,Verified NSG 4800 Comprehensive Final Exam Test
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. Which nursing theorist developed the Self-Care Deficit Theory, emphasizing the patient's
ability to perform self-care activities?
A) Sister Callista Roy
B) Dorothea Orem
C) Madeleine Leininger
D) Jean Watson
Correct Answer: Dorothea Orem
Rationale: Orem's Self-Care Deficit Theory identifies when nursing is needed—when a patient
cannot meet their own self-care demands. Roy developed the Adaptation Model, Leininger
developed the Theory of Culture Care, and Watson developed the Theory of Human Caring.
2. According to Lewin's Change Model, which sequence correctly describes the three stages of
the change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
,Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's Change Model consists of three stages: (1) Unfreezing—preparing the
organization for change by breaking down existing mindsets; (2) Moving—implementing the
actual change; (3) Refreezing—stabilizing the change and integrating it into the organizational
culture.
3. A nurse leader is using situational leadership with a novice nurse who has low competence
but high commitment. Which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
Correct Answer: Telling (high directive, low supportive)
Rationale: Situational leadership theory states that a novice nurse with low competence
requires high direction (telling them what to do). Even with high commitment, they lack the
skills for independent practice, so a "telling" style is most appropriate until competence
develops.
4. A charge nurse is faced with a decision about staffing assignments and seeks input from the
team before making the final decision. This leadership style is best described as:
A) Autocratic
B) Democratic (participative)
C) Laissez-faire
D) Transactional
, Correct Answer: Democratic (participative)
Rationale: Democratic leadership involves the leader including team members in the decision-
making process, though the leader retains final authority. This style fosters collaboration,
improves morale, and often leads to better-informed decisions. Autocratic leadership is directive
without input, laissez-faire is hands-off, and transactional focuses on rewards and punishments.
5. A nurse manager observes that staff morale is low and nurses are leaving the unit at high
rates. Which leadership action would best address this situation?
A) Implement strict disciplinary policies to improve performance
B) Conduct staff surveys and hold regular meetings to identify and address concerns
C) Increase patient assignments to keep staff busy
D) Ignore the situation and allow it to resolve naturally
Correct Answer: Conduct staff surveys and hold regular meetings to identify and address
concerns
Rationale: A transformational leader identifies problems through open communication and
collaborative problem-solving. Conducting surveys and holding meetings allows the manager to
understand root causes of low morale and high turnover, then implement targeted solutions.
6. A nurse manager is implementing shared governance on a medical-surgical unit. Which action
best reflects this leadership model?
A) The nurse manager makes all staffing and scheduling decisions independently
B) Staff nurses have authority over clinical practice standards and quality improvement
C) Physicians are given voting rights on all nursing unit policies
D) The hospital CEO selects members for all unit-based committees
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. Which nursing theorist developed the Self-Care Deficit Theory, emphasizing the patient's
ability to perform self-care activities?
A) Sister Callista Roy
B) Dorothea Orem
C) Madeleine Leininger
D) Jean Watson
Correct Answer: Dorothea Orem
Rationale: Orem's Self-Care Deficit Theory identifies when nursing is needed—when a patient
cannot meet their own self-care demands. Roy developed the Adaptation Model, Leininger
developed the Theory of Culture Care, and Watson developed the Theory of Human Caring.
2. According to Lewin's Change Model, which sequence correctly describes the three stages of
the change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
,Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's Change Model consists of three stages: (1) Unfreezing—preparing the
organization for change by breaking down existing mindsets; (2) Moving—implementing the
actual change; (3) Refreezing—stabilizing the change and integrating it into the organizational
culture.
3. A nurse leader is using situational leadership with a novice nurse who has low competence
but high commitment. Which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
Correct Answer: Telling (high directive, low supportive)
Rationale: Situational leadership theory states that a novice nurse with low competence
requires high direction (telling them what to do). Even with high commitment, they lack the
skills for independent practice, so a "telling" style is most appropriate until competence
develops.
4. A charge nurse is faced with a decision about staffing assignments and seeks input from the
team before making the final decision. This leadership style is best described as:
A) Autocratic
B) Democratic (participative)
C) Laissez-faire
D) Transactional
, Correct Answer: Democratic (participative)
Rationale: Democratic leadership involves the leader including team members in the decision-
making process, though the leader retains final authority. This style fosters collaboration,
improves morale, and often leads to better-informed decisions. Autocratic leadership is directive
without input, laissez-faire is hands-off, and transactional focuses on rewards and punishments.
5. A nurse manager observes that staff morale is low and nurses are leaving the unit at high
rates. Which leadership action would best address this situation?
A) Implement strict disciplinary policies to improve performance
B) Conduct staff surveys and hold regular meetings to identify and address concerns
C) Increase patient assignments to keep staff busy
D) Ignore the situation and allow it to resolve naturally
Correct Answer: Conduct staff surveys and hold regular meetings to identify and address
concerns
Rationale: A transformational leader identifies problems through open communication and
collaborative problem-solving. Conducting surveys and holding meetings allows the manager to
understand root causes of low morale and high turnover, then implement targeted solutions.
6. A nurse manager is implementing shared governance on a medical-surgical unit. Which action
best reflects this leadership model?
A) The nurse manager makes all staffing and scheduling decisions independently
B) Staff nurses have authority over clinical practice standards and quality improvement
C) Physicians are given voting rights on all nursing unit policies
D) The hospital CEO selects members for all unit-based committees
