PNR 205/PNR205 Exam 3 V2 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is responding to a conflict between two staff nurses. Which action by the
manager demonstrates the ‘Collaborating’ conflict resolution strategy?
A. Telling the nurses that they must resolve the issue by the end of the shift.
B. Encouraging both nurses to work together to find a mutually beneficial solution.
C. Asking both nurses to sacrifice something to reach a compromise.
D. Transferring one of the nurses to a different unit to avoid further conflict.
Correct Answer: B
Explanation: Collaboration involves a ‘win-win’ approach where both parties work toward
a common goal. This strategy focuses on problem-solving and open communication to meet
the needs of all involved. It requires time and high level of trust to be effective in a clinical
setting.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Administering an intramuscular medication to a stable patient.
B. Developing the initial plan of care for a patient with complex needs.
C. Performing an initial admission assessment on a new patient.
,D. Providing discharge teaching to a patient regarding a new diagnosis.
Correct Answer: A
Explanation: LPNs are trained to perform technical skills such as administering
medications to stable clients. Initial assessments and the development of care plans are
responsibilities of the Registered Nurse (RN). Discharge education is also typically the
responsibility of the RN due to the complexity of teaching and evaluation required.
3. Which leadership style is characterized by the leader making all decisions with little to no
input from the staff?
A. Democratic leadership
B. Laissez-faire leadership
C. Autocratic leadership
D. Situational leadership
Correct Answer: C
Explanation: Autocratic leadership involves centralized decision-making where the leader
maintains total control. This style is efficient in crisis situations where quick decisions are
mandatory for patient safety. However, it often leads to low staff morale if used exclusively
in non-emergency settings.
4. When using the SBAR communication tool, which information should the nurse include in
the ‘B’ (Background) section?
A. A brief summary of the patient’s medical history and reason for admission.
, B. The patient’s current vital signs and mental status.
C. A specific request for a medication change or diagnostic test.
D. The nurse’s name and the unit where the patient is located.
Correct Answer: A
Explanation: The Background component of SBAR provides the context for the current
situation. This includes relevant history, admitting diagnosis, and previous treatments. It
helps the receiver understand the patient’s trajectory prior to the current issue.
5. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient with a history of hypertension requesting a PRN headache medication.
B. A patient who is 1 day postoperative and reporting a pain level of 4 out of 10.
C. A patient who is experiencing sudden onset of shortness of breath and restlessness.
D. A patient with chronic obstructive pulmonary disease (COPD) with an SpO2 of 88% on
room air.
Correct Answer: C
Explanation: The nurse must use the ABC (Airway, Breathing, Circulation) framework to
prioritize care. Sudden shortness of breath and restlessness are signs of potential
respiratory distress or pulmonary embolism. These symptoms represent an acute, life-
threatening change that requires immediate intervention.
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is responding to a conflict between two staff nurses. Which action by the
manager demonstrates the ‘Collaborating’ conflict resolution strategy?
A. Telling the nurses that they must resolve the issue by the end of the shift.
B. Encouraging both nurses to work together to find a mutually beneficial solution.
C. Asking both nurses to sacrifice something to reach a compromise.
D. Transferring one of the nurses to a different unit to avoid further conflict.
Correct Answer: B
Explanation: Collaboration involves a ‘win-win’ approach where both parties work toward
a common goal. This strategy focuses on problem-solving and open communication to meet
the needs of all involved. It requires time and high level of trust to be effective in a clinical
setting.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Administering an intramuscular medication to a stable patient.
B. Developing the initial plan of care for a patient with complex needs.
C. Performing an initial admission assessment on a new patient.
,D. Providing discharge teaching to a patient regarding a new diagnosis.
Correct Answer: A
Explanation: LPNs are trained to perform technical skills such as administering
medications to stable clients. Initial assessments and the development of care plans are
responsibilities of the Registered Nurse (RN). Discharge education is also typically the
responsibility of the RN due to the complexity of teaching and evaluation required.
3. Which leadership style is characterized by the leader making all decisions with little to no
input from the staff?
A. Democratic leadership
B. Laissez-faire leadership
C. Autocratic leadership
D. Situational leadership
Correct Answer: C
Explanation: Autocratic leadership involves centralized decision-making where the leader
maintains total control. This style is efficient in crisis situations where quick decisions are
mandatory for patient safety. However, it often leads to low staff morale if used exclusively
in non-emergency settings.
4. When using the SBAR communication tool, which information should the nurse include in
the ‘B’ (Background) section?
A. A brief summary of the patient’s medical history and reason for admission.
, B. The patient’s current vital signs and mental status.
C. A specific request for a medication change or diagnostic test.
D. The nurse’s name and the unit where the patient is located.
Correct Answer: A
Explanation: The Background component of SBAR provides the context for the current
situation. This includes relevant history, admitting diagnosis, and previous treatments. It
helps the receiver understand the patient’s trajectory prior to the current issue.
5. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient with a history of hypertension requesting a PRN headache medication.
B. A patient who is 1 day postoperative and reporting a pain level of 4 out of 10.
C. A patient who is experiencing sudden onset of shortness of breath and restlessness.
D. A patient with chronic obstructive pulmonary disease (COPD) with an SpO2 of 88% on
room air.
Correct Answer: C
Explanation: The nurse must use the ABC (Airway, Breathing, Circulation) framework to
prioritize care. Sudden shortness of breath and restlessness are signs of potential
respiratory distress or pulmonary embolism. These symptoms represent an acute, life-
threatening change that requires immediate intervention.
