AND MANAGING IN NURSING 2ND EDITION WISTECH OPEN 2026 |
PATRICIA S. YODER-WISE AND CONTRIBUTORS
TABLE OF CONTENTS
CHAPTER 1: OVERVIEW
Chapter 2: Prioritization
Chapter 3: Delegation and Supervision
Chapter 4: Leadership and Management
Chapter 5: Legal Implications
Chapter 6: Ethical Practice
Chapter 7: Collaboration Within the Interprofessional Team
Chapter 8: Health Care Economics
Chapter 9: Quality and Evidence-Based Practice
Chapter 10: Advocacy
Chapter 11: Preparation for the RN Role
Chapter 12: Burnout and Self-Care
,CHAPTER 1: OVERVIEW
1.1 Overview: Application & Clinical Judgment MCQs
1. A nurse manager is implementing a new bedside shift-report protocol. Several staff
members are resistant. Which action by the manager demonstrates the first stage of
Lewin’s Change Theory?
o A. Holding a meeting to discuss the "why" behind the change and identifying the
flaws in the current system.
o B. Rewarding nurses who consistently perform bedside reports with preferred
scheduling.
o C. Creating a "Standard Operating Procedure" (SOP) for the new report style.
o D. Providing hands-on training for the new technology used during reports.
o
Correct Answer: A
o Rationale: Lewin’s first stage is Unfreezing, which involves creating readiness
for change by identifying problems and decreasing resistance.
o Reference: Lewin, K. (1951). Field theory in social science.
2. A nurse is caring for a client who refuses a life-saving blood transfusion due to
religious beliefs. The nurse supports the client’s decision despite personal
disagreement. This is an application of which ethical principle?
o A. Beneficence
o B. Nonmaleficence
o C. Autonomy
o D. Justice
o
Correct Answer: C
o Rationale: Autonomy is the right of the client to make their own decisions about
their healthcare, even if those decisions conflict with the healthcare provider's
recommendations.
o Reference: American Nurses Association (2015). Code of Ethics for Nurses.
, 3. A Registered Nurse (RN) is being sued for negligence. During the trial, the
prosecution must prove that the nurse’s failure to act caused the client's injury.
Which element of professional negligence does this represent?
o A. Duty to provide care
o B. Breach of duty
o C. Proximate cause
o D. Damages
o
Correct Answer: C
o Rationale: Proximate cause (or causation) requires proving a direct link between
the nurse’s failure to meet the standard of care and the resulting injury.
o Reference: Guido, G. W. (2019). Legal and Ethical Issues in Nursing.
4. A charge nurse is managing a unit where three nurses are late and the patient acuity
is high. The nurse tells the staff, "I don’t care how you do it, just make sure all the
meds are given by 1000." This represents which leadership style?
o A. Transformational
o B. Laissez-faire
o C. Autocratic
o D. Situational
o
Correct Answer: B
o Rationale: Laissez-faire leadership provides little to no direction or supervision,
which can be dangerous in high-acuity clinical settings.
o Reference: Northouse, P. G. (2021). Leadership: Theory and Practice.
5. A state’s Nurse Practice Act (NPA) is updated to include a wider scope for
Advanced Practice Registered Nurses (APRNs). Who has the primary authority to
enforce these changes?
o A. The American Nurses Association (ANA)
o B. The National League for Nursing (NLN)
o C. The State Board of Nursing (BON)
o D. The hospital’s Board of Directors
o
Correct Answer: C
o Rationale: The State Board of Nursing is the regulatory body tasked with
enforcing the NPA and protecting the public.
o Reference: National Council of State Boards of Nursing (NCSBN).