NSG 4700 Exam 4 V2 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 4) | Galen
1. A nurse manager is implementing a new electronic health record system using Lewin’s
Change Theory. Which actions are associated with the ‘Unfreezing’ stage? (Select All That
Apply)
A. Gathering data about the need for change
B. Informing the staff about the upcoming change
C. Increasing the driving forces that direct behavior away from the status quo
D. Developing a plan for the implementation
E. Stabilizing the new work system into the workplace
F. Providing support and training to staff
Correct Answer: A, B, C
Explanation: The Unfreezing stage involves creating the motivation or readiness for
change by making people aware of the need for it. This is achieved by gathering data to
prove a problem exists and informing the stakeholders of the necessity for a new approach.
Additionally, leaders must work to increase driving forces while decreasing restraining
forces to push the group out of the current state of equilibrium.
,2. A nurse manager is resolving a conflict between two staff nurses who disagree on the
holiday schedule. Both nurses agree to give up one of their preferred days off to reach a
middle ground. Which conflict resolution strategy is being used?
A. Competing
B. Compromising
C. Smoothing
D. Collaborating
Correct Answer: B
Explanation: Compromising involves each party giving up something of value to reach a
solution. In this scenario, both nurses sacrificed a preferred day off to resolve the
scheduling dispute. This strategy is often used when both sides have equal power or when
a quick solution is needed for a complex issue.
3. Which of the following items would typically be included in a hospital’s capital budget?
A. Registered nurse salaries
B. A new MRI machine costing $1.5 million
C. Medical-surgical supplies like gauze and IV tubing
D. Electricity and water utility bills
Correct Answer: B
,Explanation: The capital budget is used for long-term investments in major equipment or
infrastructure that exceeds a certain dollar threshold and has a useful life of more than one
year. Expenses like salaries and gauze fall under the operating or personnel budgets
because they are day-to-day costs. An MRI machine is a high-cost, long-term asset, making
it a classic example of a capital budget item.
4. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is most appropriate for the RN to delegate?
A. Evaluating a patient’s response to pain medication
B. Assisting a stable patient with a bed bath
C. Feeding a patient who is at high risk for aspiration
D. Providing discharge instructions to a patient
Correct Answer: B
Explanation: RNs should delegate tasks that are repetitive, non-invasive, and do not
require clinical judgment or the nursing process. Assisting a stable patient with activities of
daily living, such as a bed bath, falls within the UAP’s scope of practice. Evaluation, complex
feeding, and education are responsibilities that must be performed by the RN.
5. A nurse manager is evaluating a staff member’s performance and notices the nurse
consistently meets goals but struggles with interpersonal communication. The manager
provides specific examples and sets a timeline for improvement. This is an example of:
A. Performance appraisal
, B. Summative evaluation
C. Formative evaluation
D. Disciplinary action
Correct Answer: A
Explanation: Performance appraisal is the systematic and periodic process that assesses
an individual employee’s job performance and productivity in relation to certain pre-
established criteria and organizational objectives. It involves providing feedback to the
employee regarding areas of strength and areas needing development. In this case, the
manager is using the appraisal to guide the nurse’s professional growth.
6. A nurse leader who focuses on the day-to-day operations and uses a system of rewards and
punishments to motivate staff is demonstrating which leadership style?
A. Transactional
B. Transformational
C. Laissez-faire
D. Democratic
Correct Answer: A
Explanation: Transactional leadership is characterized by a focus on supervision,
organization, and group performance. Leaders using this style often use rewards (like
bonuses) and punishments (like disciplinary action) to ensure compliance and achieve
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 4) | Galen
1. A nurse manager is implementing a new electronic health record system using Lewin’s
Change Theory. Which actions are associated with the ‘Unfreezing’ stage? (Select All That
Apply)
A. Gathering data about the need for change
B. Informing the staff about the upcoming change
C. Increasing the driving forces that direct behavior away from the status quo
D. Developing a plan for the implementation
E. Stabilizing the new work system into the workplace
F. Providing support and training to staff
Correct Answer: A, B, C
Explanation: The Unfreezing stage involves creating the motivation or readiness for
change by making people aware of the need for it. This is achieved by gathering data to
prove a problem exists and informing the stakeholders of the necessity for a new approach.
Additionally, leaders must work to increase driving forces while decreasing restraining
forces to push the group out of the current state of equilibrium.
,2. A nurse manager is resolving a conflict between two staff nurses who disagree on the
holiday schedule. Both nurses agree to give up one of their preferred days off to reach a
middle ground. Which conflict resolution strategy is being used?
A. Competing
B. Compromising
C. Smoothing
D. Collaborating
Correct Answer: B
Explanation: Compromising involves each party giving up something of value to reach a
solution. In this scenario, both nurses sacrificed a preferred day off to resolve the
scheduling dispute. This strategy is often used when both sides have equal power or when
a quick solution is needed for a complex issue.
3. Which of the following items would typically be included in a hospital’s capital budget?
A. Registered nurse salaries
B. A new MRI machine costing $1.5 million
C. Medical-surgical supplies like gauze and IV tubing
D. Electricity and water utility bills
Correct Answer: B
,Explanation: The capital budget is used for long-term investments in major equipment or
infrastructure that exceeds a certain dollar threshold and has a useful life of more than one
year. Expenses like salaries and gauze fall under the operating or personnel budgets
because they are day-to-day costs. An MRI machine is a high-cost, long-term asset, making
it a classic example of a capital budget item.
4. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is most appropriate for the RN to delegate?
A. Evaluating a patient’s response to pain medication
B. Assisting a stable patient with a bed bath
C. Feeding a patient who is at high risk for aspiration
D. Providing discharge instructions to a patient
Correct Answer: B
Explanation: RNs should delegate tasks that are repetitive, non-invasive, and do not
require clinical judgment or the nursing process. Assisting a stable patient with activities of
daily living, such as a bed bath, falls within the UAP’s scope of practice. Evaluation, complex
feeding, and education are responsibilities that must be performed by the RN.
5. A nurse manager is evaluating a staff member’s performance and notices the nurse
consistently meets goals but struggles with interpersonal communication. The manager
provides specific examples and sets a timeline for improvement. This is an example of:
A. Performance appraisal
, B. Summative evaluation
C. Formative evaluation
D. Disciplinary action
Correct Answer: A
Explanation: Performance appraisal is the systematic and periodic process that assesses
an individual employee’s job performance and productivity in relation to certain pre-
established criteria and organizational objectives. It involves providing feedback to the
employee regarding areas of strength and areas needing development. In this case, the
manager is using the appraisal to guide the nurse’s professional growth.
6. A nurse leader who focuses on the day-to-day operations and uses a system of rewards and
punishments to motivate staff is demonstrating which leadership style?
A. Transactional
B. Transformational
C. Laissez-faire
D. Democratic
Correct Answer: A
Explanation: Transactional leadership is characterized by a focus on supervision,
organization, and group performance. Leaders using this style often use rewards (like
bonuses) and punishments (like disciplinary action) to ensure compliance and achieve
