BSN 485 Exam 4 V1 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 4) | Nightingale College
1. A nurse manager is utilizing transformational leadership to improve unit morale. Which
action best demonstrates this leadership style?
A. Offering financial bonuses for perfect attendance records.
B. Focusing solely on the completion of daily tasks and charting.
C. Strictly enforcing hospital policies and procedures without deviation.
D. Empowering staff to participate in a shared governance model.
Correct Answer: D
Rationale: Transformational leadership focuses on inspiring and motivating staff to
achieve their full potential through empowerment. By implementing shared governance,
the manager fosters a sense of ownership and professional growth among the nursing staff.
This approach contrasts with transactional leadership, which relies on rewards and
punishments to manage performance.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), the nurse must ensure
the task is appropriate. Which of the following is the most important factor in the ‘Right Task’
of delegation?
A. The task involves the assessment of a new post-operative patient.
,B. The UAP has been working at the facility for at least five years.
C. The patient is unstable and requires frequent monitoring.
D. The task is repetitive and requires little clinical judgment.
Correct Answer: D
Rationale: The ‘Right Task’ involves ensuring that the activity is within the delegatee’s
scope of practice and does not require complex clinical reasoning. Tasks delegated to UAPs
should be routine, predictable, and low-risk to ensure patient safety. Nurses must never
delegate tasks that involve assessment, planning, or evaluation, as these require
professional nursing judgment.
3. A nurse is leading a quality improvement project using the PDSA cycle. What does the ‘S’ in
PDSA represent?
A. Study
B. Standardization
C. Strategic Planning
D. Sustainability
Correct Answer: A
Rationale: The PDSA cycle stands for Plan-Do-Study-Act, which is a common framework
for testing change in healthcare. The ‘Study’ phase involves analyzing data collected during
, the ‘Do’ phase to determine if the change resulted in improvement. This evaluation is
critical for deciding whether to adopt, adapt, or abandon the intervention in the ‘Act’ phase.
4. During a staff meeting, two nurses disagree on a new scheduling policy. The manager
encourages them to find a solution that satisfies both parties’ concerns. Which conflict
management strategy is being used?
A. Avoiding
B. Competing
C. Accommodating
D. Collaborating
Correct Answer: D
Rationale: Collaborating is a ‘win-win’ strategy where both parties work together to reach
a consensus that meets all needs. It requires open communication and a high level of
mutual respect between the individuals involved. While time-consuming, this strategy
leads to long-term resolution and stronger professional relationships.
5. A nurse manager is preparing the annual budget and needs to request funds for a new
electronic health record system. Which type of budget is used for high-cost, long-term
investments?
A. Capital budget
B. Cash budget
C. Operating budget
Leadership | Q&A with Rationale (BSN485
Exam 4) | Nightingale College
1. A nurse manager is utilizing transformational leadership to improve unit morale. Which
action best demonstrates this leadership style?
A. Offering financial bonuses for perfect attendance records.
B. Focusing solely on the completion of daily tasks and charting.
C. Strictly enforcing hospital policies and procedures without deviation.
D. Empowering staff to participate in a shared governance model.
Correct Answer: D
Rationale: Transformational leadership focuses on inspiring and motivating staff to
achieve their full potential through empowerment. By implementing shared governance,
the manager fosters a sense of ownership and professional growth among the nursing staff.
This approach contrasts with transactional leadership, which relies on rewards and
punishments to manage performance.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), the nurse must ensure
the task is appropriate. Which of the following is the most important factor in the ‘Right Task’
of delegation?
A. The task involves the assessment of a new post-operative patient.
,B. The UAP has been working at the facility for at least five years.
C. The patient is unstable and requires frequent monitoring.
D. The task is repetitive and requires little clinical judgment.
Correct Answer: D
Rationale: The ‘Right Task’ involves ensuring that the activity is within the delegatee’s
scope of practice and does not require complex clinical reasoning. Tasks delegated to UAPs
should be routine, predictable, and low-risk to ensure patient safety. Nurses must never
delegate tasks that involve assessment, planning, or evaluation, as these require
professional nursing judgment.
3. A nurse is leading a quality improvement project using the PDSA cycle. What does the ‘S’ in
PDSA represent?
A. Study
B. Standardization
C. Strategic Planning
D. Sustainability
Correct Answer: A
Rationale: The PDSA cycle stands for Plan-Do-Study-Act, which is a common framework
for testing change in healthcare. The ‘Study’ phase involves analyzing data collected during
, the ‘Do’ phase to determine if the change resulted in improvement. This evaluation is
critical for deciding whether to adopt, adapt, or abandon the intervention in the ‘Act’ phase.
4. During a staff meeting, two nurses disagree on a new scheduling policy. The manager
encourages them to find a solution that satisfies both parties’ concerns. Which conflict
management strategy is being used?
A. Avoiding
B. Competing
C. Accommodating
D. Collaborating
Correct Answer: D
Rationale: Collaborating is a ‘win-win’ strategy where both parties work together to reach
a consensus that meets all needs. It requires open communication and a high level of
mutual respect between the individuals involved. While time-consuming, this strategy
leads to long-term resolution and stronger professional relationships.
5. A nurse manager is preparing the annual budget and needs to request funds for a new
electronic health record system. Which type of budget is used for high-cost, long-term
investments?
A. Capital budget
B. Cash budget
C. Operating budget
