NSG 3850 EXAM 2 (VERSION B) -
NURSING LEADERSHIP AND
MANAGEMENT. GALEN COLLEGE OF
NURSING (U.S.) | COMPLETE VERIFIED
ANSWERS 2026/2027
1. A nurse manager is implementing a new electronic health record system and observes that
several staff members are resisting the change. Which action by the manager aligns with the
‘Unfreezing’ stage of Lewin’s Change Theory?
A. Sharing data that highlights the high rate of medication errors associated with the
current paper system.
B. Providing hands-on training sessions for all staff levels.
C. Developing a reward system for staff who adapt quickly to the new software.
D. Writing a new policy that mandates the use of the electronic system by a specific date.
Answer: A
,Conceptual Explanation: Unfreezing involves creating the motivation to change by
helping individuals realize that the current status quo is no longer effective. Sharing data
about errors highlights the need for change.
2. Which leadership style is characterized by a leader who functions with little or no direction,
allowing the group to make their own decisions and set their own goals?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Democratic Leadership
D. Autocratic Leadership
Answer: B
Conceptual Explanation: Laissez-faire leadership is a passive style where the leader
provides little guidance or intervention, leaving decision-making to the group.
3. A nurse is caring for a patient who is refusing a life-saving blood transfusion due to
religious beliefs. The nurse supports the patient’s right to refuse, even though they disagree.
Which ethical principle is being upheld?
A. Justice
B. Non-maleficence
C. Beneficence
D. Autonomy
, Answer: D
Conceptual Explanation: Autonomy refers to the right of the individual to make their own
decisions regarding their healthcare, even if those decisions conflict with medical advice.
4. The nurse manager is evaluating the unit’s performance using a ‘Balanced Scorecard.’
Which perspective of this tool focuses on staff development and retention?
A. Financial Perspective
B. Learning and Growth Perspective
C. Customer Perspective
D. Internal Business Process Perspective
Answer: B
Conceptual Explanation: The Learning and Growth perspective of the Balanced Scorecard
focuses on human capital, including employee training, culture, and information systems.
5. Under the ‘Five Rights of Delegation,’ which of the following scenarios best demonstrates
the ‘Right Circumstance’?
A. Delegating the feeding of a stable patient with Parkinson’s to a UAP.
B. Asking an LPN to administer a complex IV push medication in the ICU.
C. Directing a UAP to perform a sterile wound dressing on a fresh post-op patient.
D. Telling a float nurse to manage a patient with a rare condition they have never seen.
Answer: A
NURSING LEADERSHIP AND
MANAGEMENT. GALEN COLLEGE OF
NURSING (U.S.) | COMPLETE VERIFIED
ANSWERS 2026/2027
1. A nurse manager is implementing a new electronic health record system and observes that
several staff members are resisting the change. Which action by the manager aligns with the
‘Unfreezing’ stage of Lewin’s Change Theory?
A. Sharing data that highlights the high rate of medication errors associated with the
current paper system.
B. Providing hands-on training sessions for all staff levels.
C. Developing a reward system for staff who adapt quickly to the new software.
D. Writing a new policy that mandates the use of the electronic system by a specific date.
Answer: A
,Conceptual Explanation: Unfreezing involves creating the motivation to change by
helping individuals realize that the current status quo is no longer effective. Sharing data
about errors highlights the need for change.
2. Which leadership style is characterized by a leader who functions with little or no direction,
allowing the group to make their own decisions and set their own goals?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Democratic Leadership
D. Autocratic Leadership
Answer: B
Conceptual Explanation: Laissez-faire leadership is a passive style where the leader
provides little guidance or intervention, leaving decision-making to the group.
3. A nurse is caring for a patient who is refusing a life-saving blood transfusion due to
religious beliefs. The nurse supports the patient’s right to refuse, even though they disagree.
Which ethical principle is being upheld?
A. Justice
B. Non-maleficence
C. Beneficence
D. Autonomy
, Answer: D
Conceptual Explanation: Autonomy refers to the right of the individual to make their own
decisions regarding their healthcare, even if those decisions conflict with medical advice.
4. The nurse manager is evaluating the unit’s performance using a ‘Balanced Scorecard.’
Which perspective of this tool focuses on staff development and retention?
A. Financial Perspective
B. Learning and Growth Perspective
C. Customer Perspective
D. Internal Business Process Perspective
Answer: B
Conceptual Explanation: The Learning and Growth perspective of the Balanced Scorecard
focuses on human capital, including employee training, culture, and information systems.
5. Under the ‘Five Rights of Delegation,’ which of the following scenarios best demonstrates
the ‘Right Circumstance’?
A. Delegating the feeding of a stable patient with Parkinson’s to a UAP.
B. Asking an LPN to administer a complex IV push medication in the ICU.
C. Directing a UAP to perform a sterile wound dressing on a fresh post-op patient.
D. Telling a float nurse to manage a patient with a rare condition they have never seen.
Answer: A
