NRS 415 Final Exam V1 | NRS 415 Nursing
Leadership and Interprofessional Collaboration |
Actual Q&A with Rationale (NRS415 Final Exam) |
Grand Canyon University
1. A nurse manager is implementing a transformational leadership style on a busy medical-
surgical unit. Which characteristics are consistent with this leadership approach? (Select all
that apply)
A. Providing intellectual stimulation to staff
B. Focusing strictly on daily task completion and rules
C. Inspiring others through a shared vision
D. Using individualized consideration for staff needs
E. Using a system of rewards and punishments to manage behavior
F. Fostering a culture of innovation and change
Correct Answer: A, C, D, F
Explanation: Transformational leadership focuses on building relationships and
motivating staff through vision and empowerment. It involves intellectual stimulation,
individualized consideration, and inspirational motivation to improve clinical outcomes.
Unlike transactional leadership, it does not rely primarily on rewards and punishments for
routine performance.
,2. According to Lewin’s Change Theory, what is the primary goal of the ‘unfreezing’ stage?
A. Implementing the new process across the department
B. Recognizing the need for change and preparing the environment
C. Stabilizing the change into the organizational culture
D. Conducting a root cause analysis of previous failures
Correct Answer: B
Explanation: The unfreezing stage is the initial phase of Lewin’s change model where the
need for change is identified. During this phase, the leader must create readiness for
change by breaking down old habits and assumptions. Successful unfreezing ensures that
staff members are motivated and prepared for the upcoming transition.
3. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN) and an
Unlicensed Assistive Personnel (UAP). Which task is most appropriate to delegate to the
UAP?
A. Assessing the lung sounds of a patient with pneumonia
B. Developing a care plan for a newly admitted patient
C. Measuring and recording vital signs on a stable patient
D. Performing a sterile dressing change on a post-operative wound
Correct Answer: C
, Explanation: Delegation to UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Measuring vital signs on a stable patient falls within the
UAP’s scope of practice. Assessment and care planning are the sole responsibility of the RN
and cannot be delegated.
4. A nurse manager notices a conflict between two staff nurses regarding patient
assignments. The manager decides to use a ‘smoothing’ conflict resolution strategy. Which
action best illustrates this?
A. Ordering the nurses to follow the assignment without discussion
B. Encouraging both nurses to find a win-win solution
C. Minimizing the differences and emphasizing areas of agreement
D. Ignoring the conflict and hoping it resolves itself
Correct Answer: C
Explanation: Smoothing is a conflict resolution technique where the leader emphasizes
commonalities rather than differences to decrease emotional tension. While it may provide
a temporary fix, it does not always address the root cause of the conflict. This approach is
often used when the issue is minor or when maintaining harmony is a priority.
5. When planning the annual budget, the nurse manager requests funds for a new electronic
health record system and several high-tech infusion pumps. This request falls under which
category of the budget?
A. Operating budget
Leadership and Interprofessional Collaboration |
Actual Q&A with Rationale (NRS415 Final Exam) |
Grand Canyon University
1. A nurse manager is implementing a transformational leadership style on a busy medical-
surgical unit. Which characteristics are consistent with this leadership approach? (Select all
that apply)
A. Providing intellectual stimulation to staff
B. Focusing strictly on daily task completion and rules
C. Inspiring others through a shared vision
D. Using individualized consideration for staff needs
E. Using a system of rewards and punishments to manage behavior
F. Fostering a culture of innovation and change
Correct Answer: A, C, D, F
Explanation: Transformational leadership focuses on building relationships and
motivating staff through vision and empowerment. It involves intellectual stimulation,
individualized consideration, and inspirational motivation to improve clinical outcomes.
Unlike transactional leadership, it does not rely primarily on rewards and punishments for
routine performance.
,2. According to Lewin’s Change Theory, what is the primary goal of the ‘unfreezing’ stage?
A. Implementing the new process across the department
B. Recognizing the need for change and preparing the environment
C. Stabilizing the change into the organizational culture
D. Conducting a root cause analysis of previous failures
Correct Answer: B
Explanation: The unfreezing stage is the initial phase of Lewin’s change model where the
need for change is identified. During this phase, the leader must create readiness for
change by breaking down old habits and assumptions. Successful unfreezing ensures that
staff members are motivated and prepared for the upcoming transition.
3. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN) and an
Unlicensed Assistive Personnel (UAP). Which task is most appropriate to delegate to the
UAP?
A. Assessing the lung sounds of a patient with pneumonia
B. Developing a care plan for a newly admitted patient
C. Measuring and recording vital signs on a stable patient
D. Performing a sterile dressing change on a post-operative wound
Correct Answer: C
, Explanation: Delegation to UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Measuring vital signs on a stable patient falls within the
UAP’s scope of practice. Assessment and care planning are the sole responsibility of the RN
and cannot be delegated.
4. A nurse manager notices a conflict between two staff nurses regarding patient
assignments. The manager decides to use a ‘smoothing’ conflict resolution strategy. Which
action best illustrates this?
A. Ordering the nurses to follow the assignment without discussion
B. Encouraging both nurses to find a win-win solution
C. Minimizing the differences and emphasizing areas of agreement
D. Ignoring the conflict and hoping it resolves itself
Correct Answer: C
Explanation: Smoothing is a conflict resolution technique where the leader emphasizes
commonalities rather than differences to decrease emotional tension. While it may provide
a temporary fix, it does not always address the root cause of the conflict. This approach is
often used when the issue is minor or when maintaining harmony is a priority.
5. When planning the annual budget, the nurse manager requests funds for a new electronic
health record system and several high-tech infusion pumps. This request falls under which
category of the budget?
A. Operating budget
