NSG 4700 Exam 3 V3 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 3) |
Galen
1. A nurse manager is resolving a conflict between two staff nurses by asking them to work
together to find a solution that satisfies both of their concerns. Which conflict management
strategy is being used?
A. Avoidance
B. Accommodation
C. Competition
D. Collaboration
Answer: D
Rationale: Collaboration is a win-win strategy where both parties work together to
achieve a common goal. This approach requires high levels of communication and mutual
respect to be successful. It is considered the most effective long-term solution for resolving
professional conflicts.
2. According to Lewin’s Change Theory, which stage involves creating the motivation or
readiness for change among the staff?
A. Refreezing
B. Unfreezing
C. Moving
D. Restructuring
Answer: B
Rationale: Unfreezing is the first stage where the leader helps staff members let go of old
patterns and understand the need for change. During this phase, it is crucial to
communicate why the current process is no longer working effectively. Successful
unfreezing reduces resistance and prepares the team for the transition ahead.
3. A nurse manager is preparing the annual budget and needs to request funds for a new
$25,000 ultrasound machine. Which type of budget should this purchase be included in?
A. Capital budget
B. Personnel budget
C. Operating budget
,D. Cash budget
Answer: A
Rationale: The capital budget is used for large purchases that have a long useful life,
typically exceeding one year and a specific dollar threshold. This includes expensive
medical equipment, building renovations, or new technology systems. It is distinct from the
operating budget, which covers day-to-day expenses like supplies.
4. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Assessing a patient’s surgical incision
B. Evaluating the effectiveness of pain medication
C. Developing a plan of care for a new admission
D. Assisting a stable patient with ambulation
Answer: D
Rationale: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The RN must always retain tasks involving
assessment, clinical judgment, and care planning. Delegating inappropriate tasks can lead
to patient safety risks and professional liability.
5. Which leadership style is characterized by a leader who inspires and motivates followers to
achieve a shared vision and perform beyond expectations?
A. Transactional leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Transformational leadership
Answer: D
Rationale: Transformational leadership focuses on building relationships and empowering
staff to reach their full potential. These leaders use inspiration and charisma to foster an
environment of innovation and growth. Research suggests that this style leads to higher
levels of staff satisfaction and better patient outcomes.
6. During a performance appraisal, a manager gives an employee a high rating in all areas
because the employee is exceptionally good at one specific task. What is this bias called?
A. Horn effect
B. Leniency error
C. Recency effect
, D. Halo effect
Answer: D
Rationale: The halo effect occurs when one positive trait or performance area
overshadows other areas, leading to an inaccurately high overall rating. This cognitive bias
prevents a fair and comprehensive evaluation of the employee’s total performance.
Managers must be trained to evaluate each performance criteria independently to avoid
this error.
7. Which nursing delivery model relies on the RN providing total care for a group of patients
during their entire shift?
A. Total patient care
B. Team nursing
C. Functional nursing
D. Primary nursing
Answer: A
Rationale: Total patient care is the oldest model of nursing where the RN is responsible for
all care needs of the assigned patients. This includes medication administration, hygiene,
and assessments without the use of UAPs for that specific group. While it provides high
continuity of care, it can be very costly for the healthcare facility.
8. A nurse is using the SBAR tool to communicate with a physician. What does the ‘B’ in SBAR
stand for?
A. Behavior
B. Benchmarks
C. Beliefs
D. Background
Answer: D
Rationale: The ‘B’ stands for Background, which provides the clinical context related to the
patient’s current situation. This includes relevant history, admitting diagnosis, and recent
vital signs or treatments. Using a standardized tool like SBAR ensures that critical
information is transferred clearly and concisely.
9. In the five rights of delegation, ‘Right Direction/Communication’ means that the RN must:
A. Ensure the person is competent to perform the task
B. Follow up and evaluate the outcome of the delegated task
C. Verify that the patient is stable enough for the task
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 3) |
Galen
1. A nurse manager is resolving a conflict between two staff nurses by asking them to work
together to find a solution that satisfies both of their concerns. Which conflict management
strategy is being used?
A. Avoidance
B. Accommodation
C. Competition
D. Collaboration
Answer: D
Rationale: Collaboration is a win-win strategy where both parties work together to
achieve a common goal. This approach requires high levels of communication and mutual
respect to be successful. It is considered the most effective long-term solution for resolving
professional conflicts.
2. According to Lewin’s Change Theory, which stage involves creating the motivation or
readiness for change among the staff?
A. Refreezing
B. Unfreezing
C. Moving
D. Restructuring
Answer: B
Rationale: Unfreezing is the first stage where the leader helps staff members let go of old
patterns and understand the need for change. During this phase, it is crucial to
communicate why the current process is no longer working effectively. Successful
unfreezing reduces resistance and prepares the team for the transition ahead.
3. A nurse manager is preparing the annual budget and needs to request funds for a new
$25,000 ultrasound machine. Which type of budget should this purchase be included in?
A. Capital budget
B. Personnel budget
C. Operating budget
,D. Cash budget
Answer: A
Rationale: The capital budget is used for large purchases that have a long useful life,
typically exceeding one year and a specific dollar threshold. This includes expensive
medical equipment, building renovations, or new technology systems. It is distinct from the
operating budget, which covers day-to-day expenses like supplies.
4. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Assessing a patient’s surgical incision
B. Evaluating the effectiveness of pain medication
C. Developing a plan of care for a new admission
D. Assisting a stable patient with ambulation
Answer: D
Rationale: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The RN must always retain tasks involving
assessment, clinical judgment, and care planning. Delegating inappropriate tasks can lead
to patient safety risks and professional liability.
5. Which leadership style is characterized by a leader who inspires and motivates followers to
achieve a shared vision and perform beyond expectations?
A. Transactional leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Transformational leadership
Answer: D
Rationale: Transformational leadership focuses on building relationships and empowering
staff to reach their full potential. These leaders use inspiration and charisma to foster an
environment of innovation and growth. Research suggests that this style leads to higher
levels of staff satisfaction and better patient outcomes.
6. During a performance appraisal, a manager gives an employee a high rating in all areas
because the employee is exceptionally good at one specific task. What is this bias called?
A. Horn effect
B. Leniency error
C. Recency effect
, D. Halo effect
Answer: D
Rationale: The halo effect occurs when one positive trait or performance area
overshadows other areas, leading to an inaccurately high overall rating. This cognitive bias
prevents a fair and comprehensive evaluation of the employee’s total performance.
Managers must be trained to evaluate each performance criteria independently to avoid
this error.
7. Which nursing delivery model relies on the RN providing total care for a group of patients
during their entire shift?
A. Total patient care
B. Team nursing
C. Functional nursing
D. Primary nursing
Answer: A
Rationale: Total patient care is the oldest model of nursing where the RN is responsible for
all care needs of the assigned patients. This includes medication administration, hygiene,
and assessments without the use of UAPs for that specific group. While it provides high
continuity of care, it can be very costly for the healthcare facility.
8. A nurse is using the SBAR tool to communicate with a physician. What does the ‘B’ in SBAR
stand for?
A. Behavior
B. Benchmarks
C. Beliefs
D. Background
Answer: D
Rationale: The ‘B’ stands for Background, which provides the clinical context related to the
patient’s current situation. This includes relevant history, admitting diagnosis, and recent
vital signs or treatments. Using a standardized tool like SBAR ensures that critical
information is transferred clearly and concisely.
9. In the five rights of delegation, ‘Right Direction/Communication’ means that the RN must:
A. Ensure the person is competent to perform the task
B. Follow up and evaluate the outcome of the delegated task
C. Verify that the patient is stable enough for the task
