NUR 4040 Sherpath Review – Key Concepts, Notes
& Practice Questions\\ NUR 4040 Sherpath –
Complete Study Guide 2025
Which goal is a component of the Triple Aim framework for delivering high-value healthcare in the
United States?
a. Improve the individual experience of care
b. Decrease the amount of caregiver burnout
c. Increase the number of experienced providers
d. Decrease the incidence of emerging diseases -answer ✔✨---a
Which principle was the focus of the revision to the Quadruple Aim framework in 2022?
a. Cost containment
b. Health equity
c. Patient satisfaction
d. Nursing burnout -answer ✔✨---b
When responding to patient and organizational problems in a complex system, which goal would the
nurse aim to accomplish?
a. Generating linear solutions
b. Examining the problem through multiple lenses
c. Focusing on one element of the situation
d. Separating ideas and actions -answer ✔✨---b
,Which action would a leader take in a complex adaptive healthcare system?
a. Ensuring control within the environment
b. Allowing varying interpretations of a situation to emerge
c. Generating change from the top down
d. Confining information to members of the healthcare team -answer ✔✨---b
Which approach would be adopted if a system was following the complexity theory?
a. Encouraging nurses to approach their work as a list of individual tasks
b. Talking to patients to understand their perspectives on quality of care
c. Implementing several computer systems that work independent of each other
d. Allowing nurses to refuse to be floated to work on other units -answer ✔✨---b
Which model would best describe the current approach to nursing leadership?
a. Nurse executives make decisions that guide nursing care in an organization.
b. Nurses are involved in decision-making in collaboration with management and other disciplines.
c. Nurses rely solely on providers and their orders to guide their work.
d. There are no designated nursing leaders, which allows the staff to have autonomy in their practice. -
answer ✔✨---b
Which concept would the nurse prioritize while providing care using Maslow's hierarchy of needs?
a. Physiologic needs
b. Safety needs
c. Social needs
d. Esteem needs -answer ✔✨---a
Which action would the nurse with strong leadership, management, and followership abilities take?
a. Being an advocate for those in their care
b. Predicting changes in healthcare delivery
,c. Focusing on a single role to the best of their ability
d. Focusing efforts on completing individual tasks -answer ✔✨---a
Which strategy addresses a goal within the Triple Aim framework?
a. Reducing the use of unnecessary supplies
b. Promoting a wellness group among nurses in the hospital
c. Teaching patients the importance of finishing the full course of antibiotics
d. Providing an in-service on a new monitoring device -answer ✔✨---a
Which concept was added to the Quadruple Aim framework when it was modified in 2022 to create an
interaction of five elements to improve care in the United States?
a. Lower total medical costs
b. More satisfied patients
c. Better health equity
d. More satisfied providers -answer ✔✨---c
Which outcome would be associated with a healthcare leader's wide communication style?
a. Preventable medical errors
b. High staff turnover rates
c. Low morale
d. Active team members -answer ✔✨---d
Which leadership approach to resolve a conflict between two individuals on the nursing unit illustrates
the principle of complex adaptive science?
a. Exerting control over the subordinates having a conflict
b. Encouraging the two parties to resolve the conflict by reverting to what is usually done
c. Providing the individuals context around the issue at hand
d. Allowing the disagreement to dissolve organically -answer ✔✨---c
, Which example manifests volatility in a healthcare setting?
a. PPE guidelines during the COVID-19 pandemic
b. Planning end-of-life care on a cancer unit
c. Experiencing alarm fatigue in critical care units
d. Addressing healthcare disparities in population health -answer ✔✨---a
Which leader would be considered to have transformational characteristics?
a. A leader who is willing to try out a new system in response to patient needs
b. A leader who believes in motivating employees through meeting basic needs such as safety and
security
c. A leader who manages the team closely and avoids drastic changes in the work environment
d. A leader who is considered to have charisma and natural persuasion skills -answer ✔✨---a
Which strategy by nursing management would act as a hygiene factor according to Herzberg's two-
factor theory?
a. Improving nurse-to-patient ratios
b. Offering clinical ladder achievement paths
c. Presenting awards for exemplary patient care
d. Collecting periodic staff work satisfaction surveys -answer ✔✨---a
According to Vroom's expectancy theory, which action would a leader take to develop motivation in
subordinates?
a. Providing specific feedback about positive performance
b. Focusing on providing incentives that address subordinates' three core needs
c. Leading themselves prior to attempting to make a difference in leading others
d. Focusing on their own inner psychological wellbeing -answer ✔✨---a
Which skill is most closely connected to leadership?
