NSG 4700 Exam 1 V1 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 1) | Galen
1. Which characteristics are associated with transformational leadership? Select all that
apply.
A. Empowers others to achieve their full potential
B. Focuses strictly on day-to-day operations and task completion
C. Provides a shared vision and inspires commitment
D. Uses a system of rewards and punishments to manage behavior
E. Encourages creativity and innovation among staff
F. Demonstrates high levels of emotional intelligence
Correct Answer: ACEF
Explanation: Transformational leadership is characterized by the leader’s ability to inspire
and motivate followers to exceed expectations and achieve collective goals. Unlike
transactional leaders who focus on maintenance and control, transformational leaders use
charisma and intellectual stimulation to drive organizational change. This style promotes
professional growth and fosters a collaborative environment where staff feel valued and
empowered.
,2. A nurse manager is planning to implement a new electronic health record system.
According to Lewin’s Change Theory, which action occurs during the ‘unfreezing’ stage?
A. Integrating the new system into the daily workflow
B. Providing hands-on training for the nursing staff
C. Creating a sense of urgency and identifying the need for change
D. Evaluating the effectiveness of the new software post-implementation
Correct Answer: C
Explanation: The unfreezing stage is the first phase of Lewin’s Change Theory where the
leader helps others recognize the need for change and breaks down old patterns. This stage
involves identifying restraining and driving forces to prepare the organization for
transition. Successfully unfreezing ensures that stakeholders are motivated and ready to
adopt the new processes being introduced.
3. A charge nurse is assigning tasks to the team. Which tasks can be safely delegated to an
unlicensed assistive personnel (UAP)? Select all that apply.
A. Assisting a stable patient with a bedside commode
B. Performing an admission assessment on a new patient
C. Obtaining vital signs on a patient who just returned from surgery
D. Emptying a Foley catheter bag and recording the volume
E. Reinforcing teaching about diabetic foot care
, Correct Answer: AD
Explanation: UAPs are responsible for non-invasive tasks such as activities of daily living
and basic data collection for stable patients. The RN cannot delegate clinical judgment
tasks, assessments, or initial teaching to a UAP according to the 5 Rights of Delegation.
While vital signs are often delegated, a patient who is post-operative requires the clinical
assessment skills of a licensed nurse during the initial recovery period.
4. Which management function involves comparing actual performance against expected
results to ensure organizational goals are met?
A. Planning
B. Organizing
C. Controlling
D. Directing
Correct Answer: C
Explanation: The controlling function of management is essential for quality improvement
and maintaining standards within a healthcare facility. It involves setting performance
standards, measuring performance, and taking corrective action when necessary. This
process ensures that the unit operates efficiently and meets the predefined objectives
established during the planning phase.
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 1) | Galen
1. Which characteristics are associated with transformational leadership? Select all that
apply.
A. Empowers others to achieve their full potential
B. Focuses strictly on day-to-day operations and task completion
C. Provides a shared vision and inspires commitment
D. Uses a system of rewards and punishments to manage behavior
E. Encourages creativity and innovation among staff
F. Demonstrates high levels of emotional intelligence
Correct Answer: ACEF
Explanation: Transformational leadership is characterized by the leader’s ability to inspire
and motivate followers to exceed expectations and achieve collective goals. Unlike
transactional leaders who focus on maintenance and control, transformational leaders use
charisma and intellectual stimulation to drive organizational change. This style promotes
professional growth and fosters a collaborative environment where staff feel valued and
empowered.
,2. A nurse manager is planning to implement a new electronic health record system.
According to Lewin’s Change Theory, which action occurs during the ‘unfreezing’ stage?
A. Integrating the new system into the daily workflow
B. Providing hands-on training for the nursing staff
C. Creating a sense of urgency and identifying the need for change
D. Evaluating the effectiveness of the new software post-implementation
Correct Answer: C
Explanation: The unfreezing stage is the first phase of Lewin’s Change Theory where the
leader helps others recognize the need for change and breaks down old patterns. This stage
involves identifying restraining and driving forces to prepare the organization for
transition. Successfully unfreezing ensures that stakeholders are motivated and ready to
adopt the new processes being introduced.
3. A charge nurse is assigning tasks to the team. Which tasks can be safely delegated to an
unlicensed assistive personnel (UAP)? Select all that apply.
A. Assisting a stable patient with a bedside commode
B. Performing an admission assessment on a new patient
C. Obtaining vital signs on a patient who just returned from surgery
D. Emptying a Foley catheter bag and recording the volume
E. Reinforcing teaching about diabetic foot care
, Correct Answer: AD
Explanation: UAPs are responsible for non-invasive tasks such as activities of daily living
and basic data collection for stable patients. The RN cannot delegate clinical judgment
tasks, assessments, or initial teaching to a UAP according to the 5 Rights of Delegation.
While vital signs are often delegated, a patient who is post-operative requires the clinical
assessment skills of a licensed nurse during the initial recovery period.
4. Which management function involves comparing actual performance against expected
results to ensure organizational goals are met?
A. Planning
B. Organizing
C. Controlling
D. Directing
Correct Answer: C
Explanation: The controlling function of management is essential for quality improvement
and maintaining standards within a healthcare facility. It involves setting performance
standards, measuring performance, and taking corrective action when necessary. This
process ensures that the unit operates efficiently and meets the predefined objectives
established during the planning phase.
