NR 452 Capstone Course Week 5 Study Guide 2026 |Chamberlain
College
1. Which leadership style is characterized by a leader who makes all the
decisions and dictates work methods?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control over the team and processes.
2. A nurse manager is using Lewin’s Change Theory to implement a new EHR. In
which stage does the manager create the motivation for change?
A. Moving
B. Unfreezing
C. Refreezing
D. Evaluating
Answer: B
Rationale: Unfreezing is the first stage where the need for change is identified and the
status quo is disrupted to prepare for transition.
,3. Which task is most appropriate for a nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Assessing a patient’s surgical incision
B. Teaching a patient how to use an incentive spirometer
C. Performing an initial vital sign check on a post-op patient
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Assessment and teaching require the skills of a licensed nurse.
4. A nurse prioritizes patient care based on Maslow’s Hierarchy of Needs. Which
patient should the nurse see first?
A. A patient with a pulse oximetry reading of 88% on room air
B. A patient requesting information about their medication
C. A patient needing emotional support after a diagnosis
D. A patient complaining of mild pain at the IV site
Answer: A
Rationale: Physiological needs, particularly airway, breathing, and circulation (ABCs), take
precedence over higher-level needs like education or emotional support.
5. In the context of ethical principles, what does ‘beneficence’ refer to?
A. The duty to do no harm
B. The fair distribution of resources
C. The right of the patient to make their own decisions
D. The duty to do good and act in the best interest of the patient
Answer: D
Rationale: Beneficence is the ethical principle of acting for the benefit of others and doing
good.
, 6. What is the primary goal of Root Cause Analysis (RCA) in a healthcare setting?
A. To identify systems-level factors that contributed to a sentinel event
B. To satisfy legal requirements for hospital accreditation
C. To assign blame to the individual responsible for an error
D. To reduce the costs associated with medical malpractice
Answer: A
Rationale: RCA is a structured process used to identify the underlying causes of adverse
events to prevent their recurrence, focusing on systems rather than individuals.
7. A nurse is caring for a patient who does not speak the same language. Which
action is most appropriate?
A. Ask the patient’s family member to translate medical information
B. Speak slowly and loudly so the patient can understand better
C. Use a certified medical interpreter
D. Rely on non-verbal cues and hand gestures only
Answer: C
Rationale: Using a certified medical interpreter ensures accuracy and confidentiality in
communicating complex medical information.
8. Which element is a requirement for a claim of nursing negligence to be
successful?
A. The nurse must have intended to cause harm
B. The patient must have signed an informed consent form
C. The patient must be over the age of 18
D. There must be a breach of the duty of care
Answer: D
Rationale: The four elements of negligence are duty, breach of duty, causation, and
injury/damages.
College
1. Which leadership style is characterized by a leader who makes all the
decisions and dictates work methods?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control over the team and processes.
2. A nurse manager is using Lewin’s Change Theory to implement a new EHR. In
which stage does the manager create the motivation for change?
A. Moving
B. Unfreezing
C. Refreezing
D. Evaluating
Answer: B
Rationale: Unfreezing is the first stage where the need for change is identified and the
status quo is disrupted to prepare for transition.
,3. Which task is most appropriate for a nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Assessing a patient’s surgical incision
B. Teaching a patient how to use an incentive spirometer
C. Performing an initial vital sign check on a post-op patient
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Assessment and teaching require the skills of a licensed nurse.
4. A nurse prioritizes patient care based on Maslow’s Hierarchy of Needs. Which
patient should the nurse see first?
A. A patient with a pulse oximetry reading of 88% on room air
B. A patient requesting information about their medication
C. A patient needing emotional support after a diagnosis
D. A patient complaining of mild pain at the IV site
Answer: A
Rationale: Physiological needs, particularly airway, breathing, and circulation (ABCs), take
precedence over higher-level needs like education or emotional support.
5. In the context of ethical principles, what does ‘beneficence’ refer to?
A. The duty to do no harm
B. The fair distribution of resources
C. The right of the patient to make their own decisions
D. The duty to do good and act in the best interest of the patient
Answer: D
Rationale: Beneficence is the ethical principle of acting for the benefit of others and doing
good.
, 6. What is the primary goal of Root Cause Analysis (RCA) in a healthcare setting?
A. To identify systems-level factors that contributed to a sentinel event
B. To satisfy legal requirements for hospital accreditation
C. To assign blame to the individual responsible for an error
D. To reduce the costs associated with medical malpractice
Answer: A
Rationale: RCA is a structured process used to identify the underlying causes of adverse
events to prevent their recurrence, focusing on systems rather than individuals.
7. A nurse is caring for a patient who does not speak the same language. Which
action is most appropriate?
A. Ask the patient’s family member to translate medical information
B. Speak slowly and loudly so the patient can understand better
C. Use a certified medical interpreter
D. Rely on non-verbal cues and hand gestures only
Answer: C
Rationale: Using a certified medical interpreter ensures accuracy and confidentiality in
communicating complex medical information.
8. Which element is a requirement for a claim of nursing negligence to be
successful?
A. The nurse must have intended to cause harm
B. The patient must have signed an informed consent form
C. The patient must be over the age of 18
D. There must be a breach of the duty of care
Answer: D
Rationale: The four elements of negligence are duty, breach of duty, causation, and
injury/damages.