a. Making others listen
b. Forming connections with others
& Practice Questions\\ NUR 4040 Sherpath –
Complete Study Guide 2025
Which goal is a component of the Triple Aim framework for delivering high-value healthcare in the
United States?
a. Improve the individual experience of care
b. Decrease the amount of caregiver burnout
c. Increase the number of experienced providers
d. Decrease the incidence of emerging diseases -answer ✔✨---a
Which principle was the focus of the revision to the Quadruple Aim framework in 2022?
a. Cost containment
b. Health equity
c. Patient satisfaction
d. Nursing burnout -answer ✔✨---b
When responding to patient and organizational problems in a complex system, which goal would the
nurse aim to accomplish?
a. Generating linear solutions
b. Examining the problem through multiple lenses
c. Focusing on one element of the situation
d. Separating ideas and actions -answer ✔✨---b
,Which action would a leader take in a complex adaptive healthcare system?
a. Ensuring control within the environment
b. Allowing varying interpretations of a situation to emerge
c. Generating change from the top down
d. Confining information to members of the healthcare team -answer ✔✨---b
Which approach would be adopted if a system was following the complexity theory?
a. Encouraging nurses to approach their work as a list of individual tasks
b. Talking to patients to understand their perspectives on quality of care
c. Implementing several computer systems that work independent of each other
d. Allowing nurses to refuse to be floated to work on other units -answer ✔✨---b
Which model would best describe the current approach to nursing leadership?
a. Nurse executives make decisions that guide nursing care in an organization.
b. Nurses are involved in decision-making in collaboration with management and other disciplines.
c. Nurses rely solely on providers and their orders to guide their work.
d. There are no designated nursing leaders, which allows the staff to have autonomy in their practice. -
answer ✔✨---b
Which concept would the nurse prioritize while providing care using Maslow's hierarchy of needs?
a. Physiologic needs
b. Safety needs
c. Social needs
d. Esteem needs -answer ✔✨---a
Which action would the nurse with strong leadership, management, and followership abilities take?
a. Being an advocate for those in their care
b. Predicting changes in healthcare delivery
,c. Focusing on a single role to the best of their ability
d. Focusing efforts on completing individual tasks -answer ✔✨---a
Which strategy addresses a goal within the Triple Aim framework?
a. Reducing the use of unnecessary supplies
b. Promoting a wellness group among nurses in the hospital
c. Teaching patients the importance of finishing the full course of antibiotics
d. Providing an in-service on a new monitoring device -answer ✔✨---a
Which concept was added to the Quadruple Aim framework when it was modified in 2022 to create an
interaction of five elements to improve care in the United States?
a. Lower total medical costs
b. More satisfied patients
c. Better health equity
d. More satisfied providers -answer ✔✨---c
Which outcome would be associated with a healthcare leader's wide communication style?
a. Preventable medical errors
b. High staff turnover rates
c. Low morale
d. Active team members -answer ✔✨---d
Which leadership approach to resolve a conflict between two individuals on the nursing unit illustrates
the principle of complex adaptive science?
a. Exerting control over the subordinates having a conflict
b. Encouraging the two parties to resolve the conflict by reverting to what is usually done
c. Providing the individuals context around the issue at hand
d. Allowing the disagreement to dissolve organically -answer ✔✨---c
, Which example manifests volatility in a healthcare setting?
a. PPE guidelines during the COVID-19 pandemic
b. Planning end-of-life care on a cancer unit
c. Experiencing alarm fatigue in critical care units
d. Addressing healthcare disparities in population health -answer ✔✨---a
Which leader would be considered to have transformational characteristics?
a. A leader who is willing to try out a new system in response to patient needs
b. A leader who believes in motivating employees through meeting basic needs such as safety and
security
c. A leader who manages the team closely and avoids drastic changes in the work environment
d. A leader who is considered to have charisma and natural persuasion skills -answer ✔✨---a
Which strategy by nursing management would act as a hygiene factor according to Herzberg's two-
factor theory?
a. Improving nurse-to-patient ratios
b. Offering clinical ladder achievement paths
c. Presenting awards for exemplary patient care
d. Collecting periodic staff work satisfaction surveys -answer ✔✨---a
According to Vroom's expectancy theory, which action would a leader take to develop motivation in
subordinates?
a. Providing specific feedback about positive performance
b. Focusing on providing incentives that address subordinates' three core needs
c. Leading themselves prior to attempting to make a difference in leading others
d. Focusing on their own inner psychological wellbeing -answer ✔✨---a
Which skill is most closely connected to leadership?
a. Making others listen
b. Forming connections with others
