NUR 204/NUR204 Exam 4 V1 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Providing hands-on training for the staff on the new system.
B. Rewarding staff who have successfully transitioned to the new process.
C. Implementing the new system on a pilot unit.
D. Gathering data and creating a sense of urgency about the need for change.
Correct Answer: D
Explanation: The unfreezing stage involves creating the motivation for change by helping
others realize that the current status quo is no longer effective. The nurse manager must
identify the problem and gather data to support the necessity of the transition. This phase
is critical to overcoming resistance before the actual change occurs.
2. A charge nurse is assigning tasks for the shift. Which patient should be assigned to an
experienced Licensed Practical Nurse (LPN)?
A. A 45-year-old patient who is two hours post-op from a total thyroidectomy.
B. A 75-year-old patient in a hypertensive crisis receiving an IV nitroprusside drip.
C. A 22-year-old patient newly diagnosed with Type 1 Diabetes requiring initial education.
D. A 68-year-old patient with chronic stable angina who requires daily oral medications.
,Correct Answer: D
Explanation: The LPN should be assigned to stable patients with predictable outcomes,
such as those with chronic conditions like stable angina. Patients who are unstable,
immediate post-op, or requiring initial education must be cared for by an RN. This
assignment ensures the safety and appropriate level of care based on the scope of practice.
3. In a staff meeting, the nurse manager notices two nurses arguing about the holiday
schedule. The manager tells them, ‘We will discuss this in my office later; let’s focus on the
meeting agenda for now.’ Which conflict management strategy is being used?
A. Avoiding
B. Collaborating
C. Smoothing
D. Compromising
Correct Answer: A
Explanation: Avoiding is a conflict management strategy where the individual ignores the
conflict or postpones its resolution. In this scenario, the manager is deferring the
discussion to a later time to maintain the current meeting’s focus. While it may provide a
cooling-off period, it does not address the underlying issue immediately.
, 4. A nurse is caring for a patient who has been declared brain dead. The family is divided on
whether to continue life support. Which ethical principle is most directly challenged in this
situation?
A. Beneficence
B. Autonomy
C. Justice
D. Veracity
Correct Answer: B
Explanation: Autonomy refers to the right of the patient (or their surrogate) to make their
own healthcare decisions. When a family is divided and the patient’s prior wishes are
unknown, the principle of autonomy becomes central to the ethical conflict. The healthcare
team must work to determine what the patient would have wanted to ensure their self-
determination is respected.
5. A nurse manager is preparing the annual budget and needs to request a new telemetry
monitoring system that costs $25,000. Under which category should this expense be placed?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Providing hands-on training for the staff on the new system.
B. Rewarding staff who have successfully transitioned to the new process.
C. Implementing the new system on a pilot unit.
D. Gathering data and creating a sense of urgency about the need for change.
Correct Answer: D
Explanation: The unfreezing stage involves creating the motivation for change by helping
others realize that the current status quo is no longer effective. The nurse manager must
identify the problem and gather data to support the necessity of the transition. This phase
is critical to overcoming resistance before the actual change occurs.
2. A charge nurse is assigning tasks for the shift. Which patient should be assigned to an
experienced Licensed Practical Nurse (LPN)?
A. A 45-year-old patient who is two hours post-op from a total thyroidectomy.
B. A 75-year-old patient in a hypertensive crisis receiving an IV nitroprusside drip.
C. A 22-year-old patient newly diagnosed with Type 1 Diabetes requiring initial education.
D. A 68-year-old patient with chronic stable angina who requires daily oral medications.
,Correct Answer: D
Explanation: The LPN should be assigned to stable patients with predictable outcomes,
such as those with chronic conditions like stable angina. Patients who are unstable,
immediate post-op, or requiring initial education must be cared for by an RN. This
assignment ensures the safety and appropriate level of care based on the scope of practice.
3. In a staff meeting, the nurse manager notices two nurses arguing about the holiday
schedule. The manager tells them, ‘We will discuss this in my office later; let’s focus on the
meeting agenda for now.’ Which conflict management strategy is being used?
A. Avoiding
B. Collaborating
C. Smoothing
D. Compromising
Correct Answer: A
Explanation: Avoiding is a conflict management strategy where the individual ignores the
conflict or postpones its resolution. In this scenario, the manager is deferring the
discussion to a later time to maintain the current meeting’s focus. While it may provide a
cooling-off period, it does not address the underlying issue immediately.
, 4. A nurse is caring for a patient who has been declared brain dead. The family is divided on
whether to continue life support. Which ethical principle is most directly challenged in this
situation?
A. Beneficence
B. Autonomy
C. Justice
D. Veracity
Correct Answer: B
Explanation: Autonomy refers to the right of the patient (or their surrogate) to make their
own healthcare decisions. When a family is divided and the patient’s prior wishes are
unknown, the principle of autonomy becomes central to the ethical conflict. The healthcare
team must work to determine what the patient would have wanted to ensure their self-
determination is respected.
5. A nurse manager is preparing the annual budget and needs to request a new telemetry
monitoring system that costs $25,000. Under which category should this expense be placed?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
