BSN 485 Exam 3 V1 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 3) | Nightingale College
1. A nurse manager is implementing a new EHR system and identifies staff resistance.
According to Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Gathering data to demonstrate the need for a more efficient system
B. Evaluating the effectiveness of the system after three months
C. Implementing the new system on a pilot unit
D. Providing hands-on training for all staff members
Correct Answer: A
Rationale: The unfreezing stage involves identifying the need for change and creating
awareness among staff. This stage focuses on overcoming resistance by showing why the
status quo is no longer effective. By gathering data, the manager helps staff understand the
necessity of the transition.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Assessing the lung sounds of a patient with pneumonia
B. Providing discharge education to a patient and family
C. Assisting a stable post-operative patient with a bed bath
,D. Administering a dose of oral medication
Correct Answer: C
Rationale: UAPs are trained to perform routine, non-invasive tasks such as activities of
daily living. Tasks requiring clinical judgment, assessment, or teaching must be performed
by the registered nurse. Assisting with a bed bath for a stable patient falls within the UAP
scope of practice.
3. A nurse is leading a team using a transformational leadership style. Which action by the
nurse best exemplifies this approach?
A. Encouraging staff to participate in a vision for future unit growth
B. Strictly enforcing unit policies and procedures
C. Offering a financial bonus for zero medication errors
D. Using a hands-off approach and letting staff manage themselves
Correct Answer: A
Rationale: Transformational leadership focuses on shared vision and empowering staff to
achieve their full potential. This style builds commitment and motivates employees
through inspiration rather than simple rewards. It is highly effective in fostering
professional development and improving healthcare outcomes.
, 4. During a staff meeting, two nurses disagree on the holiday schedule. The manager suggests
that each nurse give up one preferred day to reach an agreement. Which conflict resolution
strategy is being used?
A. Compromising
B. Avoiding
C. Collaborating
D. Competing
Correct Answer: A
Rationale: Compromising involves both parties giving up something of value to reach a
middle ground. It is often used when a quick solution is needed for a conflict of moderate
importance. This approach ensures that both sides feel heard, even though neither gets
exactly what they wanted.
5. An RN is caring for a patient who refuses a life-saving blood transfusion due to religious
beliefs. The nurse supports the patient’s decision. Which ethical principle is the nurse
upholding?
A. Autonomy
B. Nonmaleficence
C. Justice
D. Beneficence
Leadership | Q&A with Rationale (BSN485
Exam 3) | Nightingale College
1. A nurse manager is implementing a new EHR system and identifies staff resistance.
According to Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Gathering data to demonstrate the need for a more efficient system
B. Evaluating the effectiveness of the system after three months
C. Implementing the new system on a pilot unit
D. Providing hands-on training for all staff members
Correct Answer: A
Rationale: The unfreezing stage involves identifying the need for change and creating
awareness among staff. This stage focuses on overcoming resistance by showing why the
status quo is no longer effective. By gathering data, the manager helps staff understand the
necessity of the transition.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Assessing the lung sounds of a patient with pneumonia
B. Providing discharge education to a patient and family
C. Assisting a stable post-operative patient with a bed bath
,D. Administering a dose of oral medication
Correct Answer: C
Rationale: UAPs are trained to perform routine, non-invasive tasks such as activities of
daily living. Tasks requiring clinical judgment, assessment, or teaching must be performed
by the registered nurse. Assisting with a bed bath for a stable patient falls within the UAP
scope of practice.
3. A nurse is leading a team using a transformational leadership style. Which action by the
nurse best exemplifies this approach?
A. Encouraging staff to participate in a vision for future unit growth
B. Strictly enforcing unit policies and procedures
C. Offering a financial bonus for zero medication errors
D. Using a hands-off approach and letting staff manage themselves
Correct Answer: A
Rationale: Transformational leadership focuses on shared vision and empowering staff to
achieve their full potential. This style builds commitment and motivates employees
through inspiration rather than simple rewards. It is highly effective in fostering
professional development and improving healthcare outcomes.
, 4. During a staff meeting, two nurses disagree on the holiday schedule. The manager suggests
that each nurse give up one preferred day to reach an agreement. Which conflict resolution
strategy is being used?
A. Compromising
B. Avoiding
C. Collaborating
D. Competing
Correct Answer: A
Rationale: Compromising involves both parties giving up something of value to reach a
middle ground. It is often used when a quick solution is needed for a conflict of moderate
importance. This approach ensures that both sides feel heard, even though neither gets
exactly what they wanted.
5. An RN is caring for a patient who refuses a life-saving blood transfusion due to religious
beliefs. The nurse supports the patient’s decision. Which ethical principle is the nurse
upholding?
A. Autonomy
B. Nonmaleficence
C. Justice
D. Beneficence
