NUR 204/NUR204 Exam 2 V1 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is promoting a team-based environment and encourages staff nurses to
participate in the decision-making process for the unit’s holiday schedule. Which leadership
style is this manager demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
Explanation: The democratic leadership style, also known as participative leadership,
encourages staff members to participate in the decision-making process. This approach
increases job satisfaction and fosters a sense of ownership among the team. In contrast,
autocratic leadership centralizes all decision-making with the manager, offering little to no
input from staff.
2. A registered nurse (RN) is planning care for a group of clients. Which of the following tasks
is most appropriate for the RN to delegate to an unlicensed assistive personnel (UAP)?
A. Performing a sterile dressing change on a post-operative wound.
B. Assessing the pain level of a client who just returned from surgery.
,C. Teaching a client how to use an incentive spirometer.
D. Assisting a stable client with ambulation to the bathroom.
Correct Answer: D
Explanation: Assisting a stable client with activities of daily living (ADLs), such as
ambulation, falls within the scope of practice for a UAP. Sterile procedures, assessments,
and client teaching are complex tasks that require the clinical judgment and specialized
knowledge of an RN or LPN. The RN must always ensure that the client’s condition is stable
before delegating basic tasks to assistive personnel.
3. A nurse is dealing with a conflict between two staff members regarding the assignment of
duties. The nurse decides to use a collaborating strategy to resolve the issue. Which action
should the nurse take?
A. Suggest that each staff member give up something to reach a middle ground.
B. Tell the staff members to stop arguing and focus on patient care.
C. Facilitate a discussion where both parties work together to find a mutually beneficial
solution.
D. Assign the tasks herself to avoid further confrontation between the two nurses.
Correct Answer: C
Explanation: Collaboration is a ‘win-win’ strategy where all parties work together to
achieve a common goal that satisfies everyone’s concerns. This approach requires open
communication, mutual respect, and a willingness to explore various alternatives.
, Compromising, on the other hand, involves each party giving up something, which is a
‘lose-lose’ or ‘win-lose’ scenario depending on the outcome.
4. When using Lewin’s Change Theory, a nurse manager is in the ‘unfreezing’ stage of a
planned change. Which activity would be most characteristic of this stage?
A. Establishing new policies and procedures to solidify the change.
B. Providing positive feedback to staff who have successfully adopted new practices.
C. Implementing a new electronic health record system across the facility.
D. Gathering data and identifying that a change is necessary because of high infection rates.
Correct Answer: D
Explanation: The ‘unfreezing’ stage involves recognizing the need for change and
preparing the members of the group for the transition by creating motivation for change.
This is the first step in Lewin’s model, followed by ‘moving’ (implementation) and
‘refreezing’ (stabilization). Identifying high infection rates serves as the catalyst or ‘driving
force’ to unfreeze the current status quo.
5. A nurse manager is preparing the annual budget and needs to request funds for a new
state-of-the-art telemetry monitoring system. Under which budget category does this request
fall?
A. Operating budget
B. Personnel budget
C. Capital budget
Management Q&A with Rationale | Fortis College
1. A nurse manager is promoting a team-based environment and encourages staff nurses to
participate in the decision-making process for the unit’s holiday schedule. Which leadership
style is this manager demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
Explanation: The democratic leadership style, also known as participative leadership,
encourages staff members to participate in the decision-making process. This approach
increases job satisfaction and fosters a sense of ownership among the team. In contrast,
autocratic leadership centralizes all decision-making with the manager, offering little to no
input from staff.
2. A registered nurse (RN) is planning care for a group of clients. Which of the following tasks
is most appropriate for the RN to delegate to an unlicensed assistive personnel (UAP)?
A. Performing a sterile dressing change on a post-operative wound.
B. Assessing the pain level of a client who just returned from surgery.
,C. Teaching a client how to use an incentive spirometer.
D. Assisting a stable client with ambulation to the bathroom.
Correct Answer: D
Explanation: Assisting a stable client with activities of daily living (ADLs), such as
ambulation, falls within the scope of practice for a UAP. Sterile procedures, assessments,
and client teaching are complex tasks that require the clinical judgment and specialized
knowledge of an RN or LPN. The RN must always ensure that the client’s condition is stable
before delegating basic tasks to assistive personnel.
3. A nurse is dealing with a conflict between two staff members regarding the assignment of
duties. The nurse decides to use a collaborating strategy to resolve the issue. Which action
should the nurse take?
A. Suggest that each staff member give up something to reach a middle ground.
B. Tell the staff members to stop arguing and focus on patient care.
C. Facilitate a discussion where both parties work together to find a mutually beneficial
solution.
D. Assign the tasks herself to avoid further confrontation between the two nurses.
Correct Answer: C
Explanation: Collaboration is a ‘win-win’ strategy where all parties work together to
achieve a common goal that satisfies everyone’s concerns. This approach requires open
communication, mutual respect, and a willingness to explore various alternatives.
, Compromising, on the other hand, involves each party giving up something, which is a
‘lose-lose’ or ‘win-lose’ scenario depending on the outcome.
4. When using Lewin’s Change Theory, a nurse manager is in the ‘unfreezing’ stage of a
planned change. Which activity would be most characteristic of this stage?
A. Establishing new policies and procedures to solidify the change.
B. Providing positive feedback to staff who have successfully adopted new practices.
C. Implementing a new electronic health record system across the facility.
D. Gathering data and identifying that a change is necessary because of high infection rates.
Correct Answer: D
Explanation: The ‘unfreezing’ stage involves recognizing the need for change and
preparing the members of the group for the transition by creating motivation for change.
This is the first step in Lewin’s model, followed by ‘moving’ (implementation) and
‘refreezing’ (stabilization). Identifying high infection rates serves as the catalyst or ‘driving
force’ to unfreeze the current status quo.
5. A nurse manager is preparing the annual budget and needs to request funds for a new
state-of-the-art telemetry monitoring system. Under which budget category does this request
fall?
A. Operating budget
B. Personnel budget
C. Capital budget
