NSG 4700 Exam 3 V1 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 3) |
Galen
1. According to Lewin’s Change Theory, what is the primary goal of the ‘unfreezing’ stage?
A. To integrate the change into the daily values of the organization
B. To develop a detailed plan for the implementation of new processes
C. To evaluate the effectiveness of the change after it has occurred
D. To create awareness of the need for change and minimize resistance
Answer: D
Rationale: The unfreezing stage is the first step where the leader helps others let go of
current patterns to prepare for new ones. This phase involves creating a sense of urgency
or awareness that the status quo is no longer effective. Without successful unfreezing,
employees are likely to resist the transition to new processes during the moving stage.
2. A nurse manager is resolving a conflict between two nurses by asking them to both give up
something to reach a solution. Which conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Smoothing
D. Competing
Answer: B
Rationale: Compromising involves a give-and-take approach where each party sacrifices
something to reach a middle ground. This strategy is often used when both sides have
equal power and goals are moderately important. While it resolves the conflict quickly, it
may result in a ‘lose-lose’ situation if neither party is fully satisfied with the outcome.
3. A healthcare facility is comparing its patient fall rates against the national average to
identify areas for improvement. This process is known as:
A. Benchmarking
B. Strategic Planning
C. Variance Analysis
D. Quality Control
Answer: A
,Rationale: Benchmarking is the process of measuring products, services, or practices
against those of the best-performing organizations. It provides a standard of excellence
that helps leaders identify performance gaps. By using national data, the facility can set
realistic and competitive goals for patient safety.
4. Which type of budget accounts for high-cost items that have a long useful life, such as a
new MRI machine?
A. Capital Budget
B. Operating Budget
C. Personnel Budget
D. Cash Budget
Answer: A
Rationale: Capital budgets are designed for long-term investments in assets that exceed a
specific dollar amount, typically fixed by the organization. These items, such as medical
equipment or building renovations, are expected to last several years. Effective capital
budgeting requires careful planning because these purchases represent significant financial
commitments.
5. When delegating a task to a Unlicensed Assistive Personnel (UAP), which of the following
‘Five Rights of Delegation’ ensures the task is appropriate for the specific patient?
A. Right Task
B. Right Circumstance
C. Right Direction
D. Right Supervision
Answer: B
Rationale: The Right Circumstance involves considering the health status of the patient
and the complexity of the care needed. The nurse must ensure that the patient is stable
enough for the UAP to perform the delegated task safely. Delegating a task to an unstable
patient, even if it is a standard task, violates this right of delegation.
6. A leader who inspires and motivates followers to achieve extraordinary outcomes and
develop their own leadership capacity is known as a:
A. Transactional Leader
B. Autocratic Leader
C. Laissez-faire Leader
D. Transformational Leader
, Answer: D
Rationale: Transformational leaders focus on the big picture and empower their team to
innovate and create change. They build strong relationships and use vision to align the
goals of the individual with the goals of the organization. This style is highly effective in
complex healthcare environments where adaptability is required.
7. A nurse respects a patient’s right to refuse a life-saving blood transfusion due to religious
beliefs. Which ethical principle is being upheld?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of self-determination and the ability of a patient to
make their own informed decisions. The nurse’s role is to ensure the patient has all the
necessary information and to support their choice, even if it conflicts with the nurse’s
personal values. This principle is a cornerstone of patient-centered care and legal
healthcare requirements.
8. Which ethical principle is defined as the duty to ‘do no harm’ to the patient?
A. Fidelity
B. Veracity
C. Non-maleficence
D. Beneficence
Answer: C
Rationale: Non-maleficence requires healthcare providers to avoid causing unnecessary
pain or injury to patients. This principle often comes into play when balancing the risks and
benefits of a specific treatment or procedure. It serves as a foundational ethical obligation
to protect patient safety at all times.
9. During a hand-off report, the nurse uses the SBAR tool. What does the ‘A’ in SBAR stand
for?
