,NUR 282 Exam 2 | Leadership and Nursing Management (2026)
Q&A | Galen College
1. A nurse manager is implementing a new electronic health record system on a medical-
surgical unit. According to Lewin's Change Theory, which action is most critical during the
"unfreezing" stage of this change?
A) Providing ongoing training and technical support to all staff members
B) Recognizing that the current paper-based documentation system is outdated and
inefficient
C) Evaluating the new system's impact on patient outcomes after implementation
D) Rewarding staff who quickly adapt to the new electronic system
Correct Answer: Recognizing that the current paper-based documentation system is
outdated and inefficient
Rationale: The "unfreezing" stage involves creating awareness that the current practices are
inadequate. This recognition is the necessary first step to motivate change. The other
options relate to the "moving" and "refreezing" stages.
2. A newly hired nurse manager observes that staff members frequently disagree on the best
approach to patient care. Which leadership style would be most effective initially to address
this conflict and build team consensus?
A) Autocratic, to make quick decisions and restore order
B) Laissez-faire, to allow the staff to resolve issues independently
C) Democratic, to involve the team in collaborative problem-solving
D) Passive, to avoid escalating the conflict further
Correct Answer: Democratic, to involve the team in collaborative problem-solving
Rationale: A democratic approach is most effective for resolving conflicts, as it encourages
staff participation in decision-making. This collaborative style helps address underlying
,issues and builds consensus. Autocratic and laissez-faire styles are less effective in this
context.
3. A charge nurse is assigning care for a team of nurses and unlicensed assistive personnel
(UAP). Which task is appropriate for the charge nurse to delegate to the UAP?
A) Assessing a patient's pain level and response to analgesic medication
B) Teaching a patient and family about post-operative wound care
C) Assisting a stable patient with ambulation in the hallway
D) Developing the plan of care for a newly admitted patient
Correct Answer: Assisting a stable patient with ambulation in the hallway
Rationale: Assisting with ambulation is a routine, non-invasive task within the UAP's scope
of practice. Assessment, teaching, and care plan development require professional nursing
judgment and cannot be delegated.
4. A nurse manager is evaluating the effectiveness of a new fall prevention program. Which
quality improvement tool would best help the manager visualize the sequence of events
leading to a fall?
A) Pareto chart
B) Fishbone diagram
C) Control chart
D) Flowchart
Correct Answer: Flowchart
Rationale: A flowchart visually maps the steps in a process, helping to identify where failures
occur. It is the best tool for understanding the sequence of events that may lead to a fall.
Fishbone diagrams identify root causes, Pareto charts prioritize causes, and control charts
monitor variation.
, 5. A nurse overhears two colleagues arguing loudly in the hallway about a patient
assignment. What is the nurse's most appropriate initial action?
A) Ignore the argument and continue with assigned tasks
B) Join the argument to support one of the colleagues
C) Approach the colleagues and suggest they move to a private area to discuss the issue
D) Report both colleagues to the nurse manager for unprofessional behavior
Correct Answer: Approach the colleagues and suggest they move to a private area to discuss
the issue
Rationale: Addressing a conflict in a public space is inappropriate and unprofessional. The
priority is to de-escalate the situation by suggesting a private conversation. This respects the
dignity of the parties involved and maintains a professional environment.
6. A nurse manager uses a transformational leadership style. Which behavior is most
consistent with this approach?
A) Maintaining strict control over all unit operations and policies
B) Focusing on day-to-day tasks and using rewards for performance
C) Inspiring and motivating staff to achieve a shared vision and embrace change
D) Avoiding making decisions and allowing the team to function without direction
Correct Answer: Inspiring and motivating staff to achieve a shared vision and embrace
change
Rationale: Transformational leaders are characterized by their ability to inspire a shared
vision and motivate staff toward innovation and change. This contrasts with transactional
leaders who focus on tasks and rewards, and autocratic or laissez-faire leaders who use
control or lack of direction.
7. A nurse is caring for a patient who is a member of a culturally diverse population. Which
action by the nurse demonstrates cultural competence?
