NR 446
FINAL EXAM
Test Covering Weeks 1 through 8
Verified Questions & Answers With Rationales
(Collaborative Healthcare)
Chamberlain
,1. A staff nurse has been promoted to clinical manager on the acute care floor.
Which action by the nurse demonstrates a democratic approach to management
style?
A) Makes all staffing decisions independently without consulting staff
B) Asks for the input of all staff members when making a change to the staffing policy
for overtime
C) Enforces strict overtime policies without exception
D) Delegates all staffing decisions to the charge nurse
Correct Answer: B
Rationale:
Democratic leadership is characterized by shared decision-making, open
communication, and active staff participation in policy development. Option B
exemplifies this by soliciting input from all staff members before implementing changes.
Option A reflects autocratic leadership, Option C reflects bureaucratic rigidity, and
Option D reflects laissez-faire delegation without collaborative input. Democratic leaders
empower their team and foster ownership of unit policies, which improves morale and
compliance.
2. A novice nurse begins working in perioperative services and is being precepted
by an expert nurse that is certified as an operating room nurse. The expert nurse
tells the novice, "I have no idea why they hired someone with no experience. Just
put more work on me." What is the best response by the novice nurse?
A) "I understand your frustration, and I will try to stay out of your way."
B) "I would like to be a productive member of this team, and with your expertise and
help, I believe I can learn quickly."
C) "I will request a different preceptor from the nurse manager."
D) "You should speak to the manager if you have concerns about my hiring."
Correct Answer: B
Rationale:
The novice nurse should respond professionally and assertively while acknowledging
the preceptor's expertise. Option B demonstrates emotional intelligence, a willingness to
learn, and a collaborative approach that may help diffuse the preceptor's negativity. It
frames the novice as an asset rather than a burden. Option A reinforces a subordinate,
apologetic stance that undermines professional development. Option C escalates
, prematurely without attempting resolution. Option D is confrontational and defensive,
damaging the preceptor-novice relationship.
3. The nurse manager conducts panel-style interviews for a staff position. Which
questions asked by a member of the panel would require intervention by the
nurse manager as they are not appropriate for interview questions? (Select all that
apply)
A) "How many children do you have?"
B) "Do you have a particular religious preference that would prevent you from working
holidays?"
C) "What clinical certifications do you currently hold?"
D) "Can you describe a time you handled a difficult patient situation?"
E) "Are you planning to become pregnant in the near future?"
Correct Answer: A, B, E
Rationale:
Questions A, B, and E violate Equal Employment Opportunity Commission (EEOC)
guidelines and Title VII of the Civil Rights Act. Interviewers cannot inquire about marital
status, number of children, family planning, or religious affiliation as these are protected
classes and could be used to discriminate. Option C is appropriate as it assesses
clinical qualifications. Option D is a standard behavioral interview question that
evaluates clinical competency and critical thinking. The nurse manager must intervene
immediately to prevent legal liability and ensure fair hiring practices.
4. The nurse observes another obstetric nurse rupturing the amniotic membrane
of clients in the early stages of labor so they will deliver more rapidly. The nurse
is faced with an ethical dilemma and identifies the need to use an ethical
framework to determine the best course of action. Place in order the steps the
nurse will take in solving the ethical dilemma.
Correct Order:
1. Gather as much data about the situation as possible
2. Identify and clarify the problem
3. Identify and evaluate the options available
4. Decide regarding what needs to be done
5. Choose a course of action and carry it out
FINAL EXAM
Test Covering Weeks 1 through 8
Verified Questions & Answers With Rationales
(Collaborative Healthcare)
Chamberlain
,1. A staff nurse has been promoted to clinical manager on the acute care floor.
Which action by the nurse demonstrates a democratic approach to management
style?
A) Makes all staffing decisions independently without consulting staff
B) Asks for the input of all staff members when making a change to the staffing policy
for overtime
C) Enforces strict overtime policies without exception
D) Delegates all staffing decisions to the charge nurse
Correct Answer: B
Rationale:
Democratic leadership is characterized by shared decision-making, open
communication, and active staff participation in policy development. Option B
exemplifies this by soliciting input from all staff members before implementing changes.
Option A reflects autocratic leadership, Option C reflects bureaucratic rigidity, and
Option D reflects laissez-faire delegation without collaborative input. Democratic leaders
empower their team and foster ownership of unit policies, which improves morale and
compliance.
2. A novice nurse begins working in perioperative services and is being precepted
by an expert nurse that is certified as an operating room nurse. The expert nurse
tells the novice, "I have no idea why they hired someone with no experience. Just
put more work on me." What is the best response by the novice nurse?
A) "I understand your frustration, and I will try to stay out of your way."
B) "I would like to be a productive member of this team, and with your expertise and
help, I believe I can learn quickly."
C) "I will request a different preceptor from the nurse manager."
D) "You should speak to the manager if you have concerns about my hiring."
Correct Answer: B
Rationale:
The novice nurse should respond professionally and assertively while acknowledging
the preceptor's expertise. Option B demonstrates emotional intelligence, a willingness to
learn, and a collaborative approach that may help diffuse the preceptor's negativity. It
frames the novice as an asset rather than a burden. Option A reinforces a subordinate,
apologetic stance that undermines professional development. Option C escalates
, prematurely without attempting resolution. Option D is confrontational and defensive,
damaging the preceptor-novice relationship.
3. The nurse manager conducts panel-style interviews for a staff position. Which
questions asked by a member of the panel would require intervention by the
nurse manager as they are not appropriate for interview questions? (Select all that
apply)
A) "How many children do you have?"
B) "Do you have a particular religious preference that would prevent you from working
holidays?"
C) "What clinical certifications do you currently hold?"
D) "Can you describe a time you handled a difficult patient situation?"
E) "Are you planning to become pregnant in the near future?"
Correct Answer: A, B, E
Rationale:
Questions A, B, and E violate Equal Employment Opportunity Commission (EEOC)
guidelines and Title VII of the Civil Rights Act. Interviewers cannot inquire about marital
status, number of children, family planning, or religious affiliation as these are protected
classes and could be used to discriminate. Option C is appropriate as it assesses
clinical qualifications. Option D is a standard behavioral interview question that
evaluates clinical competency and critical thinking. The nurse manager must intervene
immediately to prevent legal liability and ensure fair hiring practices.
4. The nurse observes another obstetric nurse rupturing the amniotic membrane
of clients in the early stages of labor so they will deliver more rapidly. The nurse
is faced with an ethical dilemma and identifies the need to use an ethical
framework to determine the best course of action. Place in order the steps the
nurse will take in solving the ethical dilemma.
Correct Order:
1. Gather as much data about the situation as possible
2. Identify and clarify the problem
3. Identify and evaluate the options available
4. Decide regarding what needs to be done
5. Choose a course of action and carry it out
