PNR 205/PNR205 Exam 4 V3 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is utilizing a democratic leadership style. Which action best demonstrates
this approach?
A. Allowing the staff to vote on a new scheduling policy.
B. Making all unit decisions independently to ensure consistency.
C. Providing minimal direction and letting staff function autonomously.
D. Using threats of disciplinary action to ensure compliance.
Correct Answer: A
Explanation: Democratic leadership involves sharing the decision-making process with
the group to foster cooperation. This style encourages staff participation and values the
input of team members to achieve a common goal. It is often effective in building team
morale and ensuring that policies are well-received by those they affect.
2. Which of the following tasks is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assisting a stable patient with a bed bath.
B. Performing a sterile dressing change on a post-operative wound.
C. Evaluating a patient’s response to pain medication.
,D. Teaching a patient how to use an incentive spirometer.
Correct Answer: A
Explanation: Delegating ADLs to UAPs is appropriate because these tasks do not require
clinical judgment or nursing assessment. The nurse must still ensure the UAP is competent
to perform the task and follow up on the completion of the care. Tasks involving
assessment, teaching, or complex sterile procedures remain the responsibility of the
licensed nurse.
3. According to Lewin’s Change Theory, which phase involves the actual implementation of a
change?
A. Unfreezing
B. Moving
C. Refreezing
D. Stabilizing
Correct Answer: B
Explanation: The ‘Moving’ phase occurs when the change is actually implemented and the
team begins to adopt new behaviors. This follows the ‘Unfreezing’ phase, where the need
for change is recognized and old habits are disrupted. During this stage, leaders must
provide support and resources to help staff adapt to the new workflow.
, 4. A nurse is using the SBAR tool to communicate with a physician. What information should
be included in the ‘B’ portion?
A. The nurse’s recommendation for a change in treatment.
B. The patient’s medical history and admitting diagnosis.
C. The patient’s current vital signs and mental status.
D. The reason the nurse is calling at this specific time.
Correct Answer: B
Explanation: The ‘B’ in SBAR stands for Background, which provides the clinical context
for the current situation. This includes relevant past medical history, medications, and the
events leading up to the current issue. Providing a clear background helps the physician
understand the patient’s baseline and the significance of the new symptoms.
5. What is the primary goal of Quality Improvement (QI) programs in a healthcare facility?
A. To identify and punish individuals who make medical errors.
B. To improve patient outcomes and system processes.
C. To reduce the costs of nursing staff employment.
D. To increase the hospital’s marketing and public relations image.
Correct Answer: B
Explanation: Quality Improvement focuses on systemic enhancements to provide safer
and more effective care to patients. By analyzing data and workflows, QI teams can identify
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is utilizing a democratic leadership style. Which action best demonstrates
this approach?
A. Allowing the staff to vote on a new scheduling policy.
B. Making all unit decisions independently to ensure consistency.
C. Providing minimal direction and letting staff function autonomously.
D. Using threats of disciplinary action to ensure compliance.
Correct Answer: A
Explanation: Democratic leadership involves sharing the decision-making process with
the group to foster cooperation. This style encourages staff participation and values the
input of team members to achieve a common goal. It is often effective in building team
morale and ensuring that policies are well-received by those they affect.
2. Which of the following tasks is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assisting a stable patient with a bed bath.
B. Performing a sterile dressing change on a post-operative wound.
C. Evaluating a patient’s response to pain medication.
,D. Teaching a patient how to use an incentive spirometer.
Correct Answer: A
Explanation: Delegating ADLs to UAPs is appropriate because these tasks do not require
clinical judgment or nursing assessment. The nurse must still ensure the UAP is competent
to perform the task and follow up on the completion of the care. Tasks involving
assessment, teaching, or complex sterile procedures remain the responsibility of the
licensed nurse.
3. According to Lewin’s Change Theory, which phase involves the actual implementation of a
change?
A. Unfreezing
B. Moving
C. Refreezing
D. Stabilizing
Correct Answer: B
Explanation: The ‘Moving’ phase occurs when the change is actually implemented and the
team begins to adopt new behaviors. This follows the ‘Unfreezing’ phase, where the need
for change is recognized and old habits are disrupted. During this stage, leaders must
provide support and resources to help staff adapt to the new workflow.
, 4. A nurse is using the SBAR tool to communicate with a physician. What information should
be included in the ‘B’ portion?
A. The nurse’s recommendation for a change in treatment.
B. The patient’s medical history and admitting diagnosis.
C. The patient’s current vital signs and mental status.
D. The reason the nurse is calling at this specific time.
Correct Answer: B
Explanation: The ‘B’ in SBAR stands for Background, which provides the clinical context
for the current situation. This includes relevant past medical history, medications, and the
events leading up to the current issue. Providing a clear background helps the physician
understand the patient’s baseline and the significance of the new symptoms.
5. What is the primary goal of Quality Improvement (QI) programs in a healthcare facility?
A. To identify and punish individuals who make medical errors.
B. To improve patient outcomes and system processes.
C. To reduce the costs of nursing staff employment.
D. To increase the hospital’s marketing and public relations image.
Correct Answer: B
Explanation: Quality Improvement focuses on systemic enhancements to provide safer
and more effective care to patients. By analyzing data and workflows, QI teams can identify
