BSN 485 Final Exam V1 | BSN 485
Capstone Leadership | Q&A with Rationale
(BSN485 Final Exam) | Nightingale College
1. A nurse manager is utilizing transformational leadership. Which action by the manager best
demonstrates this leadership style?
A. Offering financial bonuses for perfect attendance over a six-month period.
B. Focusing solely on daily task completion and maintaining the status quo.
C. Monitoring staff performance closely to identify and correct errors immediately.
D. Empowering staff to participate in decision-making regarding a new clinical protocol.
Correct Answer: D
Rationale: Transformational leaders focus on vision, inspiration, and empowering
followers to exceed their own expectations. By involving staff in decision-making, the
leader fosters a sense of ownership and professional growth. This approach contrasts with
transactional leadership, which relies on rewards and punishments to achieve compliance.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Administering a routine oral medication to a stable patient.
B. Developing a teaching plan for a patient with newly diagnosed diabetes.
C. Performing an initial post-operative assessment on a new admission.
,D. Assisting a patient with a stable gait to the bathroom.
Correct Answer: D
Rationale: The RN is responsible for assessment, planning, and evaluation, which cannot
be delegated to a UAP. Assisting a stable patient with ambulation is a routine task that does
not require clinical judgment or specialized nursing knowledge. The Five Rights of
Delegation must be followed to ensure patient safety and appropriate use of resources.
3. Which ethical principle is violated if a nurse ignores a patient’s request to refuse a
prescribed medication?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A
Rationale: Autonomy refers to the patient’s right to make their own decisions regarding
their healthcare, including the right to refuse treatment. When a nurse ignores this request,
they are disregarding the patient’s self-determination and legal rights. Nurses must
advocate for the patient’s choices even when they conflict with the medical plan of care.
4. A nurse manager is resolving a conflict between two staff members by encouraging them
to find a ‘win-win’ solution. Which conflict resolution strategy is being used?
A. Compromising
, B. Avoiding
C. Competing
D. Collaborating
Correct Answer: D
Rationale: Collaboration is an assertive and cooperative approach where all parties work
together to find a solution that satisfies everyone’s concerns. This strategy leads to long-
term conflict resolution and improves team dynamics by valuing diverse perspectives. It is
often considered the most effective strategy in complex healthcare environments where
multidisciplinary input is essential.
5. According to Lewin’s Change Theory, which stage involves the process of creating
awareness of the need for change?
A. Assessing
B. Moving
C. Refreezing
D. Unfreezing
Correct Answer: D
Rationale: The unfreezing stage is the first step in Lewin’s model, where the status quo is
challenged and readiness for change is fostered. Leaders must communicate the reasons for
Capstone Leadership | Q&A with Rationale
(BSN485 Final Exam) | Nightingale College
1. A nurse manager is utilizing transformational leadership. Which action by the manager best
demonstrates this leadership style?
A. Offering financial bonuses for perfect attendance over a six-month period.
B. Focusing solely on daily task completion and maintaining the status quo.
C. Monitoring staff performance closely to identify and correct errors immediately.
D. Empowering staff to participate in decision-making regarding a new clinical protocol.
Correct Answer: D
Rationale: Transformational leaders focus on vision, inspiration, and empowering
followers to exceed their own expectations. By involving staff in decision-making, the
leader fosters a sense of ownership and professional growth. This approach contrasts with
transactional leadership, which relies on rewards and punishments to achieve compliance.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Administering a routine oral medication to a stable patient.
B. Developing a teaching plan for a patient with newly diagnosed diabetes.
C. Performing an initial post-operative assessment on a new admission.
,D. Assisting a patient with a stable gait to the bathroom.
Correct Answer: D
Rationale: The RN is responsible for assessment, planning, and evaluation, which cannot
be delegated to a UAP. Assisting a stable patient with ambulation is a routine task that does
not require clinical judgment or specialized nursing knowledge. The Five Rights of
Delegation must be followed to ensure patient safety and appropriate use of resources.
3. Which ethical principle is violated if a nurse ignores a patient’s request to refuse a
prescribed medication?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A
Rationale: Autonomy refers to the patient’s right to make their own decisions regarding
their healthcare, including the right to refuse treatment. When a nurse ignores this request,
they are disregarding the patient’s self-determination and legal rights. Nurses must
advocate for the patient’s choices even when they conflict with the medical plan of care.
4. A nurse manager is resolving a conflict between two staff members by encouraging them
to find a ‘win-win’ solution. Which conflict resolution strategy is being used?
A. Compromising
, B. Avoiding
C. Competing
D. Collaborating
Correct Answer: D
Rationale: Collaboration is an assertive and cooperative approach where all parties work
together to find a solution that satisfies everyone’s concerns. This strategy leads to long-
term conflict resolution and improves team dynamics by valuing diverse perspectives. It is
often considered the most effective strategy in complex healthcare environments where
multidisciplinary input is essential.
5. According to Lewin’s Change Theory, which stage involves the process of creating
awareness of the need for change?
A. Assessing
B. Moving
C. Refreezing
D. Unfreezing
Correct Answer: D
Rationale: The unfreezing stage is the first step in Lewin’s model, where the status quo is
challenged and readiness for change is fostered. Leaders must communicate the reasons for
