NURS 480 FINAL EXAM GROUP PERFORMANCE PROFILE SPRING
2026/2027 PRACTICE COMPLETE ACCURATE TEST EXAM ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
1. A nurse manager is evaluating a newly formed interdisciplinary team
responsible for improving patient discharge processes. During the first
several meetings, members are polite, cautious, and primarily focused on
understanding the team's purpose, individual responsibilities, and
expectations. According to Tuckman's model of group development, which
stage best describes this team?
A. Performing
B. Storming
C. Forming
D. Norming
Answer: C
2. A multidisciplinary committee has begun experiencing disagreements about
responsibilities, leadership authority, and preferred approaches to solving a
recurring patient-safety problem. Although the conflict is uncomfortable,
the nurse leader recognizes that the team is progressing through a normal
developmental stage. Which stage is occurring?
A. Storming
B. Forming
C. Performing
D. Adjourning
Answer: A
3. A quality-improvement team has resolved most interpersonal
disagreements and has established shared expectations, communication
patterns, responsibilities, and behavioral standards. Members increasingly
support one another and demonstrate a sense of cohesion. Which stage of
group development is represented?
A. Forming
B. Norming
pg. 1
, C. Storming
D. Adjourning
Answer: B
4. A hospital committee has developed strong trust, clearly defined roles,
efficient communication, and the ability to independently address complex
problems while consistently meeting its objectives. Which stage of
Tuckman's model best describes the group?
A. Storming
B. Forming
C. Norming
D. Performing
Answer: D
5. A nurse manager wants to develop a high-performing team on a busy
medical-surgical unit. Which characteristic would provide the strongest
evidence that the team is functioning effectively?
A. Team members avoid disagreement at all times
B. The manager makes every important decision independently
C. Team members share information, trust one another, and coordinate
toward common goals
D. Individual nurses compete with one another to achieve the highest
productivity
Answer: C
6. During a multidisciplinary meeting, one nurse repeatedly interrupts other
members and dismisses their concerns. The nurse manager wants to
encourage psychological safety and productive participation. Which
intervention is most appropriate?
A. Establish respectful communication expectations and invite each
member to contribute
B. End the meeting immediately
C. Ignore the behavior because conflict is unavoidable
pg. 2
, D. Allow only senior staff to speak
Answer: A
7. A nurse leader notices that a team consistently agrees with the most senior
member even when some members privately believe the proposed plan
may be unsafe. Which team phenomenon should the leader be concerned
about?
A. Delegation
B. Groupthink
C. Socialization
D. Role modeling
Answer: B
8. A nurse manager wants team members to feel comfortable reporting errors,
questioning unsafe practices, and asking for clarification without fear of
humiliation. Which organizational characteristic should the manager
promote?
A. Competition
B. Centralization
C. Psychological safety
D. Strict hierarchy
Answer: C
9. A newly appointed nurse manager asks staff members to participate in
establishing unit goals and deciding how those goals should be achieved.
The manager remains accountable for the final decisions but actively seeks
staff input. Which leadership approach is most consistent with this
behavior?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Democratic or participative leadership
Answer: D
pg. 3
, 10. A nurse manager inspires staff by creating a compelling vision for improving
patient care, encouraging innovation, recognizing individual strengths, and
motivating employees to exceed routine expectations. Which leadership
style is demonstrated?
A. Transformational leadership
B. Transactional leadership
C. Autocratic leadership
D. Bureaucratic leadership
Answer: A
11. A manager establishes specific performance expectations and provides
rewards when employees meet predetermined goals. When performance
falls below expectations, the manager initiates corrective action. Which
leadership style is most consistent with this approach?
A. Transformational
B. Transactional
C. Servant
D. Laissez-faire
Answer: B
12. A nurse manager is highly experienced and can rapidly recognize clinical
deterioration during an emergency. However, the manager deliberately
invites input from nurses who are closest to the patient before finalizing the
plan. Which leadership principle is demonstrated?
A. Avoidance of accountability
B. Complete delegation
C. Shared decision-making
D. Passive management
Answer: C
13. A nurse leader gives staff members broad autonomy, provides minimal
direction, and becomes involved only when employees specifically request
assistance. Which leadership style does this most closely represent?
