NR 452 Capstone Course Week 3 Study Guide 2026 |Chamberlain
College
1. Which leadership style is characterized by the leader making decisions
independently without input from the staff?
A. Transformational
B. Autocratic
C. Democratic
D. Laissez-faire
Answer: B
Rationale: Autocratic leadership involves the leader maintaining total control and making
decisions without seeking input from the team.
2. When an RN delegates a task to an Unlicensed Assistive Personnel (UAP), who
retains the ultimate accountability for the outcome?
A. The UAP
B. The Charge Nurse
C. The RN
D. The Facility Manager
Answer: C
Rationale: While the task is delegated, the RN retains accountability for the patient’s
outcome and the appropriateness of the delegation.
,3. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a scheduled physical therapy session in 30 minutes.
B. A client with a new onset of shortness of breath and restlessness.
C. A client reporting a pain level of 4 out of 10.
D. A client requesting a discharge summary update.
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
shortness of breath is the highest priority.
4. Which ethical principle is defined as the duty to do good and act in the best
interest of the patient?
A. Autonomy
B. Justice
C. Beneficence
D. Veracity
Answer: C
Rationale: Beneficence is the ethical principle of doing good and acting to benefit others.
5. A nurse manager is resolving a conflict between two staff members by asking
both to give up something to reach a solution. Which strategy is being used?
A. Compromising
B. Competing
C. Avoiding
D. Smoothing
Answer: A
Rationale: Compromising involves each party giving up something of value to reach a
mutually acceptable agreement.
, 6. Which stage of Lewin’s Change Theory involves establishing the change as the
new status quo?
A. Refreezing
B. Moving
C. Unfreezing
D. Evaluating
Answer: A
Rationale: Refreezing is the final stage where the new behavior or process is integrated
into the organization’s culture.
7. A nurse fails to implement fall precautions for a high-risk patient, resulting in
a hip fracture. This is an example of:
A. Assault
B. Battery
C. Negligence
D. False imprisonment
Answer: C
Rationale: Negligence is the failure to provide the standard of care that a reasonably
prudent person would have provided in a similar situation.
8. In the SBAR communication tool, which component involves the nurse
suggesting a specific intervention?
A. Situation
B. Background
C. Recommendation
D. Assessment
Answer: C
Rationale: The Recommendation (R) phase is where the nurse suggests what should be
done to solve the problem.
College
1. Which leadership style is characterized by the leader making decisions
independently without input from the staff?
A. Transformational
B. Autocratic
C. Democratic
D. Laissez-faire
Answer: B
Rationale: Autocratic leadership involves the leader maintaining total control and making
decisions without seeking input from the team.
2. When an RN delegates a task to an Unlicensed Assistive Personnel (UAP), who
retains the ultimate accountability for the outcome?
A. The UAP
B. The Charge Nurse
C. The RN
D. The Facility Manager
Answer: C
Rationale: While the task is delegated, the RN retains accountability for the patient’s
outcome and the appropriateness of the delegation.
,3. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a scheduled physical therapy session in 30 minutes.
B. A client with a new onset of shortness of breath and restlessness.
C. A client reporting a pain level of 4 out of 10.
D. A client requesting a discharge summary update.
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
shortness of breath is the highest priority.
4. Which ethical principle is defined as the duty to do good and act in the best
interest of the patient?
A. Autonomy
B. Justice
C. Beneficence
D. Veracity
Answer: C
Rationale: Beneficence is the ethical principle of doing good and acting to benefit others.
5. A nurse manager is resolving a conflict between two staff members by asking
both to give up something to reach a solution. Which strategy is being used?
A. Compromising
B. Competing
C. Avoiding
D. Smoothing
Answer: A
Rationale: Compromising involves each party giving up something of value to reach a
mutually acceptable agreement.
, 6. Which stage of Lewin’s Change Theory involves establishing the change as the
new status quo?
A. Refreezing
B. Moving
C. Unfreezing
D. Evaluating
Answer: A
Rationale: Refreezing is the final stage where the new behavior or process is integrated
into the organization’s culture.
7. A nurse fails to implement fall precautions for a high-risk patient, resulting in
a hip fracture. This is an example of:
A. Assault
B. Battery
C. Negligence
D. False imprisonment
Answer: C
Rationale: Negligence is the failure to provide the standard of care that a reasonably
prudent person would have provided in a similar situation.
8. In the SBAR communication tool, which component involves the nurse
suggesting a specific intervention?
A. Situation
B. Background
C. Recommendation
D. Assessment
Answer: C
Rationale: The Recommendation (R) phase is where the nurse suggests what should be
done to solve the problem.
