BSN 465 Exam 3 V2 | BSN 465 Decision-
making in Nursing | Q&A with Rationale
(BSN465 Exam 3) | Nightingale College
1. A nurse manager is implementing a new bedside reporting protocol to improve patient
safety. Which stage of Lewin’s Change Theory involves reinforcing the new behavior to
ensure it becomes a permanent part of the unit’s culture?
A. Unfreezing
B. Refreezing
C. Moving
D. Transitioning
Correct Answer: B
Rationale: Refreezing is the final stage of Lewin’s Change Theory where the new change is
integrated into the system. It involves stabilizing the change so that it becomes the new
status quo and prevents employees from reverting to old habits. The nurse manager uses
positive reinforcement and evaluation during this stage to solidify the new practice.
2. A 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 client’s surgical incision for signs of infection.
B. Collecting a routine urine specimen from a stable client.
,C. Feeding a client who has a high risk for aspiration.
D. Teaching a client how to use an incentive spirometer.
Correct Answer: B
Rationale: Collecting a routine urine specimen is a technical task that does not require
nursing judgment and is within the scope of practice for a UAP. Assessment, feeding high-
risk patients, and patient education all require the specialized knowledge and judgment of
a registered nurse. Effective delegation depends on the nurse assessing the stability of the
patient and the competence of the UAP.
3. Which ethical principle is a nurse demonstrating when they fulfill a promise to a patient to
return in 15 minutes with pain medication?
A. Beneficence
B. Justice
C. Fidelity
D. Veracity
Correct Answer: C
Rationale: Fidelity refers to the obligation of a healthcare professional to be faithful to
their commitments and keep promises. By returning as promised, the nurse builds trust
and maintains the professional relationship with the patient. This principle is foundational
to the nurse-patient partnership and ensures reliability in care.
, 4. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. The manager suggests that each nurse give up one preferred day off to reach an
agreement. Which conflict management strategy is being used?
A. Avoiding
B. Competing
C. Compromising
D. Collaborating
Correct Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
solution. While it may not result in a ‘win-win,’ it is an effective way to resolve disputes
quickly when both sides have equal power. This strategy helps maintain a functional
working environment even when total agreement is not possible.
5. During a disaster response, a triage nurse must prioritize patients based on the severity of
their injuries. Which patient should be assigned a ‘red tag’ (immediate)?
A. A patient with a minor laceration to the forearm.
B. A patient with a closed fracture of the tibia.
C. A patient who is pulseless and non-breathing for over 10 minutes.
D. A patient with an obstructed airway and gasping respirations.
Correct Answer: D
making in Nursing | Q&A with Rationale
(BSN465 Exam 3) | Nightingale College
1. A nurse manager is implementing a new bedside reporting protocol to improve patient
safety. Which stage of Lewin’s Change Theory involves reinforcing the new behavior to
ensure it becomes a permanent part of the unit’s culture?
A. Unfreezing
B. Refreezing
C. Moving
D. Transitioning
Correct Answer: B
Rationale: Refreezing is the final stage of Lewin’s Change Theory where the new change is
integrated into the system. It involves stabilizing the change so that it becomes the new
status quo and prevents employees from reverting to old habits. The nurse manager uses
positive reinforcement and evaluation during this stage to solidify the new practice.
2. A 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 client’s surgical incision for signs of infection.
B. Collecting a routine urine specimen from a stable client.
,C. Feeding a client who has a high risk for aspiration.
D. Teaching a client how to use an incentive spirometer.
Correct Answer: B
Rationale: Collecting a routine urine specimen is a technical task that does not require
nursing judgment and is within the scope of practice for a UAP. Assessment, feeding high-
risk patients, and patient education all require the specialized knowledge and judgment of
a registered nurse. Effective delegation depends on the nurse assessing the stability of the
patient and the competence of the UAP.
3. Which ethical principle is a nurse demonstrating when they fulfill a promise to a patient to
return in 15 minutes with pain medication?
A. Beneficence
B. Justice
C. Fidelity
D. Veracity
Correct Answer: C
Rationale: Fidelity refers to the obligation of a healthcare professional to be faithful to
their commitments and keep promises. By returning as promised, the nurse builds trust
and maintains the professional relationship with the patient. This principle is foundational
to the nurse-patient partnership and ensures reliability in care.
, 4. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. The manager suggests that each nurse give up one preferred day off to reach an
agreement. Which conflict management strategy is being used?
A. Avoiding
B. Competing
C. Compromising
D. Collaborating
Correct Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
solution. While it may not result in a ‘win-win,’ it is an effective way to resolve disputes
quickly when both sides have equal power. This strategy helps maintain a functional
working environment even when total agreement is not possible.
5. During a disaster response, a triage nurse must prioritize patients based on the severity of
their injuries. Which patient should be assigned a ‘red tag’ (immediate)?
A. A patient with a minor laceration to the forearm.
B. A patient with a closed fracture of the tibia.
C. A patient who is pulseless and non-breathing for over 10 minutes.
D. A patient with an obstructed airway and gasping respirations.
Correct Answer: D
