,NSG 4800 Exam 2 | Comprehensive Questions &
Verified Answers | 2026 Edition | Galen College
1. According to Lewin's Change Model, which sequence correctly describes the three stages of the
change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's Change Model consists of three stages: (1) Unfreezing—preparing the organization
for change by breaking down existing mindsets; (2) Moving—implementing the actual change; (3)
Refreezing—stabilizing the change and integrating it into the organizational culture.
2. A nurse leader is using situational leadership with a novice nurse who has low competence but high
commitment. Which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
Correct Answer: Telling (high directive, low supportive)
Rationale: Situational leadership theory states that a novice nurse with low competence requires high
direction (telling them what to do). Even with high commitment, they lack the skills for independent
practice, so a "telling" style is most appropriate until competence develops.
3. A nurse manager is implementing shared governance on the unit. Which action best reflects this
model?
,A) The manager makes all staffing decisions independently
B) Staff nurses have authority over clinical practice standards
C) Physicians vote on nursing policies
D) The hospital CEO selects unit-based committees
Correct Answer: Staff nurses have authority over clinical practice standards
Rationale: Shared governance empowers staff nurses to control their practice, including policy
development and quality improvement. This model distributes decision-making authority to those who
provide direct patient care.
4. A charge nurse is faced with a decision about staffing assignments and seeks input from the team
before making the final decision. This leadership style is best described as:
A) Autocratic
B) Democratic (participative)
C) Laissez-faire
D) Transactional
Correct Answer: Democratic (participative)
Rationale: Democratic leadership involves the leader including team members in the decision-making
process, though the leader retains final authority. This style fosters collaboration, improves morale, and
often leads to better-informed decisions.
5. A nurse is caring for a client who is not behaving and repeatedly tries to get out of bed. The nurse
states, "I will need to put restraints on you if you keep getting up." Legally, this statement is an example
of:
A) Battery
B) Assault
C) False imprisonment
D) Negligence
, Correct Answer: Assault
Rationale: Assault is a threat or an attempt to make bodily contact with another person without that
person's consent. The nurse's verbal threat constitutes assault. Battery would be the actual physical
contact.
6. Which of the following can LPNs not do according to their scope of practice?
A) Monitor RN findings
B) Reinforce education
C) Initiate assessments
D) Perform routine procedures such as catheterization
Correct Answer: Initiate assessments
Rationale: LPNs cannot initiate assessments. They can reinforce education, monitor findings, and
perform routine procedures such as catheterization. Initial patient education and complex assessments
are within the RN's scope.
7. The nurse is evaluating a new graduate's understanding of delegation. Which statement by the new
graduate indicates a need for further teaching?
A) "I must ensure the task is within the scope of practice for the person I am delegating to."
B) "I need to provide clear direction and communication about the task."
C) "Once I delegate the task, I am no longer accountable for it."
D) "I must provide appropriate supervision and evaluation."
Correct Answer: "Once I delegate the task, I am no longer accountable for it."
Rationale: The RN retains accountability for the delegated task. The RN is responsible for supervision,
evaluation, and follow-up. The other statements reflect correct understanding of the delegation process.
Verified Answers | 2026 Edition | Galen College
1. According to Lewin's Change Model, which sequence correctly describes the three stages of the
change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's Change Model consists of three stages: (1) Unfreezing—preparing the organization
for change by breaking down existing mindsets; (2) Moving—implementing the actual change; (3)
Refreezing—stabilizing the change and integrating it into the organizational culture.
2. A nurse leader is using situational leadership with a novice nurse who has low competence but high
commitment. Which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
Correct Answer: Telling (high directive, low supportive)
Rationale: Situational leadership theory states that a novice nurse with low competence requires high
direction (telling them what to do). Even with high commitment, they lack the skills for independent
practice, so a "telling" style is most appropriate until competence develops.
3. A nurse manager is implementing shared governance on the unit. Which action best reflects this
model?
,A) The manager makes all staffing decisions independently
B) Staff nurses have authority over clinical practice standards
C) Physicians vote on nursing policies
D) The hospital CEO selects unit-based committees
Correct Answer: Staff nurses have authority over clinical practice standards
Rationale: Shared governance empowers staff nurses to control their practice, including policy
development and quality improvement. This model distributes decision-making authority to those who
provide direct patient care.
4. A charge nurse is faced with a decision about staffing assignments and seeks input from the team
before making the final decision. This leadership style is best described as:
A) Autocratic
B) Democratic (participative)
C) Laissez-faire
D) Transactional
Correct Answer: Democratic (participative)
Rationale: Democratic leadership involves the leader including team members in the decision-making
process, though the leader retains final authority. This style fosters collaboration, improves morale, and
often leads to better-informed decisions.
5. A nurse is caring for a client who is not behaving and repeatedly tries to get out of bed. The nurse
states, "I will need to put restraints on you if you keep getting up." Legally, this statement is an example
of:
A) Battery
B) Assault
C) False imprisonment
D) Negligence
, Correct Answer: Assault
Rationale: Assault is a threat or an attempt to make bodily contact with another person without that
person's consent. The nurse's verbal threat constitutes assault. Battery would be the actual physical
contact.
6. Which of the following can LPNs not do according to their scope of practice?
A) Monitor RN findings
B) Reinforce education
C) Initiate assessments
D) Perform routine procedures such as catheterization
Correct Answer: Initiate assessments
Rationale: LPNs cannot initiate assessments. They can reinforce education, monitor findings, and
perform routine procedures such as catheterization. Initial patient education and complex assessments
are within the RN's scope.
7. The nurse is evaluating a new graduate's understanding of delegation. Which statement by the new
graduate indicates a need for further teaching?
A) "I must ensure the task is within the scope of practice for the person I am delegating to."
B) "I need to provide clear direction and communication about the task."
C) "Once I delegate the task, I am no longer accountable for it."
D) "I must provide appropriate supervision and evaluation."
Correct Answer: "Once I delegate the task, I am no longer accountable for it."
Rationale: The RN retains accountability for the delegated task. The RN is responsible for supervision,
evaluation, and follow-up. The other statements reflect correct understanding of the delegation process.
