BSN 485 Exam 1 V3 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 1) | Nightingale College
1. A nurse manager is utilizing a leadership style that emphasizes employee empowerment
and consensus-building. Which leadership style does this represent?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
Rationale: Democratic leadership is characterized by a leader who functions as a facilitator
rather than a dictator. This style encourages staff participation in decision-making and
fosters a collaborative environment. It is often effective in nursing because it increases job
satisfaction and professional autonomy.
2. In Lewin’s Theory of Change, which stage involves the process of solidifying new behaviors
into a permanent habit?
A. Unfreezing
B. Refreezing
C. Moving
,D. Assessing
Correct Answer: B
Rationale: Refreezing is the final stage of Lewin’s change model where the change
becomes the new norm. During this phase, the leader provides support and positive
reinforcement to ensure the change sticks. Without this stage, employees are likely to
regress to old habits and workflows.
3. A charge nurse is assigning tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate for the LPN?
A. Assisting a patient with feeding
B. Performing an initial admission assessment
C. Administering a prescribed subcutaneous insulin injection
D. Developing a nursing care plan for a complex patient
Correct Answer: C
Rationale: Administering injections is within the scope of practice for an LPN under the
supervision of an RN. Initial assessments and care plan development are strictly reserved
for the Registered Nurse. UAPs typically handle tasks like feeding and basic hygiene that do
not require clinical judgment.
, 4. When resolving a conflict between two staff members, the manager asks both parties to
give up something to reach a middle ground. Which conflict management strategy is being
used?
A. Avoiding
B. Compromising
C. Collaborating
D. Competing
Correct Answer: B
Rationale: Compromising is a conflict resolution strategy where each party makes
concessions to reach a solution. While it allows for a quick resolution, it can sometimes
leave both parties feeling only partially satisfied. It is considered a ‘lose-lose’ or ‘neutral’
outcome compared to the ‘win-win’ of collaboration.
5. A nurse is prioritizing care for four patients. Who should the nurse assess first?
A. A patient with a respiratory rate of 28 and audible wheezing
B. A patient reporting pain at 7/10 following an abdominal surgery
C. A patient who needs discharge instructions for a home medication
D. A patient requiring a routine dressing change for a pressure injury
Correct Answer: A
Leadership | Q&A with Rationale (BSN485
Exam 1) | Nightingale College
1. A nurse manager is utilizing a leadership style that emphasizes employee empowerment
and consensus-building. Which leadership style does this represent?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
Rationale: Democratic leadership is characterized by a leader who functions as a facilitator
rather than a dictator. This style encourages staff participation in decision-making and
fosters a collaborative environment. It is often effective in nursing because it increases job
satisfaction and professional autonomy.
2. In Lewin’s Theory of Change, which stage involves the process of solidifying new behaviors
into a permanent habit?
A. Unfreezing
B. Refreezing
C. Moving
,D. Assessing
Correct Answer: B
Rationale: Refreezing is the final stage of Lewin’s change model where the change
becomes the new norm. During this phase, the leader provides support and positive
reinforcement to ensure the change sticks. Without this stage, employees are likely to
regress to old habits and workflows.
3. A charge nurse is assigning tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate for the LPN?
A. Assisting a patient with feeding
B. Performing an initial admission assessment
C. Administering a prescribed subcutaneous insulin injection
D. Developing a nursing care plan for a complex patient
Correct Answer: C
Rationale: Administering injections is within the scope of practice for an LPN under the
supervision of an RN. Initial assessments and care plan development are strictly reserved
for the Registered Nurse. UAPs typically handle tasks like feeding and basic hygiene that do
not require clinical judgment.
, 4. When resolving a conflict between two staff members, the manager asks both parties to
give up something to reach a middle ground. Which conflict management strategy is being
used?
A. Avoiding
B. Compromising
C. Collaborating
D. Competing
Correct Answer: B
Rationale: Compromising is a conflict resolution strategy where each party makes
concessions to reach a solution. While it allows for a quick resolution, it can sometimes
leave both parties feeling only partially satisfied. It is considered a ‘lose-lose’ or ‘neutral’
outcome compared to the ‘win-win’ of collaboration.
5. A nurse is prioritizing care for four patients. Who should the nurse assess first?
A. A patient with a respiratory rate of 28 and audible wheezing
B. A patient reporting pain at 7/10 following an abdominal surgery
C. A patient who needs discharge instructions for a home medication
D. A patient requiring a routine dressing change for a pressure injury
Correct Answer: A
