NSG 4700 Final Exam V2 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Final Exam) | Galen
1. A nurse manager is utilizing the SBAR (Situation, Background, Assessment,
Recommendation) communication tool. Which components should be included in the
‘Background’ section? Select all that apply.
A. Admission diagnosis and date of admission
B. Current vital signs and physical assessment findings
C. Relevant medical history and medications
D. The nurse’s opinion on what is wrong with the patient
E. Current lab results and diagnostic tests
F. The specific reason for the call or interaction
Correct Answer: A, C, E
Explanation: The Background section provides the context for the current situation and
includes data such as medical history, allergy list, and pertinent diagnostic results. The
Situation section focuses on the immediate problem or reason for the call. Assessment
involves the nurse’s clinical interpretation of the data, while Recommendation focuses on
the proposed plan of action.
,2. A nurse leader uses a leadership style that focuses on the relationship between the leader
and the followers, emphasizing motivation and growth. This leader is likely using which style?
A. Transformational leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Transactional leadership
Correct Answer: A
Explanation: Transformational leadership focuses on empowering staff and creating a
shared vision to inspire change. This style encourages followers to exceed their own self-
interests for the good of the organization. It is characterized by high levels of engagement
and intellectual stimulation between the leader and the team.
3. The nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Assessing a patient’s pain level before administering medication
B. Teaching a patient how to use an incentive spirometer
C. Performing oral hygiene on a stable patient
D. Evaluating the effectiveness of a patient’s hypertensive medication
Correct Answer: C
, Explanation: Delegation to UAP involves tasks that are repetitive and do not require
clinical judgment or nursing assessment. Assessment, teaching, and evaluation are core
nursing functions that cannot be delegated. Providing hygiene care for a stable patient is a
standard task within the UAP’s scope of practice.
4. In a conflict between two staff members, the nurse manager uses a strategy where each
party gives up something to reach a solution. Which conflict resolution strategy is being
applied?
A. Accommodating
B. Collaborating
C. Compromising
D. Avoiding
Correct Answer: C
Explanation: Compromising is a ‘give and take’ approach where both parties surrender
part of their goals to reach a middle ground. While it resolves the conflict quickly, it may
not be the most ideal solution as neither party is fully satisfied. This differs from
collaboration, where a win-win solution is sought through deep exploration of the issues.
5. A nurse respects a patient’s decision to refuse chemotherapy despite the patient’s poor
prognosis. Which ethical principle is the nurse upholding?
A. Beneficence
B. Non-maleficence
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Final Exam) | Galen
1. A nurse manager is utilizing the SBAR (Situation, Background, Assessment,
Recommendation) communication tool. Which components should be included in the
‘Background’ section? Select all that apply.
A. Admission diagnosis and date of admission
B. Current vital signs and physical assessment findings
C. Relevant medical history and medications
D. The nurse’s opinion on what is wrong with the patient
E. Current lab results and diagnostic tests
F. The specific reason for the call or interaction
Correct Answer: A, C, E
Explanation: The Background section provides the context for the current situation and
includes data such as medical history, allergy list, and pertinent diagnostic results. The
Situation section focuses on the immediate problem or reason for the call. Assessment
involves the nurse’s clinical interpretation of the data, while Recommendation focuses on
the proposed plan of action.
,2. A nurse leader uses a leadership style that focuses on the relationship between the leader
and the followers, emphasizing motivation and growth. This leader is likely using which style?
A. Transformational leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Transactional leadership
Correct Answer: A
Explanation: Transformational leadership focuses on empowering staff and creating a
shared vision to inspire change. This style encourages followers to exceed their own self-
interests for the good of the organization. It is characterized by high levels of engagement
and intellectual stimulation between the leader and the team.
3. The nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Assessing a patient’s pain level before administering medication
B. Teaching a patient how to use an incentive spirometer
C. Performing oral hygiene on a stable patient
D. Evaluating the effectiveness of a patient’s hypertensive medication
Correct Answer: C
, Explanation: Delegation to UAP involves tasks that are repetitive and do not require
clinical judgment or nursing assessment. Assessment, teaching, and evaluation are core
nursing functions that cannot be delegated. Providing hygiene care for a stable patient is a
standard task within the UAP’s scope of practice.
4. In a conflict between two staff members, the nurse manager uses a strategy where each
party gives up something to reach a solution. Which conflict resolution strategy is being
applied?
A. Accommodating
B. Collaborating
C. Compromising
D. Avoiding
Correct Answer: C
Explanation: Compromising is a ‘give and take’ approach where both parties surrender
part of their goals to reach a middle ground. While it resolves the conflict quickly, it may
not be the most ideal solution as neither party is fully satisfied. This differs from
collaboration, where a win-win solution is sought through deep exploration of the issues.
5. A nurse respects a patient’s decision to refuse chemotherapy despite the patient’s poor
prognosis. Which ethical principle is the nurse upholding?
A. Beneficence
B. Non-maleficence
