NUR 356
Leadership & Management
Latest Final Exam Review
2026
Qns & Ans
Multiple Choice Questions (MCQs)
A nurse leader is implementing transformational leadership in a
clinical unit. Which of the following behaviors best demonstrates
this leadership style? a) Issuing strict protocols to all staff without
feedback b) Encouraging innovation and inspiring staff toward
shared goals c) Monitoring staff performance closely and
reprimanding mistakes d) Delegating all decision-making to senior
staff
Answer: b) Encouraging innovation and inspiring staff toward
shared goals
Rationale: Transformational leaders motivate and inspire staff to
exceed expectations, fostering creativity and shared vision.
2. During a change initiative to reduce hospital-acquired
infections, the nursing manager uses Lewin's Change Model. What
represents the 'Unfreezing' stage?
a) Reinforcing new infection control policies
b) Creating awareness that current practices are inadequate
c) Integrating new hygiene protocols into daily routines
d) Celebrating reductions in infection rates
Answer: b) Creating awareness that current practices are
inadequate
Rationale: Unfreezing involves preparing staff for change by
challenging the status quo.
,3. Which type of power is a nurse leader exercising when they use
their formal authority to ensure compliance with safety
regulations?
a) Expert power
b) Coercive power
c) Legitimate power
d) Referent power
Answer: c) Legitimate power
Rationale: Legitimate power comes from official position within
an organization.
4. A nursing manager is dealing with a conflict between two staff
members about delegation of tasks. What is the most appropriate
conflict resolution approach to apply?
a) Avoiding
b) Collaborating
c) Competing
d) Accommodating
Answer: b) Collaborating
Rationale: Collaborating seeks a win-win solution, effective in
long-term professional relationships.
5. Staff nurses are resistant to adopting a new electronic health
record (EHR) system. Which strategy would best enhance staff
engagement in this transition?
a) Mandate system use without training
b) Involve staff in the selection and customization process
c) Replace resistant staff with new hires
d) Limit system access to leadership only
Answer: b) Involve staff in the selection and customization
process
Rationale: Inclusion improves buy-in and reduces resistance to
,change.
True/False
True or False: A democratic nursing leader involves team
members in decision-making to promote ownership and job
satisfaction.
Answer: True
Rationale: Democratic leaders seek input and participation,
leading to higher satisfaction.
True or False: Emotional intelligence in nurse leaders primarily
involves controlling one's own emotions and ignoring others'
emotions.
Answer: False
Rationale: Emotional intelligence is about recognizing,
understanding, and managing both personal and others'
emotions.
True or False: Delegation in nursing requires the leader to retain
ultimate responsibility for the outcomes of the task.
Answer: True
Rationale: While tasks can be delegated, accountability remains
with the delegator.
True or False: Transformational leaders prefer maintaining
established procedures rather than encouraging change.
Answer: False
Rationale: Transformational leaders promote change and
innovation, not maintaining status quo.
True or False: Servant leadership emphasizes the leader’s primary
goal to serve team members to help them develop professionally.
Answer: True
Rationale: Servant leadership focuses on serving and empowering
followers.
, Short Answer
List three key qualities a nurse manager should demonstrate
during crisis management.
Answer: Calmness, effective communication, decisive decision-
making
Rationale: These qualities help maintain order and patient safety
during crises.
Explain the difference between leadership and management in
nursing.
Answer: Leadership involves inspiring and motivating staff toward
vision and change; management focuses on planning, organizing,
and controlling resources for stability and efficiency.
Rationale: Distinguishing leadership and management helps clarify
different roles nurses perform.
Identify one evidence-based tool commonly used to assess
nursing staff workload.
Answer: Nursing Activities Score (NAS) or Patient Classification
Systems
Rationale: These tools help quantify workload for staffing and
resource allocation.
What is 'emotional labor' in nursing leadership?
Answer: The process of managing emotions to fulfill
organizational expectations during interactions
Rationale: Recognizing emotional labor helps leaders support staff
well-being.
Name two challenges nurse leaders face when implementing
quality improvement initiatives.
Answer: Resistance to change and limited resources
Rationale: Overcoming these are critical for successful project
implementation.
