NR 446 Nursing Leadership Week 4 Study Guide 2026 |Chamberlain
College
1. A nurse manager is resolving a conflict between two staff members by
encouraging them to find a solution that satisfies both of their concerns
completely. Which conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Collaborating
D. Smoothing
Answer: C
Rationale: Collaboration is a win-win strategy where both parties work together to find a
mutually satisfying solution that addresses the root of the conflict.
2. In the context of Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. Integrating the change into the permanent culture
B. Executing the change plan
C. Identifying the need for change and preparing the team
D. Evaluating the outcomes of the change process
Answer: C
Rationale: Unfreezing involves creating the motivation to change by identifying a problem
and preparing the staff for the transition.
,3. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Teaching a patient how to use an incentive spirometer
B. Evaluating a patient’s response to pain medication
C. Assisting a stable patient with a bed bath
D. Developing a plan of care for a new admission
Answer: C
Rationale: UAPs should be assigned standard, repetitive tasks that do not involve clinical
judgment or the nursing process, such as hygiene and ADLs for stable patients.
4. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with a pain level of 6/10 after surgery
B. A patient who needs discharge teaching for insulin administration
C. A patient with a new onset of shortness of breath and an oxygen saturation of 88%
D. A patient who requires a dressing change for a chronic leg ulcer
Answer: C
Rationale: Airway, Breathing, and Circulation (ABCs) take priority. New onset of
respiratory distress is an immediate threat to life.
5. Which leadership style is characterized by the leader making all decisions
with little to no input from the staff?
A. Authoritarian
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Authoritarian (autocratic) leadership involves centralized decision-making and
high control over the group.
, 6. A nurse respects a patient’s decision to refuse a life-saving blood transfusion
based on religious beliefs. Which ethical principle is being upheld?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Beneficence
Answer: A
Rationale: Autonomy is the right of the patient to make their own decisions about their
medical care.
7. What is the primary goal of Root Cause Analysis (RCA) in a hospital setting?
A. To assign blame to the individual responsible for an error
B. To identify system-level factors that contributed to a sentinel event
C. To satisfy legal requirements for hospital licensing
D. To decrease the insurance premiums of the facility
Answer: B
Rationale: RCA is a retrospective process used to identify the underlying systems or
process failures that led to an error, focusing on prevention rather than blame.
8. Which of the ‘Five Rights of Delegation’ is being violated if a nurse asks a UAP
to perform a sterile wound dressing change?
A. Right Person
B. Right Task
C. Right Communication
D. Right Supervision
Answer: B
Rationale: The ‘Right Task’ refers to whether the task is appropriate to delegate based on
the scope of practice and the patient’s condition. Sterile procedures are not in a UAP’s
scope.
College
1. A nurse manager is resolving a conflict between two staff members by
encouraging them to find a solution that satisfies both of their concerns
completely. Which conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Collaborating
D. Smoothing
Answer: C
Rationale: Collaboration is a win-win strategy where both parties work together to find a
mutually satisfying solution that addresses the root of the conflict.
2. In the context of Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. Integrating the change into the permanent culture
B. Executing the change plan
C. Identifying the need for change and preparing the team
D. Evaluating the outcomes of the change process
Answer: C
Rationale: Unfreezing involves creating the motivation to change by identifying a problem
and preparing the staff for the transition.
,3. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Teaching a patient how to use an incentive spirometer
B. Evaluating a patient’s response to pain medication
C. Assisting a stable patient with a bed bath
D. Developing a plan of care for a new admission
Answer: C
Rationale: UAPs should be assigned standard, repetitive tasks that do not involve clinical
judgment or the nursing process, such as hygiene and ADLs for stable patients.
4. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with a pain level of 6/10 after surgery
B. A patient who needs discharge teaching for insulin administration
C. A patient with a new onset of shortness of breath and an oxygen saturation of 88%
D. A patient who requires a dressing change for a chronic leg ulcer
Answer: C
Rationale: Airway, Breathing, and Circulation (ABCs) take priority. New onset of
respiratory distress is an immediate threat to life.
5. Which leadership style is characterized by the leader making all decisions
with little to no input from the staff?
A. Authoritarian
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Authoritarian (autocratic) leadership involves centralized decision-making and
high control over the group.
, 6. A nurse respects a patient’s decision to refuse a life-saving blood transfusion
based on religious beliefs. Which ethical principle is being upheld?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Beneficence
Answer: A
Rationale: Autonomy is the right of the patient to make their own decisions about their
medical care.
7. What is the primary goal of Root Cause Analysis (RCA) in a hospital setting?
A. To assign blame to the individual responsible for an error
B. To identify system-level factors that contributed to a sentinel event
C. To satisfy legal requirements for hospital licensing
D. To decrease the insurance premiums of the facility
Answer: B
Rationale: RCA is a retrospective process used to identify the underlying systems or
process failures that led to an error, focusing on prevention rather than blame.
8. Which of the ‘Five Rights of Delegation’ is being violated if a nurse asks a UAP
to perform a sterile wound dressing change?
A. Right Person
B. Right Task
C. Right Communication
D. Right Supervision
Answer: B
Rationale: The ‘Right Task’ refers to whether the task is appropriate to delegate based on
the scope of practice and the patient’s condition. Sterile procedures are not in a UAP’s
scope.
