NSG 4700 Exam 2 V3 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 2) | Galen
1. A nurse manager is evaluating the effectiveness of a new unit policy. Which components
are part of the Five Rights of Delegation that the manager should emphasize to staff? (Select
all that apply)
A. Right Task
B. Right Circumstance
C. Right Physician
D. Right Person
E. Right Direction/Communication
F. Right Supervision/Evaluation
Correct Answer: A, B, D, E, F
Explanation: The Five Rights of Delegation are a standard framework used to ensure
clinical safety and legal compliance during the delegation process. These rights include the
right task, right circumstance, right person, right direction/communication, and right
supervision/evaluation. The right physician is not a component of this specific nursing
framework, although collaboration remains essential.
,2. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘Unfreezing’ stage, which action should the nurse take?
A. Integrate the new system into the daily routine.
B. Evaluate the outcomes of the new system after three months.
C. Provide technical training sessions for all nursing staff.
D. Convince the staff that a change is necessary due to current inefficiencies.
Correct Answer: D
Explanation: The unfreezing stage involves creating the motivation for change by helping
individuals let go of old patterns. By demonstrating that the current system is inefficient,
the manager builds a sense of urgency and readiness for the transition. This phase is
critical for overcoming resistance before the actual movement occurs.
3. A charge nurse is managing a conflict between two staff nurses regarding holiday
scheduling. The charge nurse suggests that both nurses give up one preferred day to reach an
agreement. Which conflict management strategy is being used?
A. Avoiding
B. Competing
C. Collaborating
D. Compromising
Correct Answer: D
, Explanation: Compromising involves each party giving up something of value to reach a
middle ground. In this scenario, both nurses concede a preference to resolve the scheduling
dispute. While this is a quick fix, it may result in a ‘lose-lose’ feeling if neither party is fully
satisfied.
4. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the team, especially useful in emergency situations?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership, also known as authoritarian, involves centralized
decision-making by the leader. This style is most effective in crisis or code-blue situations
where rapid, decisive action is mandatory. However, it can lead to low staff morale if used
excessively in non-emergent settings.
5. A Registered Nurse (RN) is planning the daily assignment. Which task is most appropriate
to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Performing an admission assessment on a stable patient.
B. Ambulating a patient who is one day postoperative and stable.
C. Providing discharge instructions to a patient with a new colostomy.
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 2) | Galen
1. A nurse manager is evaluating the effectiveness of a new unit policy. Which components
are part of the Five Rights of Delegation that the manager should emphasize to staff? (Select
all that apply)
A. Right Task
B. Right Circumstance
C. Right Physician
D. Right Person
E. Right Direction/Communication
F. Right Supervision/Evaluation
Correct Answer: A, B, D, E, F
Explanation: The Five Rights of Delegation are a standard framework used to ensure
clinical safety and legal compliance during the delegation process. These rights include the
right task, right circumstance, right person, right direction/communication, and right
supervision/evaluation. The right physician is not a component of this specific nursing
framework, although collaboration remains essential.
,2. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘Unfreezing’ stage, which action should the nurse take?
A. Integrate the new system into the daily routine.
B. Evaluate the outcomes of the new system after three months.
C. Provide technical training sessions for all nursing staff.
D. Convince the staff that a change is necessary due to current inefficiencies.
Correct Answer: D
Explanation: The unfreezing stage involves creating the motivation for change by helping
individuals let go of old patterns. By demonstrating that the current system is inefficient,
the manager builds a sense of urgency and readiness for the transition. This phase is
critical for overcoming resistance before the actual movement occurs.
3. A charge nurse is managing a conflict between two staff nurses regarding holiday
scheduling. The charge nurse suggests that both nurses give up one preferred day to reach an
agreement. Which conflict management strategy is being used?
A. Avoiding
B. Competing
C. Collaborating
D. Compromising
Correct Answer: D
, Explanation: Compromising involves each party giving up something of value to reach a
middle ground. In this scenario, both nurses concede a preference to resolve the scheduling
dispute. While this is a quick fix, it may result in a ‘lose-lose’ feeling if neither party is fully
satisfied.
4. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the team, especially useful in emergency situations?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership, also known as authoritarian, involves centralized
decision-making by the leader. This style is most effective in crisis or code-blue situations
where rapid, decisive action is mandatory. However, it can lead to low staff morale if used
excessively in non-emergent settings.
5. A Registered Nurse (RN) is planning the daily assignment. Which task is most appropriate
to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Performing an admission assessment on a stable patient.
B. Ambulating a patient who is one day postoperative and stable.
C. Providing discharge instructions to a patient with a new colostomy.