Matching (Match term to definition)
Leadership & Management
Latest Final Exam Review
2026
Qns & Ans
Multiple Choice Questions (MCQs)
A nurse leader is implementing transformational leadership in a
clinical unit. Which of the following behaviors best demonstrates
this leadership style? a) Issuing strict protocols to all staff without
feedback b) Encouraging innovation and inspiring staff toward
shared goals c) Monitoring staff performance closely and
reprimanding mistakes d) Delegating all decision-making to senior
staff
Answer: b) Encouraging innovation and inspiring staff toward
shared goals
Rationale: Transformational leaders motivate and inspire staff to
exceed expectations, fostering creativity and shared vision.
2. During a change initiative to reduce hospital-acquired
infections, the nursing manager uses Lewin's Change Model. What
represents the 'Unfreezing' stage?
a) Reinforcing new infection control policies
b) Creating awareness that current practices are inadequate
c) Integrating new hygiene protocols into daily routines
d) Celebrating reductions in infection rates
Answer: b) Creating awareness that current practices are
inadequate
Rationale: Unfreezing involves preparing staff for change by
challenging the status quo.
,3. Which type of power is a nurse leader exercising when they use
their formal authority to ensure compliance with safety
regulations?
a) Expert power
b) Coercive power
c) Legitimate power
d) Referent power
Answer: c) Legitimate power
Rationale: Legitimate power comes from official position within
an organization.
4. A nursing manager is dealing with a conflict between two staff
members about delegation of tasks. What is the most appropriate
conflict resolution approach to apply?
a) Avoiding
b) Collaborating
c) Competing
d) Accommodating
Answer: b) Collaborating
Rationale: Collaborating seeks a win-win solution, effective in
long-term professional relationships.
5. Staff nurses are resistant to adopting a new electronic health
record (EHR) system. Which strategy would best enhance staff
engagement in this transition?
a) Mandate system use without training
b) Involve staff in the selection and customization process
c) Replace resistant staff with new hires
d) Limit system access to leadership only
Answer: b) Involve staff in the selection and customization
process
Rationale: Inclusion improves buy-in and reduces resistance to
,change.
True/False
True or False: A democratic nursing leader involves team
members in decision-making to promote ownership and job
satisfaction.
Answer: True
Rationale: Democratic leaders seek input and participation,
leading to higher satisfaction.
True or False: Emotional intelligence in nurse leaders primarily
involves controlling one's own emotions and ignoring others'
emotions.
Answer: False
Rationale: Emotional intelligence is about recognizing,
understanding, and managing both personal and others'
emotions.
True or False: Delegation in nursing requires the leader to retain
ultimate responsibility for the outcomes of the task.
Answer: True
Rationale: While tasks can be delegated, accountability remains
with the delegator.
True or False: Transformational leaders prefer maintaining
established procedures rather than encouraging change.
Answer: False
Rationale: Transformational leaders promote change and
innovation, not maintaining status quo.
True or False: Servant leadership emphasizes the leader’s primary
goal to serve team members to help them develop professionally.
Answer: True
Rationale: Servant leadership focuses on serving and empowering
followers.
, Short Answer
List three key qualities a nurse manager should demonstrate
during crisis management.
Answer: Calmness, effective communication, decisive decision-
making
Rationale: These qualities help maintain order and patient safety
during crises.
Explain the difference between leadership and management in
nursing.
Answer: Leadership involves inspiring and motivating staff toward
vision and change; management focuses on planning, organizing,
and controlling resources for stability and efficiency.
Rationale: Distinguishing leadership and management helps clarify
different roles nurses perform.
Identify one evidence-based tool commonly used to assess
nursing staff workload.
Answer: Nursing Activities Score (NAS) or Patient Classification
Systems
Rationale: These tools help quantify workload for staffing and
resource allocation.
What is 'emotional labor' in nursing leadership?
Answer: The process of managing emotions to fulfill
organizational expectations during interactions
Rationale: Recognizing emotional labor helps leaders support staff
well-being.
Name two challenges nurse leaders face when implementing
quality improvement initiatives.
Answer: Resistance to change and limited resources
Rationale: Overcoming these are critical for successful project
implementation.
Matching (Match term to definition)