A. Action
B. Accountability
C. Assessment
D. Analysis
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 3) |
Galen
1. According to Lewin’s Change Theory, what is the primary goal of the ‘unfreezing’ stage?
A. To integrate the change into the daily values of the organization
B. To develop a detailed plan for the implementation of new processes
C. To evaluate the effectiveness of the change after it has occurred
D. To create awareness of the need for change and minimize resistance
Answer: D
Rationale: The unfreezing stage is the first step where the leader helps others let go of
current patterns to prepare for new ones. This phase involves creating a sense of urgency
or awareness that the status quo is no longer effective. Without successful unfreezing,
employees are likely to resist the transition to new processes during the moving stage.
2. A nurse manager is resolving a conflict between two nurses by asking them to both give up
something to reach a solution. Which conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Smoothing
D. Competing
Answer: B
Rationale: Compromising involves a give-and-take approach where each party sacrifices
something to reach a middle ground. This strategy is often used when both sides have
equal power and goals are moderately important. While it resolves the conflict quickly, it
may result in a ‘lose-lose’ situation if neither party is fully satisfied with the outcome.
3. A healthcare facility is comparing its patient fall rates against the national average to
identify areas for improvement. This process is known as:
A. Benchmarking
B. Strategic Planning
C. Variance Analysis
D. Quality Control
Answer: A
,Rationale: Benchmarking is the process of measuring products, services, or practices
against those of the best-performing organizations. It provides a standard of excellence
that helps leaders identify performance gaps. By using national data, the facility can set
realistic and competitive goals for patient safety.
4. Which type of budget accounts for high-cost items that have a long useful life, such as a
new MRI machine?
A. Capital Budget
B. Operating Budget
C. Personnel Budget
D. Cash Budget
Answer: A
Rationale: Capital budgets are designed for long-term investments in assets that exceed a
specific dollar amount, typically fixed by the organization. These items, such as medical
equipment or building renovations, are expected to last several years. Effective capital
budgeting requires careful planning because these purchases represent significant financial
commitments.
5. When delegating a task to a Unlicensed Assistive Personnel (UAP), which of the following
‘Five Rights of Delegation’ ensures the task is appropriate for the specific patient?
A. Right Task
B. Right Circumstance
C. Right Direction
D. Right Supervision
Answer: B
Rationale: The Right Circumstance involves considering the health status of the patient
and the complexity of the care needed. The nurse must ensure that the patient is stable
enough for the UAP to perform the delegated task safely. Delegating a task to an unstable
patient, even if it is a standard task, violates this right of delegation.
6. A leader who inspires and motivates followers to achieve extraordinary outcomes and
develop their own leadership capacity is known as a:
A. Transactional Leader
B. Autocratic Leader
C. Laissez-faire Leader
D. Transformational Leader
, Answer: D
Rationale: Transformational leaders focus on the big picture and empower their team to
innovate and create change. They build strong relationships and use vision to align the
goals of the individual with the goals of the organization. This style is highly effective in
complex healthcare environments where adaptability is required.
7. A nurse respects a patient’s right to refuse a life-saving blood transfusion due to religious
beliefs. Which ethical principle is being upheld?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of self-determination and the ability of a patient to
make their own informed decisions. The nurse’s role is to ensure the patient has all the
necessary information and to support their choice, even if it conflicts with the nurse’s
personal values. This principle is a cornerstone of patient-centered care and legal
healthcare requirements.
8. Which ethical principle is defined as the duty to ‘do no harm’ to the patient?
A. Fidelity
B. Veracity
C. Non-maleficence
D. Beneficence
Answer: C
Rationale: Non-maleficence requires healthcare providers to avoid causing unnecessary
pain or injury to patients. This principle often comes into play when balancing the risks and
benefits of a specific treatment or procedure. It serves as a foundational ethical obligation
to protect patient safety at all times.
9. During a hand-off report, the nurse uses the SBAR tool. What does the ‘A’ in SBAR stand
for?
A. Action
B. Accountability
C. Assessment
D. Analysis
