G A L E N C O L L E G E • L E A D E R S H I P , M A N A G E M E N T & C O M M U N I T Y H E A LT H
A+ VERIFIED
ORIGIN AL ST UDY MAT ERIAL • EDIT ION 1 0 0 % C O R R EC T
NSG 3500 Exam 4
Leadership, Management & Community Health | Comprehensive Review & Original Items | Grade A
50
QUESTIONS
5
SECTIONS
100%
RATIONALES
WHAT THIS COVERS
High-yield content domains aligned with a leadership, management & community health course of study.
1 Leadership & management: styles, budgets, team building, incivility
2 Delegation, prioritization & SBAR: scope and supervision, Five Rights
3 Quality, safety & EBP: RCA, bundles, PDSA, sentinel events
4 Community & population health: epidemiology, SDOH, disaster management
5 Ethics, legal & professional issues: autonomy, HIPAA, end-of-life
A BOU T TH I S A S S E S S M E N T
Original Educational Review Items
This assessment provides original study items aligned with a senior leadership, management, and
community health nursing course. Questions span leadership theories, delegation and prioritization using
SBAR, quality and safety frameworks (root cause analysis, IHI bundles, PDSA, sentinel events, just
culture), community and population health (epidemiologic triad, social determinants, disaster management,
harm reduction, cultural humility), and ethical, legal, and professional issues (autonomy, veracity,
confidentiality, informed consent, end-of-life care). Each item includes a concise rationale grounded in
professional standards.
COURSE PA S S I N G S C O R E FO R MAT ED I T I O N
NSG 3500 Exam 4 80% (40/50) MCQ • Rationales
Included
S TU V IA AC TU AL EXAM O RI GI N AL ST UDY MAT ERI AL • N O T AFFI L I AT ED WI T H AN Y I N ST I T UT I O N
,NSG 3500 Exam 4 • Leadership, Management & Community Health Galen College • Edition
Section 1 — Leadership & Management
1. A registered nurse is managing care for five patients with one LPN and one nursing assistant. Which
task is MOST appropriate to delegate to the nursing assistant?
A. Developing the plan of care
B. Teaching a newly diagnosed diabetic patient about insulin
C. Ambulating a stable postoperative patient and measuring intake/output
D. Administering oral medications
CORRECT ANSWER C
Rationale. Per the Five Rights of Delegation, nursing assistants (UAP) can perform basic ADLs, ambulation of
stable patients, vital signs on stable patients, and intake/output measurement. Medication administration, initial
assessment, care planning, and patient teaching require the RN's scope. The LPN can reinforce teaching and
administer medications per state scope. RN retains accountability for delegation decisions.
2. A nurse manager is using transformational leadership. Which behavior BEST exemplifies this style?
A. Avoiding all staff input on decisions
B. Inspiring and motivating staff to exceed expectations through shared vision and individualized consideration
C. Strictly enforcing rules with punitive consequences
D. Maintaining the status quo with no changes
CORRECT ANSWER D
Rationale. Transformational leadership (Bass) involves idealized influence, inspirational motivation, intellectual
stimulation, and individualized consideration - inspiring followers to exceed expectations and develop
professionally. Contrast with transactional (contingent rewards/punishments), autocratic (no input), laissez-faire
(no direction). Best for promoting staff engagement, satisfaction, and quality improvement.
3. A charge nurse notices a staff nurse appears impaired. The charge nurse's PRIORITY action is:
A. Ignore it to avoid confrontation
B. Confront the nurse publicly in front of staff
C. Send the nurse home without further action
D. Remove the nurse from patient care immediately, ensure safe patient coverage, and follow facility policy for
substance use
CORRECT ANSWER B
Rationale. Patient safety is the priority: remove the impaired nurse from patient care immediately, ensure continued
safe patient care coverage, then follow facility policy (typically involves escort for evaluation, drug testing,
reporting to nursing administration/BON per state law, and offering Employee Assistance Program resources).
Ignoring endangers patients; public confrontation is unprofessional; sending home without follow-up fails safety
and legal obligations.
