NRS 415 Exam 2 V3 | NRS 415 Nursing Leadership
and Interprofessional Collaboration | Actual Q&A
with Rationale (NRS415 Exam 2) | Grand Canyon
University
1. A nurse manager is addressing a conflict between two staff nurses regarding the holiday
schedule. The manager listens to both sides and facilitates a discussion where both nurses
agree to trade specific shifts to meet their personal needs. Which conflict management
strategy is being utilized?
A. Collaborating
B. Competing
C. Accommodating
D. Avoiding
Correct Answer: A
Explanation: Collaborating involves both parties working together to find a mutually
beneficial solution that satisfies all concerns. This strategy is considered win-win because it
addresses the underlying issues rather than just surface-level complaints. It requires high
levels of assertiveness and cooperation from all involved stakeholders.
,2. A hospital unit is transitioning to a new evidence-based practice for wound care. The nurse
leader is currently identifying ‘change agents’ among the staff to help promote the new
protocol. According to Lewin’s Change Theory, which stage does this represent?
A. Refreezing
B. Moving
C. Unfreezing
D. Stabilizing
Correct Answer: C
Explanation: The unfreezing stage involves creating the motivation for change by
identifying the need for a new approach and preparing the environment. Identifying change
agents is a key part of this phase to help overcome resistance and build readiness. It is the
initial step before the actual transition or ‘moving’ phase occurs.
3. Which of the following are essential elements of a healthy work environment as defined by
the American Association of Critical-Care Nurses (AACN)? Select all that apply.
A. Skilled Communication
B. True Collaboration
C. Effective Decision Making
D. Appropriate Staffing
E. Meaningful Recognition
,F. Authentic Leadership
Correct Answer: A, B, C, D, E, F
Explanation: The AACN identifies these six standards as vital for sustaining clinical
excellence and optimal patient outcomes. Each standard is interdependent, meaning a
deficiency in one can negatively impact the others and the overall environment. Authentic
leadership and skilled communication are foundational to building trust and ensuring
safety within the nursing unit.
4. A nurse manager is evaluating the unit budget and notices that the actual spending on
supplies was significantly higher than the budgeted amount, despite patient volume
remaining steady. This is an example of which type of variance?
A. Favorable volume variance
B. Unfavorable efficiency variance
C. Unfavorable price variance
D. Favorable spending variance
Correct Answer: B
Explanation: Efficiency variance, also known as quantity variance, occurs when the actual
amount of resources used differs from the expected amount for the output achieved.
Because more supplies were used than planned for the same number of patients, it is
considered unfavorable. Nurse managers must investigate if the increase was due to waste,
improper use, or changes in patient acuity.
, 5. A Registered Nurse (RN) is delegating tasks to an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate for the RN to delegate to the UAP?
A. Performing an admission skin assessment
B. Adjusting the flow rate of an intravenous infusion
C. Assisting a stable patient with ambulation
D. Providing discharge instructions to a patient
Correct Answer: C
Explanation: Assisting a stable patient with ambulation is within the scope of practice for
UAPs as it does not require clinical judgment or assessment. Tasks involving assessment,
medication administration, or patient education must be performed by the RN. The RN
remains accountable for the outcome of the delegated task and must ensure the UAP is
competent to perform it.
6. A nurse is using the ‘CUS’ communication technique from TeamSTEPPS to address a safety
concern with a physician. What does the ‘U’ in CUS stand for?
A. Understood
B. Urgent
C. Uncertain
D. Uncomfortable
Correct Answer: D
and Interprofessional Collaboration | Actual Q&A
with Rationale (NRS415 Exam 2) | Grand Canyon
University
1. A nurse manager is addressing a conflict between two staff nurses regarding the holiday
schedule. The manager listens to both sides and facilitates a discussion where both nurses
agree to trade specific shifts to meet their personal needs. Which conflict management
strategy is being utilized?
A. Collaborating
B. Competing
C. Accommodating
D. Avoiding
Correct Answer: A
Explanation: Collaborating involves both parties working together to find a mutually
beneficial solution that satisfies all concerns. This strategy is considered win-win because it
addresses the underlying issues rather than just surface-level complaints. It requires high
levels of assertiveness and cooperation from all involved stakeholders.
,2. A hospital unit is transitioning to a new evidence-based practice for wound care. The nurse
leader is currently identifying ‘change agents’ among the staff to help promote the new
protocol. According to Lewin’s Change Theory, which stage does this represent?
A. Refreezing
B. Moving
C. Unfreezing
D. Stabilizing
Correct Answer: C
Explanation: The unfreezing stage involves creating the motivation for change by
identifying the need for a new approach and preparing the environment. Identifying change
agents is a key part of this phase to help overcome resistance and build readiness. It is the
initial step before the actual transition or ‘moving’ phase occurs.
3. Which of the following are essential elements of a healthy work environment as defined by
the American Association of Critical-Care Nurses (AACN)? Select all that apply.
A. Skilled Communication
B. True Collaboration
C. Effective Decision Making
D. Appropriate Staffing
E. Meaningful Recognition
,F. Authentic Leadership
Correct Answer: A, B, C, D, E, F
Explanation: The AACN identifies these six standards as vital for sustaining clinical
excellence and optimal patient outcomes. Each standard is interdependent, meaning a
deficiency in one can negatively impact the others and the overall environment. Authentic
leadership and skilled communication are foundational to building trust and ensuring
safety within the nursing unit.
4. A nurse manager is evaluating the unit budget and notices that the actual spending on
supplies was significantly higher than the budgeted amount, despite patient volume
remaining steady. This is an example of which type of variance?
A. Favorable volume variance
B. Unfavorable efficiency variance
C. Unfavorable price variance
D. Favorable spending variance
Correct Answer: B
Explanation: Efficiency variance, also known as quantity variance, occurs when the actual
amount of resources used differs from the expected amount for the output achieved.
Because more supplies were used than planned for the same number of patients, it is
considered unfavorable. Nurse managers must investigate if the increase was due to waste,
improper use, or changes in patient acuity.
, 5. A Registered Nurse (RN) is delegating tasks to an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate for the RN to delegate to the UAP?
A. Performing an admission skin assessment
B. Adjusting the flow rate of an intravenous infusion
C. Assisting a stable patient with ambulation
D. Providing discharge instructions to a patient
Correct Answer: C
Explanation: Assisting a stable patient with ambulation is within the scope of practice for
UAPs as it does not require clinical judgment or assessment. Tasks involving assessment,
medication administration, or patient education must be performed by the RN. The RN
remains accountable for the outcome of the delegated task and must ensure the UAP is
competent to perform it.
6. A nurse is using the ‘CUS’ communication technique from TeamSTEPPS to address a safety
concern with a physician. What does the ‘U’ in CUS stand for?
A. Understood
B. Urgent
C. Uncertain
D. Uncomfortable
Correct Answer: D
