NLA NURS5007
Leadership for Nursing Practice
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, 1.
Case: A nurse leader in a large academic medical center faces severe
staffing shortages and declining staff morale. To address these issues, she
initiates a series of interactive team meetings to solicit input on
scheduling and workflow improvements.
Question: Which leadership style is best exemplified by this approach?
A. Autocratic leadership
B. Transactional leadership
C. Transformational leadership
D. Laissez‑faire leadership
Correct ANS: C. Transformational leadership
Rationale: Transformational leadership focuses on motivating and
inspiring team members to innovate and improve, especially during
challenging times, by actively engaging them in decision‑making
processes.
---
2.
Case: In planning the implementation of a new electronic health
record (EHR) system, a nurse leader anticipates staff resistance. She
organizes comprehensive training sessions, establishes peer support
groups, and solicits frontline feedback.
Question: Which strategy is most effective for overcoming resistance
to change in this scenario?
A. Relying exclusively on top‑down communication
B. Mandating immediate implementation without support
C. Providing ongoing education and involving staff in decision-making
D. Outsourcing all training to an external vendor
Correct ANS: C. Providing ongoing education and involving staff in
decision‑making
Rationale: Involving staff and offering ongoing training helps build
competence and confidence. This inclusive approach reduces resistance
and promotes ownership during transitions.
©2025
,---
3.
Case: A nurse leader is charged with resolving interprofessional
conflicts between nurses and allied health professionals concerning role
boundaries on an acute care unit.
Question: Which conflict resolution strategy is most appropriate in this
situation?
A. Ignoring conflicts in hopes they resolve on their own
B. Enforcing a unilateral decision without discussion
C. Facilitating mediation sessions using reflective listening and open
dialogue
D. Delegating conflict resolution entirely to human resources
Correct ANS: C. Facilitating mediation sessions using reflective
listening and open dialogue
Rationale: Mediation that actively invites stakeholder input and uses
reflective listening helps identify underlying issues, promote
understanding, and restore shared purpose.
---
4.
Case: A nurse leader develops a mentorship program to cultivate
leadership competencies among newly hired nurses. She pairs
experienced mentors with mentees and holds regular progress reviews.
Question: What is a key element of an effective mentorship program?
A. Occasional check-ins via email only
B. A rigid structure with no flexibility
C. Clear goal-setting and bidirectional feedback
D. Allowing mentors to exclusively dictate the process
Correct ANS: C. Clear goal‑setting and bidirectional feedback
Rationale: Effective mentorship depends on setting measurable goals
and encouraging open and regular feedback, helping mentees grow both
clinically and as emerging leaders.
©2025
, ---
5.
Case: In a rural hospital setting facing budget constraints, a nurse
leader must optimize resource allocation while maintaining quality care.
Question: Which leadership competency is most vital in managing
scarce resources ethically?
A. Autocratic decision-making
B. Ethical stewardship and transparent financial planning
C. Ignoring cost limitations to focus solely on patient care
D. Reducing staff training to cut expenses
Correct ANS: B. Ethical stewardship and transparent financial
planning
Rationale: Ethical leadership in resource management requires
balancing fiscal responsibility with quality care while maintaining
transparency and fairness for both staff and patients.
---
6.
Case: In response to increased incidences of burnout among nursing
staff, a nurse leader implements a targeted staff wellness program that
includes resilience training and professional development workshops.
Question: Which leadership approach does this initiative best
illustrate?
A. Transactional
B. Servant leadership
C. Transformational leadership
D. Authoritarian leadership
Correct ANS: B. Servant leadership
Rationale: Servant leadership emphasizes the well-being and
development of team members. By focusing on wellness and professional
growth, the leader shows commitment to serving and uplifting her staff.
©2025
Leadership for Nursing Practice
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, 1.
Case: A nurse leader in a large academic medical center faces severe
staffing shortages and declining staff morale. To address these issues, she
initiates a series of interactive team meetings to solicit input on
scheduling and workflow improvements.
Question: Which leadership style is best exemplified by this approach?
A. Autocratic leadership
B. Transactional leadership
C. Transformational leadership
D. Laissez‑faire leadership
Correct ANS: C. Transformational leadership
Rationale: Transformational leadership focuses on motivating and
inspiring team members to innovate and improve, especially during
challenging times, by actively engaging them in decision‑making
processes.
---
2.
Case: In planning the implementation of a new electronic health
record (EHR) system, a nurse leader anticipates staff resistance. She
organizes comprehensive training sessions, establishes peer support
groups, and solicits frontline feedback.
Question: Which strategy is most effective for overcoming resistance
to change in this scenario?
A. Relying exclusively on top‑down communication
B. Mandating immediate implementation without support
C. Providing ongoing education and involving staff in decision-making
D. Outsourcing all training to an external vendor
Correct ANS: C. Providing ongoing education and involving staff in
decision‑making
Rationale: Involving staff and offering ongoing training helps build
competence and confidence. This inclusive approach reduces resistance
and promotes ownership during transitions.
©2025
,---
3.
Case: A nurse leader is charged with resolving interprofessional
conflicts between nurses and allied health professionals concerning role
boundaries on an acute care unit.
Question: Which conflict resolution strategy is most appropriate in this
situation?
A. Ignoring conflicts in hopes they resolve on their own
B. Enforcing a unilateral decision without discussion
C. Facilitating mediation sessions using reflective listening and open
dialogue
D. Delegating conflict resolution entirely to human resources
Correct ANS: C. Facilitating mediation sessions using reflective
listening and open dialogue
Rationale: Mediation that actively invites stakeholder input and uses
reflective listening helps identify underlying issues, promote
understanding, and restore shared purpose.
---
4.
Case: A nurse leader develops a mentorship program to cultivate
leadership competencies among newly hired nurses. She pairs
experienced mentors with mentees and holds regular progress reviews.
Question: What is a key element of an effective mentorship program?
A. Occasional check-ins via email only
B. A rigid structure with no flexibility
C. Clear goal-setting and bidirectional feedback
D. Allowing mentors to exclusively dictate the process
Correct ANS: C. Clear goal‑setting and bidirectional feedback
Rationale: Effective mentorship depends on setting measurable goals
and encouraging open and regular feedback, helping mentees grow both
clinically and as emerging leaders.
©2025
, ---
5.
Case: In a rural hospital setting facing budget constraints, a nurse
leader must optimize resource allocation while maintaining quality care.
Question: Which leadership competency is most vital in managing
scarce resources ethically?
A. Autocratic decision-making
B. Ethical stewardship and transparent financial planning
C. Ignoring cost limitations to focus solely on patient care
D. Reducing staff training to cut expenses
Correct ANS: B. Ethical stewardship and transparent financial
planning
Rationale: Ethical leadership in resource management requires
balancing fiscal responsibility with quality care while maintaining
transparency and fairness for both staff and patients.
---
6.
Case: In response to increased incidences of burnout among nursing
staff, a nurse leader implements a targeted staff wellness program that
includes resilience training and professional development workshops.
Question: Which leadership approach does this initiative best
illustrate?
A. Transactional
B. Servant leadership
C. Transformational leadership
D. Authoritarian leadership
Correct ANS: B. Servant leadership
Rationale: Servant leadership emphasizes the well-being and
development of team members. By focusing on wellness and professional
growth, the leader shows commitment to serving and uplifting her staff.
©2025
