BSN 485 Final Exam V3 | BSN 485
Capstone Leadership | Q&A with Rationale
(BSN485 Final Exam) | Nightingale College
1. A nurse manager is encouraging staff members to participate in a hospital-wide committee
to improve patient satisfaction. Which leadership style is the manager demonstrating?
A. Autocratic leadership
B. Laissez-faire leadership
C. Democratic leadership
D. Transactional leadership
Correct Answer: C
Rationale: Democratic leadership involves including staff in decision-making and
encouraging collaboration. This style fosters a sense of ownership and accountability
among team members. By inviting staff to participate in committees, the manager is valuing
their input and expertise.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is most appropriate for the RN to delegate?
A. Evaluating a patient’s response to pain medication
B. Assisting a stable patient with ambulation
C. Providing discharge instructions to a new mother
,D. Performing a sterile dressing change on a post-operative wound
Correct Answer: B
Rationale: Delegation to a UAP should focus on routine tasks that do not require clinical
judgment or assessment. Ambulation for a stable patient is a standard task that falls within
the UAP’s scope of work. Tasks involving evaluation, instruction, or complex procedures
remain the responsibility of the RN.
3. Which stage of Lewin’s Change Theory involves the process of solidifying a new behavior or
practice into the organization’s culture?
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Correct Answer: B
Rationale: Refreezing is the final stage of Lewin’s model where the change is integrated
into the system to prevent a return to old habits. This stage requires positive reinforcement
and support to ensure the change persists over time. Without refreezing, staff may slip
back into previous routines once the initial momentum fades.
4. A nurse leader is utilizing the PDSA cycle to address high fall rates on the unit. What does
the ‘S’ in PDSA stand for?
A. Study
, B. Strategy
C. Standardize
D. System
Correct Answer: A
Rationale: The PDSA cycle stands for Plan, Do, Study, and Act, which is a core component
of quality improvement. In the Study phase, the team analyzes the data collected during the
Do phase to determine if the change was successful. This critical analysis informs whether
to adopt, adapt, or abandon the intervention.
5. Which ethical principle is violated when a nurse manager assigns a heavier patient load to
a staff nurse because of a personal disagreement?
A. Justice
B. Autonomy
C. Beneficence
D. Veracity
Correct Answer: A
Rationale: Justice refers to the fair and equitable distribution of resources and workloads.
By assigning tasks based on personal bias rather than clinical need, the manager is acting
unfairly. This violation undermines the integrity of the team and the standard of
professional ethics.
Capstone Leadership | Q&A with Rationale
(BSN485 Final Exam) | Nightingale College
1. A nurse manager is encouraging staff members to participate in a hospital-wide committee
to improve patient satisfaction. Which leadership style is the manager demonstrating?
A. Autocratic leadership
B. Laissez-faire leadership
C. Democratic leadership
D. Transactional leadership
Correct Answer: C
Rationale: Democratic leadership involves including staff in decision-making and
encouraging collaboration. This style fosters a sense of ownership and accountability
among team members. By inviting staff to participate in committees, the manager is valuing
their input and expertise.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is most appropriate for the RN to delegate?
A. Evaluating a patient’s response to pain medication
B. Assisting a stable patient with ambulation
C. Providing discharge instructions to a new mother
,D. Performing a sterile dressing change on a post-operative wound
Correct Answer: B
Rationale: Delegation to a UAP should focus on routine tasks that do not require clinical
judgment or assessment. Ambulation for a stable patient is a standard task that falls within
the UAP’s scope of work. Tasks involving evaluation, instruction, or complex procedures
remain the responsibility of the RN.
3. Which stage of Lewin’s Change Theory involves the process of solidifying a new behavior or
practice into the organization’s culture?
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Correct Answer: B
Rationale: Refreezing is the final stage of Lewin’s model where the change is integrated
into the system to prevent a return to old habits. This stage requires positive reinforcement
and support to ensure the change persists over time. Without refreezing, staff may slip
back into previous routines once the initial momentum fades.
4. A nurse leader is utilizing the PDSA cycle to address high fall rates on the unit. What does
the ‘S’ in PDSA stand for?
A. Study
, B. Strategy
C. Standardize
D. System
Correct Answer: A
Rationale: The PDSA cycle stands for Plan, Do, Study, and Act, which is a core component
of quality improvement. In the Study phase, the team analyzes the data collected during the
Do phase to determine if the change was successful. This critical analysis informs whether
to adopt, adapt, or abandon the intervention.
5. Which ethical principle is violated when a nurse manager assigns a heavier patient load to
a staff nurse because of a personal disagreement?
A. Justice
B. Autonomy
C. Beneficence
D. Veracity
Correct Answer: A
Rationale: Justice refers to the fair and equitable distribution of resources and workloads.
By assigning tasks based on personal bias rather than clinical need, the manager is acting
unfairly. This violation undermines the integrity of the team and the standard of
professional ethics.
