NRS 415 Exam 3 V1 | NRS 415 Nursing Leadership
and Interprofessional Collaboration | Actual Q&A
with Rationale (NRS415 Exam 3) | Grand Canyon
University
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Providing hands-on training sessions for all staff members.
B. Gathering data to demonstrate the inefficiencies of the current paper-based system.
C. Auditing charts to ensure the new system is being used correctly.
D. Celebrating the successful completion of the transition.
Correct Answer: B
Explanation: The unfreezing stage involves creating readiness for change by helping
individuals realize that the current status quo is no longer acceptable. By gathering data to
show inefficiencies, the manager highlights the need for a new system. This stage is critical
for overcoming resistance before the actual change is implemented.
2. A registered nurse (RN) is preparing to delegate tasks to a licensed practical nurse (LPN)
and an unlicensed assistive person (UAP). Which tasks are appropriate for the RN to
delegate? (Select All That Apply)
A. Performing an initial admission assessment on a stable patient.
B. Administering oral medications to a stable patient (LPN).
,C. Assisting a patient with ambulation for the first time post-surgery.
D. Measuring and recording intake and output (UAP).
E. Reinforcing teaching provided by the RN regarding wound care (LPN).
F. Developing a plan of care for a patient with new-onset diabetes.
Correct Answer: B, D, E
Explanation: Delegation must follow the ‘Five Rights’ and state nurse practice acts. LPNs
can administer medications and reinforce teaching, while UAPs can perform routine tasks
like recording intake and output. Tasks involving assessment, initial ambulation, and care
planning require professional nursing judgment and must be performed by the RN.
3. Which leadership style is characterized by a leader who focuses on the growth and well-
being of people and the communities to which they belong, often putting the needs of others
first?
A. Transactional Leadership
B. Autocratic Leadership
C. Servant Leadership
D. Laissez-faire Leadership
Correct Answer: C
Explanation: Servant leadership is a philosophy where the leader’s main goal is to serve
others. This differs from traditional leadership where the leader’s main focus is the thriving
, of their company or organizations. In nursing, this promotes a supportive environment and
empowers staff to provide better patient care.
4. A hospital committee is investigating a ‘near miss’ medication error. Which process should
the committee use to identify the underlying systems issues that contributed to the event?
A. Performance Appraisal
B. Utilization Review
C. Benchmarking
D. Root Cause Analysis (RCA)
Correct Answer: D
Explanation: Root Cause Analysis (RCA) is a structured method used to analyze serious
adverse events or near misses. It focuses on identifying system failures rather than
individual blame. By understanding the ‘why’ behind an event, organizations can
implement changes to prevent recurrence.
5. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. Both nurses agree to give up one desired day off to reach a middle ground. Which
conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Competing
and Interprofessional Collaboration | Actual Q&A
with Rationale (NRS415 Exam 3) | Grand Canyon
University
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Providing hands-on training sessions for all staff members.
B. Gathering data to demonstrate the inefficiencies of the current paper-based system.
C. Auditing charts to ensure the new system is being used correctly.
D. Celebrating the successful completion of the transition.
Correct Answer: B
Explanation: The unfreezing stage involves creating readiness for change by helping
individuals realize that the current status quo is no longer acceptable. By gathering data to
show inefficiencies, the manager highlights the need for a new system. This stage is critical
for overcoming resistance before the actual change is implemented.
2. A registered nurse (RN) is preparing to delegate tasks to a licensed practical nurse (LPN)
and an unlicensed assistive person (UAP). Which tasks are appropriate for the RN to
delegate? (Select All That Apply)
A. Performing an initial admission assessment on a stable patient.
B. Administering oral medications to a stable patient (LPN).
,C. Assisting a patient with ambulation for the first time post-surgery.
D. Measuring and recording intake and output (UAP).
E. Reinforcing teaching provided by the RN regarding wound care (LPN).
F. Developing a plan of care for a patient with new-onset diabetes.
Correct Answer: B, D, E
Explanation: Delegation must follow the ‘Five Rights’ and state nurse practice acts. LPNs
can administer medications and reinforce teaching, while UAPs can perform routine tasks
like recording intake and output. Tasks involving assessment, initial ambulation, and care
planning require professional nursing judgment and must be performed by the RN.
3. Which leadership style is characterized by a leader who focuses on the growth and well-
being of people and the communities to which they belong, often putting the needs of others
first?
A. Transactional Leadership
B. Autocratic Leadership
C. Servant Leadership
D. Laissez-faire Leadership
Correct Answer: C
Explanation: Servant leadership is a philosophy where the leader’s main goal is to serve
others. This differs from traditional leadership where the leader’s main focus is the thriving
, of their company or organizations. In nursing, this promotes a supportive environment and
empowers staff to provide better patient care.
4. A hospital committee is investigating a ‘near miss’ medication error. Which process should
the committee use to identify the underlying systems issues that contributed to the event?
A. Performance Appraisal
B. Utilization Review
C. Benchmarking
D. Root Cause Analysis (RCA)
Correct Answer: D
Explanation: Root Cause Analysis (RCA) is a structured method used to analyze serious
adverse events or near misses. It focuses on identifying system failures rather than
individual blame. By understanding the ‘why’ behind an event, organizations can
implement changes to prevent recurrence.
5. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. Both nurses agree to give up one desired day off to reach a middle ground. Which
conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Competing
