organizations?
Answer: It is conducted within a group to determine plans to achieve
a preferred future.
◉ What strategies should managers use to provide emotional
support during stress? Answer: A. Reframe difficult questions, C.
Provide active listening, D. Promote action steps and solutions, E.
Keep staff informed, F. Communicate with participation.
◉ What is the importance of active listening in managing staff
during change? Answer: It helps provide emotional support and
acknowledges staff concerns.
◉ What actions can increase the effectiveness of the change process?
Answer: A. Explain the rationale for change, C. Provide necessary
information, E. Help individuals cope with change.
, ◉ What should be avoided when implementing change in an
organization? Answer: B. Simply announcing the change without
laying a foundation, D. Relying only on formal authority.
◉ How can a manager deal with staff resistance to change? Answer:
B. Give adequate notice of change, D. Explain the rationale and
patient impact.
◉ What is the impact of giving adequate notice of change to staff?
Answer: It helps in managing emotionality and acceptance of the
change.
◉ Why is it important to explain the rationale for changes to staff?
Answer: It helps staff understand the reasons behind the change and
its impact on patient care.
◉ What should managers avoid when addressing staff emotionality
regarding change? Answer: Avoid using persuasion and allow staff to
express their feelings.
◉ What is the role of communication in managing change? Answer:
Keeping staff informed and soliciting input encourages participation
and reduces resistance.
MANAGEMENT ACTUAL EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ What could be a potential outcome of not addressing staffing
concerns with the nursing manager? Answer: The nurse may
prematurely seek employment elsewhere without understanding
the situation.
◉ What is the significance of engaging nurses in the change process?
Answer: It makes change more palatable and allows nurses to see its
worth.
◉ What is one way to communicate the necessity of a change in shift
report? Answer: Inform all shifts about lapses in communication
regarding patient needs.
◉ What is the purpose of trying a new change for a limited time?
Answer: To allow staff to evaluate its effectiveness after a trial
period.
◉ What does the acronym MSC stand for in the context of nursing
needs? Answer: Management of Care.
,◉ What is the importance of open communication during the change
process? Answer: It allows for early involvement of staff and
addresses their input and concerns.
◉ What does the acronym DIF represent in the context of nursing
assessments? Answer: Cognitive Level.
◉ What is the main focus of the nursing process during
implementation of change? Answer: To ensure safe and effective
care environment.
◉ What can be a result of forced change on nursing staff? Answer: It
may threaten their security or seem unnecessary.
◉ What is a key factor in sustaining organizational change? Answer:
Active participation of nurses in the change process.
◉ What are the characteristics of learning organizations that adapt
to change? Answer: Learning organizations are open, dynamic, and
responsive to changes in the environment.
◉ Which learning disciplines are true for organizations that adapt to
change? Answer: B. Systems thinking, C. Mental models, D. Shared
vision.
,◉ What is systems thinking in the context of learning organizations?
Answer: Viewing the organization as an interrelated system rather
than in unrelated parts.
◉ How do mental models affect decision-making in organizations?
Answer: They allow individuals to develop and project a personal
vision and understand how these views affect their decisions.
◉ What is the role of shared vision in learning organizations?
Answer: It is conducted within a group to determine plans to achieve
a preferred future.
◉ What strategies should managers use to provide emotional
support during stress? Answer: A. Reframe difficult questions, C.
Provide active listening, D. Promote action steps and solutions, E.
Keep staff informed, F. Communicate with participation.
◉ What is the importance of active listening in managing staff
during change? Answer: It helps provide emotional support and
acknowledges staff concerns.
◉ What actions can increase the effectiveness of the change process?
Answer: A. Explain the rationale for change, C. Provide necessary
information, E. Help individuals cope with change.
, ◉ What should be avoided when implementing change in an
organization? Answer: B. Simply announcing the change without
laying a foundation, D. Relying only on formal authority.
◉ How can a manager deal with staff resistance to change? Answer:
B. Give adequate notice of change, D. Explain the rationale and
patient impact.
◉ What is the impact of giving adequate notice of change to staff?
Answer: It helps in managing emotionality and acceptance of the
change.
◉ Why is it important to explain the rationale for changes to staff?
Answer: It helps staff understand the reasons behind the change and
its impact on patient care.
◉ What should managers avoid when addressing staff emotionality
regarding change? Answer: Avoid using persuasion and allow staff to
express their feelings.
◉ What is the role of communication in managing change? Answer:
Keeping staff informed and soliciting input encourages participation
and reduces resistance.
