NR 446 Nursing Leadership Exam 5 Comprehensive Study Guide 2026
|Chamberlain College
1. According to Lewin’s Change Theory, which phase involves the change agent
assisting in stabilizing the system change so that it becomes integrated into the
status quo?
A. Unfreezing
B. Moving
C. Refreezing
D. Slushing
Answer: C
Rationale: Refreezing occurs when the change agent assists in stabilizing the system
change so that it becomes integrated into the status quo. If this phase is incomplete, the
change will be ineffective and the previous behaviors will return.
2. A nurse manager is evaluating a staff member’s performance and realizes
they are giving a high rating to an employee because they are personally fond of
them, despite mediocre performance. What is this appraisal bias called?
A. Horns effect
B. Halo effect
C. Central tendency
D. Matthew effect
Answer: B
Rationale: The halo effect occurs when the appraiser lets one or two positive aspects of the
assessment or behavior of the employee unduly influence all other aspects of the
employee’s performance.
,3. Which leadership style is characterized by the leader maintaining strong
control over the work group and using coercion to motivate others?
A. Authoritarian
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Authoritarian (or autocratic) leadership results in well-defined group actions
that are usually predictable, reducing frustration in the work group and giving members a
feeling of security. It involves strong control, coercion, and downward communication.
4. A charge nurse is delegating tasks for the shift. Which task is most
appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
B. Feeding a patient who is at high risk for aspiration
C. Collecting a clean-catch urine specimen from a stable patient
D. Developing a plan of care for a new admission
Answer: C
Rationale: UAPs can perform tasks that are non-invasive and do not require nursing
judgment, such as specimen collection on stable patients. Assessment, feeding high-risk
patients, and care planning require the skill and judgment of an RN.
, 5. When resolving a conflict, a nurse manager decides to ignore the issue in
hopes that it will resolve itself. Which conflict management strategy is being
used?
A. Compromising
B. Smoothing
C. Competing
D. Avoiding
Answer: D
Rationale: Avoiding is a strategy where the parties involved are aware of a conflict but
choose not to acknowledge it or attempt to resolve it.
6. Which ethical principle refers to the nurse’s obligation to do good and
prevent harm?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: B
Rationale: Beneficence is the duty to do good and maximize possible benefits while
minimizing potential harm.
7. A nurse is caring for a patient who needs a surgical procedure. The nurse’s
primary role regarding informed consent is:
A. Explaining the risks and benefits of the surgery
B. Witnessing the patient’s signature on the consent form
C. Describing alternative treatments to the patient
D. Ensuring the patient has been given all information by the surgeon
Answer: B
|Chamberlain College
1. According to Lewin’s Change Theory, which phase involves the change agent
assisting in stabilizing the system change so that it becomes integrated into the
status quo?
A. Unfreezing
B. Moving
C. Refreezing
D. Slushing
Answer: C
Rationale: Refreezing occurs when the change agent assists in stabilizing the system
change so that it becomes integrated into the status quo. If this phase is incomplete, the
change will be ineffective and the previous behaviors will return.
2. A nurse manager is evaluating a staff member’s performance and realizes
they are giving a high rating to an employee because they are personally fond of
them, despite mediocre performance. What is this appraisal bias called?
A. Horns effect
B. Halo effect
C. Central tendency
D. Matthew effect
Answer: B
Rationale: The halo effect occurs when the appraiser lets one or two positive aspects of the
assessment or behavior of the employee unduly influence all other aspects of the
employee’s performance.
,3. Which leadership style is characterized by the leader maintaining strong
control over the work group and using coercion to motivate others?
A. Authoritarian
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Authoritarian (or autocratic) leadership results in well-defined group actions
that are usually predictable, reducing frustration in the work group and giving members a
feeling of security. It involves strong control, coercion, and downward communication.
4. A charge nurse is delegating tasks for the shift. Which task is most
appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
B. Feeding a patient who is at high risk for aspiration
C. Collecting a clean-catch urine specimen from a stable patient
D. Developing a plan of care for a new admission
Answer: C
Rationale: UAPs can perform tasks that are non-invasive and do not require nursing
judgment, such as specimen collection on stable patients. Assessment, feeding high-risk
patients, and care planning require the skill and judgment of an RN.
, 5. When resolving a conflict, a nurse manager decides to ignore the issue in
hopes that it will resolve itself. Which conflict management strategy is being
used?
A. Compromising
B. Smoothing
C. Competing
D. Avoiding
Answer: D
Rationale: Avoiding is a strategy where the parties involved are aware of a conflict but
choose not to acknowledge it or attempt to resolve it.
6. Which ethical principle refers to the nurse’s obligation to do good and
prevent harm?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: B
Rationale: Beneficence is the duty to do good and maximize possible benefits while
minimizing potential harm.
7. A nurse is caring for a patient who needs a surgical procedure. The nurse’s
primary role regarding informed consent is:
A. Explaining the risks and benefits of the surgery
B. Witnessing the patient’s signature on the consent form
C. Describing alternative treatments to the patient
D. Ensuring the patient has been given all information by the surgeon
Answer: B
