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Exam (elaborations)

BSN 425 Nightingale College Exam 1 Study Guide 2026 | 116 Verified Q&A | Nursing Leadership & Management Concepts | Graded A+

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BSN 425 Exam 1 Study Guide | Nightingale College 2026 | Complete Review | Graded A+ 116 questions with the correct answer marked on every item, built specifically for Nightingale College's BSN 425 Exam 1 — Nursing Leadership and Management Concepts. (Note: at some other institutions, "BSN 425" refers to a gerontological nursing course; this document covers leadership/management content specific to Nightingale College's curriculum.) What's covered: - Leadership theories and styles – Theory X vs. Theory Y views on employee motivation, servant leadership's core focus, authoritarian leadership's impact on team dynamics, trait theory's aim to identify inborn leader characteristics - Management concepts – total quality management's impact on patient care, span of control's significance in nursing team dynamics, how leaders use interpersonal skills to influence organizational goals - Delegation – the correct sequence of the delegation process (explain the need, set objectives, develop a plan, establish controls), outcomes of consistent under-delegation - Care delivery models – distinguishing Total Patient Care, Primary Nursing, Team Nursing, and Case Management, patient-centered care as mutual partnership, practice partnership goals - Nursing history – identifying the historical figure who ran a "hotel" for injured Crimean War soldiers and managed cholera outbreaks Format: 64-page PDF, question-and-answer layout with correct responses highlighted. Instant download after purchase.

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BSN 425 Exam 1 Study Guide | Nightingale College 2026 |
Complete Review | Graded A+
1. In a healthcare setting, how might total quality management impact patient
care?

By focusing only on administrative efficiency.

By reducing the number of staff to cut costs.

By involving all staff in improving care processes and patient
services.

By implementing strict protocols without staff input.

2. What is the primary focus of servant leadership?

Promoting competition

Exercising authority

Maximizing profits

Serving others first

3. If a nurse manager consistently practices under delegation, what might be a
potential outcome for the nursing team?

Improved collaboration and communication among team members.

Enhanced patient outcomes and satisfaction.

Increased autonomy and job satisfaction for the team.

Decreased team morale and increased stress levels.

4. How do Theory X and Theory Y differ in their views on employee motivation?

, Theory X views employees as needing control, while Theory Y sees
them as self-motivated.

Both theories suggest that employees are motivated by the same
factors.

Theory X and Theory Y both emphasize the importance of financial
incentives.

Theory X believes employees are self-motivated, while Theory Y
believes they need control.

5. What does Theory X suggest about employee motivation?

Employees do not require any form of motivation.

Employees are self-motivated and seek responsibility.

Employees are motivated solely by financial incentives.

Employees are motivated by external factors and require control.

6. Patient-centered care is a model of nursing care in which

nurses are totally responsible for planning patient care.

the decisions that are made, by the nurse, are in the patient's best
interest.

the patient and physician decide on the care the patient will receive.

a mutual partnership, between the patient, family, and health care
team is developed.

7. Which of the following correctly orders the delegation process?

Explain the need, establish controls, set objectives, and develop a
plan.

, Set objectives, explain the need, establish controls, and develop a
plan.

Set objectives, develop a plan, explain the need, and establish
controls.

Explain the need, set objectives, develop a plan, and establish
controls.

8. Who established a "hotel" where injured soldiers received care during the
Crimean War, and also had much experience in the management of cholera?

Mary Seacole

Florence Nightingale

Mary Ann Bickerdyke

Susie King Taylor

9. Describe how an authoritarian leadership style impacts team dynamics in a
nursing environment.

An authoritarian leadership style promotes shared decision-making
and collaboration.

An authoritarian leadership style enhances team morale and creativity.

An authoritarian leadership style can lead to compliance but may
stifle creativity and reduce team morale.

An authoritarian leadership style fosters open communication and
encourages team input.

10. The nurse has been assigned the responsibility for all aspects of providing
patient care during a 12-hour shift. How would you classify this approach to
nursing care?

Primary Nursing

, Total Patient Care

Case Management

Team Nursing

11. What is the primary goal of practice partnership in nursing?

To increase competition among nursing staff.

To collaboratively plan and deliver patient care.

To train novice RNs in administrative tasks.

To reduce the number of RNs in a healthcare setting.

12. Describe how leaders in nursing management contribute to achieving
organizational goals.

Leaders use interpersonal skills to influence others towards
achieving organizational goals.

Leaders focus solely on administrative tasks without engaging with
staff.

Leaders delegate all responsibilities to their team members.

Leaders prioritize patient care over organizational objectives.

13. In a healthcare setting, if a nurse manager adopts a Theory Y approach, what
management style might they employ when leading their team?

Focus on financial incentives for performance.

Complete hands-off approach with no guidance.

Empowerment and delegation of responsibilities.

Strict supervision and micromanagement.

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