NUR 204/NUR204 Exam 3 V1 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing a democratic leadership style while planning a new unit policy.
Which action should the staff expect the manager to take?
A. Make the decision independently to save time and ensure efficiency.
B. Facilitate a meeting where staff members provide input on the policy.
C. Allow the staff to make all decisions without any managerial input.
D. Use threats of disciplinary action to ensure policy compliance.
Correct Answer: B
Explanation: Democratic leadership involves the group in the decision-making process to
foster cooperation and motivation. This style encourages staff to share their expertise,
which often leads to higher job satisfaction and better outcomes. It is characterized by the
manager acting as a facilitator rather than a sole dictator or a passive observer.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Developing the initial plan of care for a newly admitted client.
B. Administering an oral antibiotic to a stable client.
C. Assessing a client who just returned from a complex surgery.
D. Providing discharge teaching to a client with a new diagnosis.
,Correct Answer: B
Explanation: LPNs can perform routine tasks for stable clients, such as administering
medications that are not high-risk. The RN is responsible for initial assessments, complex
unstable patients, and comprehensive discharge teaching. Delegating oral medications to
an LPN allows the RN to focus on more complex clinical judgments.
3. A nurse manager is preparing a budget that includes the costs of electricity, maintenance,
and supplies. Which type of budget is the manager creating?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: A
Explanation: The operating budget covers the day-to-day expenses required to run a unit,
including supplies and utilities. It is distinct from the capital budget, which is for large,
long-term investments like expensive equipment. Managing this budget effectively is
crucial for the financial sustainability of the healthcare facility.
4. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘unfreezing’ stage, which action should the nurse take?
A. Identify the need for change and create awareness of the problem.
B. Reinforce the change until it becomes the new standard.
, C. Support staff as they practice using the new system.
D. Evaluate the outcomes of the new system implementation.
Correct Answer: A
Explanation: The unfreezing stage focuses on preparing the organization to accept that
change is necessary. This involves breaking down the existing status quo before you can
build up a new way of operating. By creating awareness of the issues with the current
system, the manager builds a foundation for successful transition.
5. A nurse manager is dealing with a conflict between two staff nurses regarding scheduling.
The manager tells the nurses to ‘just get along for the sake of the patients.’ Which conflict
management strategy is being used?
A. Smoothing
B. Compromising
C. Collaborating
D. Competing
Correct Answer: A
Explanation: Smoothing is a strategy where one party attempts to satisfy the other by
downplaying the conflict. While it may reduce immediate tension, it rarely addresses the
underlying cause of the disagreement. This approach is often temporary and can lead to the
conflict resurfacing later.
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing a democratic leadership style while planning a new unit policy.
Which action should the staff expect the manager to take?
A. Make the decision independently to save time and ensure efficiency.
B. Facilitate a meeting where staff members provide input on the policy.
C. Allow the staff to make all decisions without any managerial input.
D. Use threats of disciplinary action to ensure policy compliance.
Correct Answer: B
Explanation: Democratic leadership involves the group in the decision-making process to
foster cooperation and motivation. This style encourages staff to share their expertise,
which often leads to higher job satisfaction and better outcomes. It is characterized by the
manager acting as a facilitator rather than a sole dictator or a passive observer.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Developing the initial plan of care for a newly admitted client.
B. Administering an oral antibiotic to a stable client.
C. Assessing a client who just returned from a complex surgery.
D. Providing discharge teaching to a client with a new diagnosis.
,Correct Answer: B
Explanation: LPNs can perform routine tasks for stable clients, such as administering
medications that are not high-risk. The RN is responsible for initial assessments, complex
unstable patients, and comprehensive discharge teaching. Delegating oral medications to
an LPN allows the RN to focus on more complex clinical judgments.
3. A nurse manager is preparing a budget that includes the costs of electricity, maintenance,
and supplies. Which type of budget is the manager creating?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: A
Explanation: The operating budget covers the day-to-day expenses required to run a unit,
including supplies and utilities. It is distinct from the capital budget, which is for large,
long-term investments like expensive equipment. Managing this budget effectively is
crucial for the financial sustainability of the healthcare facility.
4. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘unfreezing’ stage, which action should the nurse take?
A. Identify the need for change and create awareness of the problem.
B. Reinforce the change until it becomes the new standard.
, C. Support staff as they practice using the new system.
D. Evaluate the outcomes of the new system implementation.
Correct Answer: A
Explanation: The unfreezing stage focuses on preparing the organization to accept that
change is necessary. This involves breaking down the existing status quo before you can
build up a new way of operating. By creating awareness of the issues with the current
system, the manager builds a foundation for successful transition.
5. A nurse manager is dealing with a conflict between two staff nurses regarding scheduling.
The manager tells the nurses to ‘just get along for the sake of the patients.’ Which conflict
management strategy is being used?
A. Smoothing
B. Compromising
C. Collaborating
D. Competing
Correct Answer: A
Explanation: Smoothing is a strategy where one party attempts to satisfy the other by
downplaying the conflict. While it may reduce immediate tension, it rarely addresses the
underlying cause of the disagreement. This approach is often temporary and can lead to the
conflict resurfacing later.
