PNR 205/PNR205 Final Exam V2 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is utilizing an autocratic leadership style during a cardiac arrest code.
Which characteristic best describes this leadership style?
A. Decision-making is shared among the entire resuscitation team.
B. Decisions are deferred to the person with the most clinical experience.
C. The leader provides minimal guidance and allows the team to function alone.
D. The leader makes decisions independently and issues orders to the staff.
Correct Answer: D
Explanation: The autocratic leadership style is characterized by a leader who retains all
decision-making authority and gives specific instructions to subordinates. This style is
particularly effective in emergency situations, such as a cardiac arrest, where rapid and
clear direction is essential for patient survival. It minimizes confusion and ensures that
critical tasks are performed without delay or debate during a crisis.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the LPN to assign?
A. Assessing the lung sounds of a patient admitted with pneumonia.
B. Providing discharge instructions to a patient going home after surgery.
,C. Adjusting the flow rate of an intravenous infusion based on blood pressure.
D. Assisting a stable patient with a bed bath and oral hygiene.
Correct Answer: D
Explanation: Delegation to UAPs should be limited to routine, non-invasive tasks that do
not require clinical judgment or nursing assessment. Assisting with activities of daily living,
such as bathing and hygiene for a stable patient, falls within the scope of practice for
assistive personnel. Assessment, teaching, and medication management are responsibilities
that must be performed by licensed nursing staff.
3. An LPN is working under a nurse manager who encourages staff input in developing a new
unit policy. What leadership style is the manager demonstrating?
A. Democratic
B. Laissez-faire
C. Authoritarian
D. Bureaucratic
Correct Answer: A
Explanation: The democratic leadership style, also known as participative leadership,
involves sharing the decision-making process with group members. This approach fosters a
sense of ownership and increases morale among the staff by valuing their professional
opinions. While the manager still holds the final responsibility, the collaborative nature of
this style helps improve team engagement and policy adherence.
, 4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage of the
change process?
A. The new change becomes a permanent part of the daily routine.
B. Strategies are implemented to move the team toward a new behavior.
C. Resistance to change is ignored to ensure the timeline is met.
D. The need for change is identified, and members are motivated to let go of old patterns.
Correct Answer: D
Explanation: The unfreezing stage is the first phase of Lewin’s theory, where the status
quo is challenged and the need for change is communicated to the staff. It involves breaking
down existing beliefs and habits to prepare the team for a transition to new practices.
Without effective unfreezing, staff members may remain resistant to the upcoming shifts in
their professional environment.
5. Which ethical principle is the nurse upholding when they tell the truth to a patient
regarding their diagnosis?
A. Beneficence
B. Veracity
C. Justice
D. Fidelity
Correct Answer: B
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is utilizing an autocratic leadership style during a cardiac arrest code.
Which characteristic best describes this leadership style?
A. Decision-making is shared among the entire resuscitation team.
B. Decisions are deferred to the person with the most clinical experience.
C. The leader provides minimal guidance and allows the team to function alone.
D. The leader makes decisions independently and issues orders to the staff.
Correct Answer: D
Explanation: The autocratic leadership style is characterized by a leader who retains all
decision-making authority and gives specific instructions to subordinates. This style is
particularly effective in emergency situations, such as a cardiac arrest, where rapid and
clear direction is essential for patient survival. It minimizes confusion and ensures that
critical tasks are performed without delay or debate during a crisis.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the LPN to assign?
A. Assessing the lung sounds of a patient admitted with pneumonia.
B. Providing discharge instructions to a patient going home after surgery.
,C. Adjusting the flow rate of an intravenous infusion based on blood pressure.
D. Assisting a stable patient with a bed bath and oral hygiene.
Correct Answer: D
Explanation: Delegation to UAPs should be limited to routine, non-invasive tasks that do
not require clinical judgment or nursing assessment. Assisting with activities of daily living,
such as bathing and hygiene for a stable patient, falls within the scope of practice for
assistive personnel. Assessment, teaching, and medication management are responsibilities
that must be performed by licensed nursing staff.
3. An LPN is working under a nurse manager who encourages staff input in developing a new
unit policy. What leadership style is the manager demonstrating?
A. Democratic
B. Laissez-faire
C. Authoritarian
D. Bureaucratic
Correct Answer: A
Explanation: The democratic leadership style, also known as participative leadership,
involves sharing the decision-making process with group members. This approach fosters a
sense of ownership and increases morale among the staff by valuing their professional
opinions. While the manager still holds the final responsibility, the collaborative nature of
this style helps improve team engagement and policy adherence.
, 4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage of the
change process?
A. The new change becomes a permanent part of the daily routine.
B. Strategies are implemented to move the team toward a new behavior.
C. Resistance to change is ignored to ensure the timeline is met.
D. The need for change is identified, and members are motivated to let go of old patterns.
Correct Answer: D
Explanation: The unfreezing stage is the first phase of Lewin’s theory, where the status
quo is challenged and the need for change is communicated to the staff. It involves breaking
down existing beliefs and habits to prepare the team for a transition to new practices.
Without effective unfreezing, staff members may remain resistant to the upcoming shifts in
their professional environment.
5. Which ethical principle is the nurse upholding when they tell the truth to a patient
regarding their diagnosis?
A. Beneficence
B. Veracity
C. Justice
D. Fidelity
Correct Answer: B