STUVIA ACTUAL EXAM • Original Study Material Page 2
, NSG 3500 Exam 4 • Leadership, Management & Community Health Galen College • Edition
4. A new nurse manager wants to build an effective team. Which strategy is MOST effective?
A. Avoid conflict at all costs
B. Make all decisions independently without staff input
C. Criticize staff publicly to enforce accountability
D. Foster open communication, set clear expectations, model desired behavior, and provide constructive
feedback
CORRECT ANSWER B
Rationale. Effective team building (per leadership theory and AHRQ TeamSTEPPS) requires psychological safety,
open communication, clear goals and roles, mutual trust, accountability, recognition, and continuous learning.
Conflict is addressed constructively. Shared decision-making increases buy-in. Feedback is timely, specific, and
private. Public criticism undermines trust and morale.
5. A nurse is caring for a patient whose family requests that the patient not be told of a new cancer
diagnosis. The nurse's BEST response is based on the ethical principle of:
A. Justice - the diagnosis should be shared with everyone
B. Non-maleficence - telling the patient will cause harm
C. Autonomy - the patient has the right to know their diagnosis and participate in decisions about their care
D. Beneficence - the family knows best
CORRECT ANSWER C
Rationale. Autonomy (the patient's right to self-determination) requires that patients receive information about their
diagnosis, prognosis, and treatment options so they can make informed decisions. The nurse should explore the
family's concerns, ask the patient what they want to know (some patients prefer not to know details), and work with
the team to ensure ethical disclosure. Families cannot ethically override patient autonomy unless the patient lacks
capacity.
6. A nurse manager is preparing the unit budget. Which type of budget includes capital equipment
purchases such as new patient monitors?
A. Capital budget
B. Operating budget
C. Personnel budget
D. Revenue budget
CORRECT ANSWER A
Rationale. The capital budget covers major long-term equipment and infrastructure purchases (e.g., patient
monitors, beds, building renovations) typically costing above a threshold (often >$5,000) and useful life >1 year.
The operating budget covers day-to-day expenses (salaries, supplies, utilities). Personnel budget is part of operating
and covers staffing. Revenue budget projects income.
STUVIA ACTUAL EXAM • Original Study Material Page 3
A+ VERIFIED
ORIGIN AL ST UDY MAT ERIAL • EDIT ION 1 0 0 % C O R R EC T
NSG 3500 Exam 4
Leadership, Management & Community Health | Comprehensive Review & Original Items | Grade A
50
QUESTIONS
5
SECTIONS
100%
RATIONALES
WHAT THIS COVERS
High-yield content domains aligned with a leadership, management & community health course of study.
1 Leadership & management: styles, budgets, team building, incivility
2 Delegation, prioritization & SBAR: scope and supervision, Five Rights
3 Quality, safety & EBP: RCA, bundles, PDSA, sentinel events
4 Community & population health: epidemiology, SDOH, disaster management
5 Ethics, legal & professional issues: autonomy, HIPAA, end-of-life
A BOU T TH I S A S S E S S M E N T
Original Educational Review Items
This assessment provides original study items aligned with a senior leadership, management, and
community health nursing course. Questions span leadership theories, delegation and prioritization using
SBAR, quality and safety frameworks (root cause analysis, IHI bundles, PDSA, sentinel events, just
culture), community and population health (epidemiologic triad, social determinants, disaster management,
harm reduction, cultural humility), and ethical, legal, and professional issues (autonomy, veracity,
confidentiality, informed consent, end-of-life care). Each item includes a concise rationale grounded in
professional standards.
COURSE PA S S I N G S C O R E FO R MAT ED I T I O N
NSG 3500 Exam 4 80% (40/50) MCQ • Rationales
Included
S TU V IA AC TU AL EXAM O RI GI N AL ST UDY MAT ERI AL • N O T AFFI L I AT ED WI T H AN Y I N ST I T UT I O N
,NSG 3500 Exam 4 • Leadership, Management & Community Health Galen College • Edition
Section 1 — Leadership & Management
1. A registered nurse is managing care for five patients with one LPN and one nursing assistant. Which
task is MOST appropriate to delegate to the nursing assistant?
