Nursing Leadership and Capstone Comprehensive Study Guide 2026
|Chamberlain College
1. A nurse manager is encouraging staff to participate in a new quality
improvement initiative by sharing the vision and inspiring them to achieve
better patient outcomes. Which leadership style is being demonstrated?
A. Autocratic
B. Transformational
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Transformational leadership focuses on inspiring and motivating followers to
achieve a common goal and vision, whereas transactional focuses on rewards/punishment.
2. According to Lewin’s Change Theory, which stage involves the process of
overcoming inertia and dismantling the existing mindset?
A. Moving
B. Unfreezing
C. Refreezing
D. Evaluating
Answer: B
Rationale: Unfreezing is the first stage where the need for change is recognized and the
current status quo is challenged.
,3. A charge nurse is assigning tasks to an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate to delegate?
A. Assessing a patient’s pain level
B. Evaluating the effectiveness of a medication
C. Teaching a patient how to use a walker
D. Measuring and recording intake and output
Answer: D
Rationale: UAPs can perform routine tasks like measuring I&O. Assessment, teaching, and
evaluation are within the scope of the Registered Nurse.
4. Which ethical principle is demonstrated when a nurse respects a patient’s
decision to refuse chemotherapy despite the family’s wishes?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the right of the individual to make their own decisions
regarding their healthcare.
5. A nurse is using the SBAR tool to communicate with a physician. What does
the ‘B’ stand for?
A. Behavior
B. Barriers
C. Beliefs
D. Background
Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
, 6. In conflict management, which style involves both parties giving up
something to reach a solution?
A. Compromising
B. Collaborating
C. Avoiding
D. Competing
Answer: A
Rationale: Compromising is a middle-ground approach where each party yields a portion
of their goals to resolve the conflict.
7. A nurse manager is reviewing a situation where a medication error occurred
but did not reach the patient. This is categorized as a:
A. Sentinel Event
B. Adverse Event
C. Never Event
D. Near Miss
Answer: D
Rationale: A near miss is an error that could have caused harm but was caught before
reaching the patient.
8. Which of the following is a primary characteristic of a high-reliability
organization (HRO)?
A. Strict hierarchical control
B. Preoccupation with failure
C. Focus on financial profit
D. Individual blame culture
Answer: B
Rationale: HROs are preoccupied with failure, meaning they constantly look for potential
system failures to prevent accidents.
|Chamberlain College
1. A nurse manager is encouraging staff to participate in a new quality
improvement initiative by sharing the vision and inspiring them to achieve
better patient outcomes. Which leadership style is being demonstrated?
A. Autocratic
B. Transformational
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Transformational leadership focuses on inspiring and motivating followers to
achieve a common goal and vision, whereas transactional focuses on rewards/punishment.
2. According to Lewin’s Change Theory, which stage involves the process of
overcoming inertia and dismantling the existing mindset?
A. Moving
B. Unfreezing
C. Refreezing
D. Evaluating
Answer: B
Rationale: Unfreezing is the first stage where the need for change is recognized and the
current status quo is challenged.
,3. A charge nurse is assigning tasks to an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate to delegate?
A. Assessing a patient’s pain level
B. Evaluating the effectiveness of a medication
C. Teaching a patient how to use a walker
D. Measuring and recording intake and output
Answer: D
Rationale: UAPs can perform routine tasks like measuring I&O. Assessment, teaching, and
evaluation are within the scope of the Registered Nurse.
4. Which ethical principle is demonstrated when a nurse respects a patient’s
decision to refuse chemotherapy despite the family’s wishes?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the right of the individual to make their own decisions
regarding their healthcare.
5. A nurse is using the SBAR tool to communicate with a physician. What does
the ‘B’ stand for?
A. Behavior
B. Barriers
C. Beliefs
D. Background
Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
, 6. In conflict management, which style involves both parties giving up
something to reach a solution?
A. Compromising
B. Collaborating
C. Avoiding
D. Competing
Answer: A
Rationale: Compromising is a middle-ground approach where each party yields a portion
of their goals to resolve the conflict.
7. A nurse manager is reviewing a situation where a medication error occurred
but did not reach the patient. This is categorized as a:
A. Sentinel Event
B. Adverse Event
C. Never Event
D. Near Miss
Answer: D
Rationale: A near miss is an error that could have caused harm but was caught before
reaching the patient.
8. Which of the following is a primary characteristic of a high-reliability
organization (HRO)?
A. Strict hierarchical control
B. Preoccupation with failure
C. Focus on financial profit
D. Individual blame culture
Answer: B
Rationale: HROs are preoccupied with failure, meaning they constantly look for potential
system failures to prevent accidents.
