BSN 485 Exam 3 V3 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 3) | Nightingale College
1. A nurse manager is implementing a new electronic health record system. Which action
represents the ‘unfreezing’ stage of Lewin’s Change Theory?
A. Providing training sessions for all staff members on how to use the new software.
B. Recognizing the need for change and creating a sense of urgency among the staff.
C. Integrating the new system into the daily unit routine and policy manual.
D. Evaluating the effectiveness of the system after three months of use.
Correct Answer: B
Rationale: The unfreezing stage involves creating the motivation for change by helping
individuals realize that the current state is no longer productive. This is achieved by
identifying the need for change and communicating it effectively to the team. By creating a
sense of urgency, the leader prepares the staff to let go of old patterns and accept new ways
of working.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing the pain level of a patient who just returned from surgery.
B. Recording the intake and output for a patient with a fluid restriction.
,C. Assisting a stable patient with ambulation in the hallway for the first time post-op.
D. Educating a patient on the side effects of a new antihypertensive medication.
Correct Answer: B
Rationale: Recording intake and output is a routine, non-invasive task that does not
require clinical judgment, making it suitable for a UAP. Assessing pain and providing
patient education are core nursing functions that must be performed by an RN. While UAPs
can assist with ambulation, the first ambulation post-operation often requires an RN
assessment for safety and stability.
3. A nurse manager observes a staff nurse consistently arriving 15 minutes late to their shift.
Which conflict management style is the manager using if they decide to ignore the behavior
because the nurse is otherwise an excellent clinician?
A. Compromising
B. Accommodating
C. Competing
D. Avoiding
Correct Answer: D
Rationale: The avoiding style is characterized by ignoring the conflict or refusing to
acknowledge its existence. While this might prevent immediate confrontation, it does not
resolve the underlying issue of tardiness. In a professional leadership context, this can lead
to decreased morale among other staff members who observe the lack of accountability.
, 4. Which leadership style is characterized by a leader who involves the staff in decision-
making and values their input, but retains the final authority?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Correct Answer: A
Rationale: Democratic leadership, also known as participative leadership, encourages staff
involvement and collaboration in the decision-making process. This approach fosters a
sense of ownership and high morale among team members because their expertise is
valued. However, the leader still maintains the responsibility for the final decision and the
outcomes of the unit.
5. An RN is caring for a client who is scheduled for a procedure but expresses confusion about
the risks involved. What is the nurse’s primary responsibility regarding informed consent?
A. Explain the risks and benefits of the procedure to the client in detail.
B. Ask the client’s family to explain the procedure to the client.
C. Obtain the client’s signature on the consent form regardless of their confusion.
D. Notify the provider that the client has questions and requires further explanation.
Correct Answer: D
Leadership | Q&A with Rationale (BSN485
Exam 3) | Nightingale College
1. A nurse manager is implementing a new electronic health record system. Which action
represents the ‘unfreezing’ stage of Lewin’s Change Theory?
A. Providing training sessions for all staff members on how to use the new software.
B. Recognizing the need for change and creating a sense of urgency among the staff.
C. Integrating the new system into the daily unit routine and policy manual.
D. Evaluating the effectiveness of the system after three months of use.
Correct Answer: B
Rationale: The unfreezing stage involves creating the motivation for change by helping
individuals realize that the current state is no longer productive. This is achieved by
identifying the need for change and communicating it effectively to the team. By creating a
sense of urgency, the leader prepares the staff to let go of old patterns and accept new ways
of working.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing the pain level of a patient who just returned from surgery.
B. Recording the intake and output for a patient with a fluid restriction.
,C. Assisting a stable patient with ambulation in the hallway for the first time post-op.
D. Educating a patient on the side effects of a new antihypertensive medication.
Correct Answer: B
Rationale: Recording intake and output is a routine, non-invasive task that does not
require clinical judgment, making it suitable for a UAP. Assessing pain and providing
patient education are core nursing functions that must be performed by an RN. While UAPs
can assist with ambulation, the first ambulation post-operation often requires an RN
assessment for safety and stability.
3. A nurse manager observes a staff nurse consistently arriving 15 minutes late to their shift.
Which conflict management style is the manager using if they decide to ignore the behavior
because the nurse is otherwise an excellent clinician?
A. Compromising
B. Accommodating
C. Competing
D. Avoiding
Correct Answer: D
Rationale: The avoiding style is characterized by ignoring the conflict or refusing to
acknowledge its existence. While this might prevent immediate confrontation, it does not
resolve the underlying issue of tardiness. In a professional leadership context, this can lead
to decreased morale among other staff members who observe the lack of accountability.
, 4. Which leadership style is characterized by a leader who involves the staff in decision-
making and values their input, but retains the final authority?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Correct Answer: A
Rationale: Democratic leadership, also known as participative leadership, encourages staff
involvement and collaboration in the decision-making process. This approach fosters a
sense of ownership and high morale among team members because their expertise is
valued. However, the leader still maintains the responsibility for the final decision and the
outcomes of the unit.
5. An RN is caring for a client who is scheduled for a procedure but expresses confusion about
the risks involved. What is the nurse’s primary responsibility regarding informed consent?
A. Explain the risks and benefits of the procedure to the client in detail.
B. Ask the client’s family to explain the procedure to the client.
C. Obtain the client’s signature on the consent form regardless of their confusion.
D. Notify the provider that the client has questions and requires further explanation.
Correct Answer: D
