PNR 205/PNR205 Final Exam V3 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is observed making all decisions for the unit without seeking input from
the staff nurses. Which leadership style does this behavior reflect?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
Explanation: The autocratic leadership style involves a leader who maintains total control
and makes decisions independently. This style is most effective in emergency situations
where rapid decision-making is essential for patient safety. However, it often results in
decreased staff satisfaction because team members feel their professional input is
undervalued.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which of the following
tasks is most appropriate for the LPN to assign?
A. Assessing a patient’s surgical incision
B. Assisting a stable patient with ambulation
,C. Teaching a patient how to use an incentive spirometer
D. Evaluating the effectiveness of pain medication
Correct Answer: B
Explanation: Assisting a stable patient with ambulation is a routine task that does not
require clinical judgment or nursing assessment. Tasks such as assessment, teaching, and
evaluation are the sole responsibility of the licensed nurse and cannot be delegated to
UAPs. The LPN must ensure the patient is stable before assigning this task to unlicensed
staff.
3. A nurse is using the SBAR communication tool to report a change in a patient’s condition to
a physician. Which information should the nurse include in the ‘B’ (Background) section?
A. The patient’s current vital signs
B. The patient’s admitting diagnosis and relevant history
C. The nurse’s recommendation for a change in treatment
D. The specific reason the nurse is calling
Correct Answer: B
Explanation: The ‘Background’ component of SBAR focuses on providing the clinical
context of the patient, including their admission diagnosis and relevant past medical
history. This helps the provider understand the circumstances leading up to the current
issue. It differs from ‘Situation’, which describes the immediate problem, and ‘Assessment’,
which includes current vital signs.
, 4. A nursing team is experiencing conflict regarding the holiday work schedule. The manager
decides to use a ‘compromise’ strategy. Which action best describes this approach?
A. One party gives up their needs to satisfy the other party.
B. One party forces their will onto the other party regardless of the cost.
C. The manager ignores the conflict and hopes it resolves itself.
D. Both parties give up something to reach a mutually acceptable solution.
Correct Answer: D
Explanation: Compromising involves both parties making concessions to find a middle
ground that partially satisfies everyone involved. While this approach can resolve conflicts
quickly, it may result in a ‘lose-lose’ feeling if neither party is fully happy with the outcome.
It is a common strategy in nursing management for scheduling and resource allocation.
5. According to Lewin’s Change Theory, which stage involves identifying the need for change
and preparing the staff for the transition?
A. Moving
B. Refreezing
C. Assessing
D. Unfreezing
Correct Answer: D
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is observed making all decisions for the unit without seeking input from
the staff nurses. Which leadership style does this behavior reflect?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
Explanation: The autocratic leadership style involves a leader who maintains total control
and makes decisions independently. This style is most effective in emergency situations
where rapid decision-making is essential for patient safety. However, it often results in
decreased staff satisfaction because team members feel their professional input is
undervalued.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which of the following
tasks is most appropriate for the LPN to assign?
A. Assessing a patient’s surgical incision
B. Assisting a stable patient with ambulation
,C. Teaching a patient how to use an incentive spirometer
D. Evaluating the effectiveness of pain medication
Correct Answer: B
Explanation: Assisting a stable patient with ambulation is a routine task that does not
require clinical judgment or nursing assessment. Tasks such as assessment, teaching, and
evaluation are the sole responsibility of the licensed nurse and cannot be delegated to
UAPs. The LPN must ensure the patient is stable before assigning this task to unlicensed
staff.
3. A nurse is using the SBAR communication tool to report a change in a patient’s condition to
a physician. Which information should the nurse include in the ‘B’ (Background) section?
A. The patient’s current vital signs
B. The patient’s admitting diagnosis and relevant history
C. The nurse’s recommendation for a change in treatment
D. The specific reason the nurse is calling
Correct Answer: B
Explanation: The ‘Background’ component of SBAR focuses on providing the clinical
context of the patient, including their admission diagnosis and relevant past medical
history. This helps the provider understand the circumstances leading up to the current
issue. It differs from ‘Situation’, which describes the immediate problem, and ‘Assessment’,
which includes current vital signs.
, 4. A nursing team is experiencing conflict regarding the holiday work schedule. The manager
decides to use a ‘compromise’ strategy. Which action best describes this approach?
A. One party gives up their needs to satisfy the other party.
B. One party forces their will onto the other party regardless of the cost.
C. The manager ignores the conflict and hopes it resolves itself.
D. Both parties give up something to reach a mutually acceptable solution.
Correct Answer: D
Explanation: Compromising involves both parties making concessions to find a middle
ground that partially satisfies everyone involved. While this approach can resolve conflicts
quickly, it may result in a ‘lose-lose’ feeling if neither party is fully happy with the outcome.
It is a common strategy in nursing management for scheduling and resource allocation.
5. According to Lewin’s Change Theory, which stage involves identifying the need for change
and preparing the staff for the transition?
A. Moving
B. Refreezing
C. Assessing
D. Unfreezing
Correct Answer: D
