,# Chamberlain College of Nursing — NR 447 Collaborative Leadership in Healthcare
NR 447 Collaborative Leadership in Healthcare
Exam Prep — Comprehensive Review + Practice
MCQs — Chamberlain College of Nursing
2025/2026
1. A nurse is participating in an interprofessional team meeting for a patient with heart failure. The team
includes a physician, pharmacist, social worker, and physical therapist. What is the most important FIRST step
for effective team collaboration?
A. The physician develops the plan and delegates tasks to each discipline
B. Each team member independently writes their own care plan
C. Clarifying each team member's roles and responsibilities and establishing shared goals
D. The nurse presents the patient's history and allows the team to decide
Correct Answer: C
Rationale: Effective interprofessional collaboration begins with clarifying roles and establishing mutual, patient-
centered goals. This aligns with the Interprofessional Education Collaborative (IPEC) competency of
Roles/Responsibilities. Independent plans or unilateral decision-making do not promote true collaboration .
2. A nurse is leading an interprofessional team meeting to discuss discharge planning for a complex patient.
The nurse notices the physical therapist has not spoken. Which action BEST promotes collaboration?
A. Continue the meeting without the physical therapist's input
B. Directly ask the physical therapist for their perspective on the patient's mobility needs
C. Assume the physical therapist agrees with the plan
D. Ask the physician to summarize the physical therapist's recommendations
,Correct Answer: B
Rationale: Inviting the physical therapist to share their expertise ensures all disciplines contribute to the plan
and fosters mutual respect. Ignoring the therapist's silence or assuming agreement can lead to incomplete care
planning. Asking the physician to summarize undermines the therapist's professional role .
3. A nurse is planning care for a patient with diabetes and heart failure. The nurse coordinates with a dietitian,
a pharmacist, and a case manager. This is an example of:
A. Fragmented care
B. Interprofessional collaboration
C. Discharge planning only
D. Independent nursing practice
Correct Answer: B
Rationale: Coordinating care among multiple disciplines is interprofessional collaboration, which enhances
patient outcomes through shared expertise and coordinated care delivery. Fragmented care lacks coordination;
discharge planning is one component; independent practice is not collaborative .
4. Which leadership style BEST supports interprofessional collaboration in a healthcare setting?
A. Autocratic leadership, where all decisions are made by the leader
B. Laissez-faire leadership, where the team receives no guidance
C. Transformational leadership, which inspires and empowers team members toward a shared vision
D. Transactional leadership, which focuses only on rewards and punishments
, Correct Answer: C
Rationale: Transformational leaders motivate and engage the team, fostering a collaborative culture and
shared decision-making. Autocratic and laissez-faire styles are less conducive to teamwork. Transactional
leadership may manage tasks but does not inspire collaboration .
5. A nurse is facilitating an interprofessional team meeting when two members begin arguing over resource
allocation. To de-escalate, the nurse should:
A. Ask both members to leave the meeting
B. Acknowledge the disagreement, refocus on the common goal, and propose a structured discussion later if
needed
C. Take a vote immediately without discussion
D. Let the argument continue until one side gives in
Correct Answer: B
Rationale: Acknowledging emotions and redirecting to the shared goal helps de-escalate conflict while
maintaining focus. Excluding members or rushing a vote is not constructive; letting the argument continue can
damage team dynamics .
6. Which of the following BEST describes a "shared mental model" in a high-functioning team?
A. Each team member has their own independent understanding of the plan
B. All team members have a common understanding of the goals, roles, and current situation
C. The team leader alone knows the plan and directs others
NR 447 Collaborative Leadership in Healthcare
Exam Prep — Comprehensive Review + Practice
MCQs — Chamberlain College of Nursing
2025/2026
1. A nurse is participating in an interprofessional team meeting for a patient with heart failure. The team
includes a physician, pharmacist, social worker, and physical therapist. What is the most important FIRST step
for effective team collaboration?
A. The physician develops the plan and delegates tasks to each discipline
B. Each team member independently writes their own care plan
C. Clarifying each team member's roles and responsibilities and establishing shared goals
D. The nurse presents the patient's history and allows the team to decide
Correct Answer: C
Rationale: Effective interprofessional collaboration begins with clarifying roles and establishing mutual, patient-
centered goals. This aligns with the Interprofessional Education Collaborative (IPEC) competency of
Roles/Responsibilities. Independent plans or unilateral decision-making do not promote true collaboration .
2. A nurse is leading an interprofessional team meeting to discuss discharge planning for a complex patient.
The nurse notices the physical therapist has not spoken. Which action BEST promotes collaboration?
A. Continue the meeting without the physical therapist's input
B. Directly ask the physical therapist for their perspective on the patient's mobility needs
C. Assume the physical therapist agrees with the plan
D. Ask the physician to summarize the physical therapist's recommendations
,Correct Answer: B
Rationale: Inviting the physical therapist to share their expertise ensures all disciplines contribute to the plan
and fosters mutual respect. Ignoring the therapist's silence or assuming agreement can lead to incomplete care
planning. Asking the physician to summarize undermines the therapist's professional role .
3. A nurse is planning care for a patient with diabetes and heart failure. The nurse coordinates with a dietitian,
a pharmacist, and a case manager. This is an example of:
A. Fragmented care
B. Interprofessional collaboration
C. Discharge planning only
D. Independent nursing practice
Correct Answer: B
Rationale: Coordinating care among multiple disciplines is interprofessional collaboration, which enhances
patient outcomes through shared expertise and coordinated care delivery. Fragmented care lacks coordination;
discharge planning is one component; independent practice is not collaborative .
4. Which leadership style BEST supports interprofessional collaboration in a healthcare setting?
A. Autocratic leadership, where all decisions are made by the leader
B. Laissez-faire leadership, where the team receives no guidance
C. Transformational leadership, which inspires and empowers team members toward a shared vision
D. Transactional leadership, which focuses only on rewards and punishments
, Correct Answer: C
Rationale: Transformational leaders motivate and engage the team, fostering a collaborative culture and
shared decision-making. Autocratic and laissez-faire styles are less conducive to teamwork. Transactional
leadership may manage tasks but does not inspire collaboration .
5. A nurse is facilitating an interprofessional team meeting when two members begin arguing over resource
allocation. To de-escalate, the nurse should:
A. Ask both members to leave the meeting
B. Acknowledge the disagreement, refocus on the common goal, and propose a structured discussion later if
needed
C. Take a vote immediately without discussion
D. Let the argument continue until one side gives in
Correct Answer: B
Rationale: Acknowledging emotions and redirecting to the shared goal helps de-escalate conflict while
maintaining focus. Excluding members or rushing a vote is not constructive; letting the argument continue can
damage team dynamics .
6. Which of the following BEST describes a "shared mental model" in a high-functioning team?
A. Each team member has their own independent understanding of the plan
B. All team members have a common understanding of the goals, roles, and current situation
C. The team leader alone knows the plan and directs others