A. Transformational
pg. 4
2026/2027 PRACTICE COMPLETE ACCURATE TEST EXAM ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
1. A nurse manager is evaluating a newly formed interdisciplinary team
responsible for improving patient discharge processes. During the first
several meetings, members are polite, cautious, and primarily focused on
understanding the team's purpose, individual responsibilities, and
expectations. According to Tuckman's model of group development, which
stage best describes this team?
A. Performing
B. Storming
C. Forming
D. Norming
Answer: C
2. A multidisciplinary committee has begun experiencing disagreements about
responsibilities, leadership authority, and preferred approaches to solving a
recurring patient-safety problem. Although the conflict is uncomfortable,
the nurse leader recognizes that the team is progressing through a normal
developmental stage. Which stage is occurring?
A. Storming
B. Forming
C. Performing
D. Adjourning
Answer: A
3. A quality-improvement team has resolved most interpersonal
disagreements and has established shared expectations, communication
patterns, responsibilities, and behavioral standards. Members increasingly
support one another and demonstrate a sense of cohesion. Which stage of
group development is represented?
A. Forming
B. Norming
pg. 1
, C. Storming
D. Adjourning
Answer: B
4. A hospital committee has developed strong trust, clearly defined roles,
efficient communication, and the ability to independently address complex
problems while consistently meeting its objectives. Which stage of
Tuckman's model best describes the group?
A. Storming
B. Forming
C. Norming
D. Performing
Answer: D
5. A nurse manager wants to develop a high-performing team on a busy
medical-surgical unit. Which characteristic would provide the strongest
evidence that the team is functioning effectively?
A. Team members avoid disagreement at all times
B. The manager makes every important decision independently
C. Team members share information, trust one another, and coordinate
toward common goals
D. Individual nurses compete with one another to achieve the highest
productivity
Answer: C
6. During a multidisciplinary meeting, one nurse repeatedly interrupts other
members and dismisses their concerns. The nurse manager wants to
encourage psychological safety and productive participation. Which
intervention is most appropriate?
A. Establish respectful communication expectations and invite each
member to contribute
B. End the meeting immediately
C. Ignore the behavior because conflict is unavoidable
pg. 2
, D. Allow only senior staff to speak
Answer: A
7. A nurse leader notices that a team consistently agrees with the most senior
member even when some members privately believe the proposed plan
may be unsafe. Which team phenomenon should the leader be concerned
about?
A. Delegation
B. Groupthink
C. Socialization
D. Role modeling
Answer: B
8. A nurse manager wants team members to feel comfortable reporting errors,
questioning unsafe practices, and asking for clarification without fear of
humiliation. Which organizational characteristic should the manager
promote?
A. Competition
B. Centralization
C. Psychological safety
D. Strict hierarchy
Answer: C
9. A newly appointed nurse manager asks staff members to participate in
establishing unit goals and deciding how those goals should be achieved.
The manager remains accountable for the final decisions but actively seeks
staff input. Which leadership approach is most consistent with this
behavior?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Democratic or participative leadership
Answer: D
pg. 3
, 10. A nurse manager inspires staff by creating a compelling vision for improving
patient care, encouraging innovation, recognizing individual strengths, and
motivating employees to exceed routine expectations. Which leadership
style is demonstrated?
A. Transformational leadership
B. Transactional leadership
C. Autocratic leadership
D. Bureaucratic leadership
Answer: A
11. A manager establishes specific performance expectations and provides
rewards when employees meet predetermined goals. When performance
falls below expectations, the manager initiates corrective action. Which
leadership style is most consistent with this approach?
A. Transformational
B. Transactional
C. Servant
D. Laissez-faire
Answer: B
12. A nurse manager is highly experienced and can rapidly recognize clinical
deterioration during an emergency. However, the manager deliberately
invites input from nurses who are closest to the patient before finalizing the
plan. Which leadership principle is demonstrated?
A. Avoidance of accountability
B. Complete delegation
C. Shared decision-making
D. Passive management
Answer: C
13. A nurse leader gives staff members broad autonomy, provides minimal
direction, and becomes involved only when employees specifically request
assistance. Which leadership style does this most closely represent?
A. Transformational
pg. 4
