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NURS 450 EXAM Questions and Answers
System Theory Ans: organizations evolve in positive ways
Chaos Theory Ans: change is not orderly (and often disruptive)
Leadership Ans: the ability to inspire others to achieve a desired
outcome
Management Ans: the process of planning, organizing, directing,
and coordinating the work within an organization
Formal Leaders Ans: specific role responsibility related to the
position one holds
Informal Leaders Ans: not explicit or official; based on personal
power or credibility in the eyes of others
Following Ans: active, creative role to support, influence, and
complement leader
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Chain of Command Ans: Hierarchy of authority within an
organization
Should be used for flow of communication and delegation
Laissez-faire Ans: • Permissive/passive
• Low control
Democratic Ans: •Supportive/participatory
• Moderate control
Authoritative Ans: • Dictator/paternalistic
• High control
Transactional Leaders Ans: •Focus on immediate problems
•Maintain the status quo by performing work according to policy
and procedures
•Rely on formal authority to reward or punish --> motivation for
followers
Transformational Leaders Ans: • Goes beyond transactions to
inspire and motivate followers
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• Empowers and inspires followers to achieve common long-term
vision
• Appeal to higher values rather than individual self-interests
3 ANA LEADERSHIP COMPETECIES Ans: 1. Leading yourself
2. Leading others
3. Leading the organization
Too narrow a functional orientation Ans: Lacks depth to manage
outside one's current function
4 PARTS OF EMOTIONAL INTELLIGENCE FRAMEWORK Ans: Self-
Awareness
Self-Regulation
Social Awareness
Social Skills
A group of emergency room (ER) nurses are asked to develop an
action plan to improve the time before patients who present with
chest pain receive an ECG. Which of the following would NOT be
helpful when working on a quality improvement (QI) effort like
this? Ans: Identify whose fault it is that results are not very good.
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Which one of the following is an example of a Never Event? Ans:
Stage IV hospital-acquired pressure ulcer
What is a common cause of errors within healthcare settings?
Ans: Communication problems between caregivers
Which of the following is the best motivator for improving patient
safety and quality of care? Ans: Public reporting of performance
Which of the following is NOT expected to be found in a high
reliability organization (HRO)? Ans: Financial performance is
negatively impacted
Leadership plays an important role in creating a high reliability
organization (HRO). Which of the following statements
demonstrates the best understanding of the role of leadership in
an HRO? Ans: Leaders are accountable for the provision of
effective and efficient care while protecting the safety of patients,
employees, and visitors.
Which of the following methods are helpful for assessing the
culture of an high-reliability organization (HRO)?
© 2025 All rights reserved
NURS 450 EXAM Questions and Answers
System Theory Ans: organizations evolve in positive ways
Chaos Theory Ans: change is not orderly (and often disruptive)
Leadership Ans: the ability to inspire others to achieve a desired
outcome
Management Ans: the process of planning, organizing, directing,
and coordinating the work within an organization
Formal Leaders Ans: specific role responsibility related to the
position one holds
Informal Leaders Ans: not explicit or official; based on personal
power or credibility in the eyes of others
Following Ans: active, creative role to support, influence, and
complement leader
© 2025 All rights reserved
, 2 | Page
Chain of Command Ans: Hierarchy of authority within an
organization
Should be used for flow of communication and delegation
Laissez-faire Ans: • Permissive/passive
• Low control
Democratic Ans: •Supportive/participatory
• Moderate control
Authoritative Ans: • Dictator/paternalistic
• High control
Transactional Leaders Ans: •Focus on immediate problems
•Maintain the status quo by performing work according to policy
and procedures
•Rely on formal authority to reward or punish --> motivation for
followers
Transformational Leaders Ans: • Goes beyond transactions to
inspire and motivate followers
© 2025 All rights reserved
, 3 | Page
• Empowers and inspires followers to achieve common long-term
vision
• Appeal to higher values rather than individual self-interests
3 ANA LEADERSHIP COMPETECIES Ans: 1. Leading yourself
2. Leading others
3. Leading the organization
Too narrow a functional orientation Ans: Lacks depth to manage
outside one's current function
4 PARTS OF EMOTIONAL INTELLIGENCE FRAMEWORK Ans: Self-
Awareness
Self-Regulation
Social Awareness
Social Skills
A group of emergency room (ER) nurses are asked to develop an
action plan to improve the time before patients who present with
chest pain receive an ECG. Which of the following would NOT be
helpful when working on a quality improvement (QI) effort like
this? Ans: Identify whose fault it is that results are not very good.
© 2025 All rights reserved
, 4 | Page
Which one of the following is an example of a Never Event? Ans:
Stage IV hospital-acquired pressure ulcer
What is a common cause of errors within healthcare settings?
Ans: Communication problems between caregivers
Which of the following is the best motivator for improving patient
safety and quality of care? Ans: Public reporting of performance
Which of the following is NOT expected to be found in a high
reliability organization (HRO)? Ans: Financial performance is
negatively impacted
Leadership plays an important role in creating a high reliability
organization (HRO). Which of the following statements
demonstrates the best understanding of the role of leadership in
an HRO? Ans: Leaders are accountable for the provision of
effective and efficient care while protecting the safety of patients,
employees, and visitors.
Which of the following methods are helpful for assessing the
culture of an high-reliability organization (HRO)?
© 2025 All rights reserved
