PNR 205/PNR205 Exam 3 V1 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is encouraging staff members to participate in the decision-making
process regarding new scheduling policies. Which leadership style is this manager
demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Explanation: Democratic leadership is characterized by the inclusion of team members in
the decision-making process. This style fosters a sense of belonging and encourages
collaboration among the nursing staff. It is highly effective in environments where staff
members are motivated and possess diverse expertise.
2. A charge nurse on a surgical unit issues direct orders during a code blue situation, allowing
no room for discussion. This represents which style of leadership?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership involves centralized decision-making with little input
from others. While often viewed negatively, it is essential in emergency situations like a
code blue where rapid decisions are required. This style ensures that clear directions are
followed immediately to preserve patient safety.
3. Which of the following tasks is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Teaching a patient how to use an incentive spirometer
B. Assisting a stable patient with a bed bath
C. Evaluating a patient’s response to pain medication
D. Administering intravenous bolus medications
Correct Answer: B
Explanation: UAPs are trained to perform non-invasive tasks such as hygiene, positioning,
and basic activities of daily living. Teaching and evaluation are nursing functions that
require professional judgment and cannot be delegated. Assisting a stable patient with a
bed bath is within the UAP’s scope of practice.
, 4. In Lewin’s Change Theory, the stage where the nurse manager creates awareness of the
need for change is known as:
A. Moving
B. Unfreezing
C. Refreezing
D. Implementing
Correct Answer: B
Explanation: Unfreezing is the first stage of Lewin’s theory where the equilibrium is
disrupted to prepare for change. The leader must identify the problem and communicate
the necessity of the change to the staff. This stage involves overcoming resistance and
encouraging people to let go of old patterns.
5. A nurse is using the SBAR tool to communicate with a physician about a patient’s
deteriorating condition. What does the ‘A’ in SBAR stand for?
A. Action
B. Analysis
C. Accountability
D. Assessment
Correct Answer: D
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is encouraging staff members to participate in the decision-making
process regarding new scheduling policies. Which leadership style is this manager
demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Explanation: Democratic leadership is characterized by the inclusion of team members in
the decision-making process. This style fosters a sense of belonging and encourages
collaboration among the nursing staff. It is highly effective in environments where staff
members are motivated and possess diverse expertise.
2. A charge nurse on a surgical unit issues direct orders during a code blue situation, allowing
no room for discussion. This represents which style of leadership?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership involves centralized decision-making with little input
from others. While often viewed negatively, it is essential in emergency situations like a
code blue where rapid decisions are required. This style ensures that clear directions are
followed immediately to preserve patient safety.
3. Which of the following tasks is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Teaching a patient how to use an incentive spirometer
B. Assisting a stable patient with a bed bath
C. Evaluating a patient’s response to pain medication
D. Administering intravenous bolus medications
Correct Answer: B
Explanation: UAPs are trained to perform non-invasive tasks such as hygiene, positioning,
and basic activities of daily living. Teaching and evaluation are nursing functions that
require professional judgment and cannot be delegated. Assisting a stable patient with a
bed bath is within the UAP’s scope of practice.
, 4. In Lewin’s Change Theory, the stage where the nurse manager creates awareness of the
need for change is known as:
A. Moving
B. Unfreezing
C. Refreezing
D. Implementing
Correct Answer: B
Explanation: Unfreezing is the first stage of Lewin’s theory where the equilibrium is
disrupted to prepare for change. The leader must identify the problem and communicate
the necessity of the change to the staff. This stage involves overcoming resistance and
encouraging people to let go of old patterns.
5. A nurse is using the SBAR tool to communicate with a physician about a patient’s
deteriorating condition. What does the ‘A’ in SBAR stand for?
A. Action
B. Analysis
C. Accountability
D. Assessment
Correct Answer: D
