NSG 4700 Exam 4 V1 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 4) | Galen
1. A nurse manager is dealing with a conflict between two staff nurses regarding holiday
scheduling. The manager suggests that both nurses give up one preferred day off to ensure
the unit is safely staffed. Which conflict management style is the manager demonstrating?
A. Competing
B. Compromising
C. Avoiding
D. Accommodating
Correct Answer: B
Explanation: Compromising involves a middle-ground approach where each party yields
something of value to resolve the conflict. This style is often effective when both parties
have equal power or when a quick solution is necessary for unit safety. It is frequently
described as a ‘lose-lose’ or ‘win-lose’ hybrid since neither party gets exactly what they
wanted initially.
2. According to Lewin’s Change Theory, a nurse manager who is preparing the staff for a new
electronic documentation system by sharing data on current charting errors is in which stage?
A. Moving
,B. Refreezing
C. Unfreezing
D. Resistance
Correct Answer: C
Explanation: The unfreezing stage is characterized by creating the motivation to change
and helping individuals let go of old patterns. By showing data on errors, the manager is
highlighting the ‘driving forces’ that necessitate the shift. This stage is crucial for
overcoming resistance before the actual change implementation occurs.
3. Which of the following activities are considered essential components of a hospital’s Risk
Management program? (Select All That Apply)
A. Conducting Root Cause Analysis (RCA) after a sentinel event
B. Identifying and trend reporting of incident reports
C. Providing clinical bedside care to high-risk patients
D. Managing legal claims and litigation against the facility
E. Ensuring compliance with regulatory and accreditation standards
F. Directly supervising the hiring of all new nursing staff
Correct Answer: A, B, D, E
Explanation: Risk management focuses on identifying, analyzing, and reducing risks to
improve patient safety and protect the organization’s assets. Root Cause Analysis is a
,reactive strategy used to prevent the recurrence of serious errors, while incident reporting
provides proactive data. While clinical care and hiring are important, they are operational
nursing and HR functions rather than core risk management tasks.
4. A nurse manager is requesting a new $25,000 telemetry monitoring system for the unit.
Under which category of the budget will this purchase be placed?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: C
Explanation: The capital budget is used for the purchase of major equipment or physical
assets that have a high cost and a long life expectancy, usually exceeding one year. Items in
this budget typically have a minimum price threshold set by the organization, such as $500
or $1,000. Operating budgets, by contrast, cover day-to-day expenses like supplies and
minor equipment.
5. The nurse leader is reviewing the unit’s fall rates and comparing them to the national
average of similar medical-surgical units. This process is known as:
A. Performance Appraisal
B. Quality Control
C. Strategic Planning
, D. Benchmarking
Correct Answer: D
Explanation: Benchmarking is the process of measuring products, services, or practices
against the ‘best-in-class’ or industry standards. It allows organizations to identify gaps in
performance and set goals for improvement based on external excellence. This is a key tool
in evidence-based management and quality improvement initiatives.
6. During a performance appraisal, a manager gives a nurse a high rating in all categories
because the nurse recently managed a difficult code blue exceptionally well, despite previous
attendance issues. What error is the manager making?
A. Halo effect
B. Horns effect
C. Central tendency
D. Recency effect
Correct Answer: D
Explanation: The recency effect occurs when an evaluator allows recent events to
influence the overall rating more than the performance throughout the entire appraisal
period. This leads to an inaccurate representation of the employee’s standard performance
over the year. Managers should keep anecdotal notes throughout the year to avoid this
bias.
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 4) | Galen
1. A nurse manager is dealing with a conflict between two staff nurses regarding holiday
scheduling. The manager suggests that both nurses give up one preferred day off to ensure
the unit is safely staffed. Which conflict management style is the manager demonstrating?
A. Competing
B. Compromising
C. Avoiding
D. Accommodating
Correct Answer: B
Explanation: Compromising involves a middle-ground approach where each party yields
something of value to resolve the conflict. This style is often effective when both parties
have equal power or when a quick solution is necessary for unit safety. It is frequently
described as a ‘lose-lose’ or ‘win-lose’ hybrid since neither party gets exactly what they
wanted initially.
2. According to Lewin’s Change Theory, a nurse manager who is preparing the staff for a new
electronic documentation system by sharing data on current charting errors is in which stage?
A. Moving
,B. Refreezing
C. Unfreezing
D. Resistance
Correct Answer: C
Explanation: The unfreezing stage is characterized by creating the motivation to change
and helping individuals let go of old patterns. By showing data on errors, the manager is
highlighting the ‘driving forces’ that necessitate the shift. This stage is crucial for
overcoming resistance before the actual change implementation occurs.
3. Which of the following activities are considered essential components of a hospital’s Risk
Management program? (Select All That Apply)
A. Conducting Root Cause Analysis (RCA) after a sentinel event
B. Identifying and trend reporting of incident reports
C. Providing clinical bedside care to high-risk patients
D. Managing legal claims and litigation against the facility
E. Ensuring compliance with regulatory and accreditation standards
F. Directly supervising the hiring of all new nursing staff
Correct Answer: A, B, D, E
Explanation: Risk management focuses on identifying, analyzing, and reducing risks to
improve patient safety and protect the organization’s assets. Root Cause Analysis is a
,reactive strategy used to prevent the recurrence of serious errors, while incident reporting
provides proactive data. While clinical care and hiring are important, they are operational
nursing and HR functions rather than core risk management tasks.
4. A nurse manager is requesting a new $25,000 telemetry monitoring system for the unit.
Under which category of the budget will this purchase be placed?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: C
Explanation: The capital budget is used for the purchase of major equipment or physical
assets that have a high cost and a long life expectancy, usually exceeding one year. Items in
this budget typically have a minimum price threshold set by the organization, such as $500
or $1,000. Operating budgets, by contrast, cover day-to-day expenses like supplies and
minor equipment.
5. The nurse leader is reviewing the unit’s fall rates and comparing them to the national
average of similar medical-surgical units. This process is known as:
A. Performance Appraisal
B. Quality Control
C. Strategic Planning
, D. Benchmarking
Correct Answer: D
Explanation: Benchmarking is the process of measuring products, services, or practices
against the ‘best-in-class’ or industry standards. It allows organizations to identify gaps in
performance and set goals for improvement based on external excellence. This is a key tool
in evidence-based management and quality improvement initiatives.
6. During a performance appraisal, a manager gives a nurse a high rating in all categories
because the nurse recently managed a difficult code blue exceptionally well, despite previous
attendance issues. What error is the manager making?
A. Halo effect
B. Horns effect
C. Central tendency
D. Recency effect
Correct Answer: D
Explanation: The recency effect occurs when an evaluator allows recent events to
influence the overall rating more than the performance throughout the entire appraisal
period. This leads to an inaccurate representation of the employee’s standard performance
over the year. Managers should keep anecdotal notes throughout the year to avoid this
bias.