Q&A | Galen College
1. A nurse manager is implementing a new electronic health record system on a medical-
surgical unit. According to Lewin's Change Theory, which action is most critical during the
"unfreezing" stage of this change?
A) Providing ongoing training and technical support to all staff members
B) Recognizing that the current paper-based documentation system is outdated and
inefficient
C) Evaluating the new system's impact on patient outcomes after implementation
D) Rewarding staff who quickly adapt to the new electronic system
Correct Answer: Recognizing that the current paper-based documentation system is
outdated and inefficient
Rationale: The "unfreezing" stage involves creating awareness that the current practices are
inadequate. This recognition is the necessary first step to motivate change. The other
options relate to the "moving" and "refreezing" stages.
2. A newly hired nurse manager observes that staff members frequently disagree on the best
approach to patient care. Which leadership style would be most effective initially to address
this conflict and build team consensus?
A) Autocratic, to make quick decisions and restore order
B) Laissez-faire, to allow the staff to resolve issues independently
C) Democratic, to involve the team in collaborative problem-solving
D) Passive, to avoid escalating the conflict further
Correct Answer: Democratic, to involve the team in collaborative problem-solving
Rationale: A democratic approach is most effective for resolving conflicts, as it encourages
staff participation in decision-making. This collaborative style helps address underlying
,issues and builds consensus. Autocratic and laissez-faire styles are less effective in this
context.
3. A charge nurse is assigning care for a team of nurses and unlicensed assistive personnel
(UAP). Which task is appropriate for the charge nurse to delegate to the UAP?
A) Assessing a patient's pain level and response to analgesic medication
B) Teaching a patient and family about post-operative wound care
C) Assisting a stable patient with ambulation in the hallway
D) Developing the plan of care for a newly admitted patient
Correct Answer: Assisting a stable patient with ambulation in the hallway
Rationale: Assisting with ambulation is a routine, non-invasive task within the UAP's scope
of practice. Assessment, teaching, and care plan development require professional nursing
judgment and cannot be delegated.
4. A nurse manager is evaluating the effectiveness of a new fall prevention program. Which
quality improvement tool would best help the manager visualize the sequence of events
leading to a fall?
A) Pareto chart
B) Fishbone diagram
C) Control chart
D) Flowchart
Correct Answer: Flowchart
Rationale: A flowchart visually maps the steps in a process, helping to identify where failures
occur. It is the best tool for understanding the sequence of events that may lead to a fall.
Fishbone diagrams identify root causes, Pareto charts prioritize causes, and control charts
monitor variation.
, 5. A nurse overhears two colleagues arguing loudly in the hallway about a patient
assignment. What is the nurse's most appropriate initial action?
A) Ignore the argument and continue with assigned tasks
B) Join the argument to support one of the colleagues
C) Approach the colleagues and suggest they move to a private area to discuss the issue
D) Report both colleagues to the nurse manager for unprofessional behavior
Correct Answer: Approach the colleagues and suggest they move to a private area to discuss
the issue
Rationale: Addressing a conflict in a public space is inappropriate and unprofessional. The
priority is to de-escalate the situation by suggesting a private conversation. This respects the
dignity of the parties involved and maintains a professional environment.
6. A nurse manager uses a transformational leadership style. Which behavior is most
consistent with this approach?
A) Maintaining strict control over all unit operations and policies
B) Focusing on day-to-day tasks and using rewards for performance
C) Inspiring and motivating staff to achieve a shared vision and embrace change
D) Avoiding making decisions and allowing the team to function without direction
Correct Answer: Inspiring and motivating staff to achieve a shared vision and embrace
change
Rationale: Transformational leaders are characterized by their ability to inspire a shared
vision and motivate staff toward innovation and change. This contrasts with transactional
leaders who focus on tasks and rewards, and autocratic or laissez-faire leaders who use
control or lack of direction.
7. A nurse is caring for a patient who is a member of a culturally diverse population. Which
action by the nurse demonstrates cultural competence?