A. Developing the plan of care
B. Teaching a newly diagnosed diabetic patient about insulin
C. Ambulating a stable postoperative patient and measuring intake/output
D. Administering oral medications
CORRECT ANSWER C
Rationale. Per the Five Rights of Delegation, nursing assistants (UAP) can perform basic ADLs, ambulation of
stable patients, vital signs on stable patients, and intake/output measurement. Medication administration, initial
assessment, care planning, and patient teaching require the RN's scope. The LPN can reinforce teaching and
administer medications per state scope. RN retains accountability for delegation decisions.
2. A nurse manager is using transformational leadership. Which behavior BEST exemplifies this style?
A. Avoiding all staff input on decisions
B. Inspiring and motivating staff to exceed expectations through shared vision and individualized consideration
C. Strictly enforcing rules with punitive consequences
D. Maintaining the status quo with no changes
CORRECT ANSWER D
Rationale. Transformational leadership (Bass) involves idealized influence, inspirational motivation, intellectual
stimulation, and individualized consideration - inspiring followers to exceed expectations and develop
professionally. Contrast with transactional (contingent rewards/punishments), autocratic (no input), laissez-faire
(no direction). Best for promoting staff engagement, satisfaction, and quality improvement.
3. A charge nurse notices a staff nurse appears impaired. The charge nurse's PRIORITY action is:
A. Ignore it to avoid confrontation
B. Confront the nurse publicly in front of staff
C. Send the nurse home without further action
D. Remove the nurse from patient care immediately, ensure safe patient coverage, and follow facility policy for
substance use
CORRECT ANSWER B
Rationale. Patient safety is the priority: remove the impaired nurse from patient care immediately, ensure continued
safe patient care coverage, then follow facility policy (typically involves escort for evaluation, drug testing,
reporting to nursing administration/BON per state law, and offering Employee Assistance Program resources).
Ignoring endangers patients; public confrontation is unprofessional; sending home without follow-up fails safety
and legal obligations.
STUVIA ACTUAL EXAM • Original Study Material Page 2
, NSG 3500 Exam 4 • Leadership, Management & Community Health Galen College • Edition
4. A new nurse manager wants to build an effective team. Which strategy is MOST effective?
A. Avoid conflict at all costs
B. Make all decisions independently without staff input
C. Criticize staff publicly to enforce accountability
D. Foster open communication, set clear expectations, model desired behavior, and provide constructive
feedback
CORRECT ANSWER B
Rationale. Effective team building (per leadership theory and AHRQ TeamSTEPPS) requires psychological safety,
open communication, clear goals and roles, mutual trust, accountability, recognition, and continuous learning.
Conflict is addressed constructively. Shared decision-making increases buy-in. Feedback is timely, specific, and
private. Public criticism undermines trust and morale.
5. A nurse is caring for a patient whose family requests that the patient not be told of a new cancer
diagnosis. The nurse's BEST response is based on the ethical principle of:
A. Justice - the diagnosis should be shared with everyone
B. Non-maleficence - telling the patient will cause harm
C. Autonomy - the patient has the right to know their diagnosis and participate in decisions about their care
D. Beneficence - the family knows best
CORRECT ANSWER C
Rationale. Autonomy (the patient's right to self-determination) requires that patients receive information about their
diagnosis, prognosis, and treatment options so they can make informed decisions. The nurse should explore the
family's concerns, ask the patient what they want to know (some patients prefer not to know details), and work with
the team to ensure ethical disclosure. Families cannot ethically override patient autonomy unless the patient lacks
capacity.
6. A nurse manager is preparing the unit budget. Which type of budget includes capital equipment
purchases such as new patient monitors?
A. Capital budget
B. Operating budget
C. Personnel budget
D. Revenue budget
CORRECT ANSWER A
Rationale. The capital budget covers major long-term equipment and infrastructure purchases (e.g., patient
monitors, beds, building renovations) typically costing above a threshold (often >$5,000) and useful life >1 year.
The operating budget covers day-to-day expenses (salaries, supplies, utilities). Personnel budget is part of operating
and covers staffing. Revenue budget projects income.
STUVIA ACTUAL EXAM • Original Study Material Page 3
