PNR 205/PNR205 Exam 4 V2 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is planning to implement a new documentation system and is currently
identifying potential obstacles and gathering support from staff. According to Lewin’s Change
Theory, which stage is the manager demonstrating?
A. Moving stage
B. Unfreezing stage
C. Refreezing stage
D. Evaluation stage
Correct Answer: B
Explanation: The unfreezing stage involves identifying a need for change and preparing
the members of the group for the change. During this phase, the manager highlights the
discrepancies between the current state and the desired state. It is essential to build trust
and provide rationale to minimize resistance from the staff.
2. A charge nurse on a medical-surgical unit is delegating tasks to a Licensed Practical Nurse
(LPN) and an Unlicensed Assistive Personnel (UAP). Which task is most appropriate to
delegate to the UAP?
A. Administering a nebulizer treatment to a patient with asthma
B. Updating the plan of care for a patient with a pressure ulcer
,C. Assisting a stable patient with ambulation for the first time post-surgery
D. Measuring and recording intake and output for multiple patients
Correct Answer: D
Explanation: Measuring and recording intake and output is a routine, non-invasive task
that falls within the UAP’s scope of practice. The nurse must ensure the UAP is competent
and provides clear instructions for the task. The RN or LPN remains responsible for
interpreting the data collected by the UAP.
3. A nurse is caring for a group of patients and must determine which patient to assess first.
Which patient should the nurse prioritize?
A. A patient with a history of heart failure who has 2+ pitting edema
B. A patient who just returned from a bronchoscopy and has a diminished gag reflex
C. A patient with chronic obstructive pulmonary disease (COPD) and an SpO2 of 90%
D. A patient who is 1 day postoperative and reports pain as 6 out of 10
Correct Answer: B
Explanation: The nurse should prioritize the patient who returned from a bronchoscopy
because a diminished gag reflex poses an immediate risk for aspiration and airway
obstruction. Following the ABC (Airway, Breathing, Circulation) framework, airway issues
take precedence over stable chronic conditions or expected post-op pain. Assessment of
the gag reflex is critical before allowing the patient to consume any oral fluids.
, 4. A nurse manager observes a staff nurse consistently arriving late to work. The manager
meets with the nurse and states, ‘I have noticed you have been late three times this week,
which affects the team’s ability to provide timely care.’ This is an example of which
leadership style?
A. Transactional leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Democratic leadership
Correct Answer: A
Explanation: Transactional leadership focuses on the exchange between leader and
follower, often involving monitoring performance and taking corrective action when
standards are not met. This style emphasizes routine, structure, and the achievement of
specific goals through rewards or punishments. In this scenario, the manager is addressing
a specific behavior that violates organizational policy.
5. When resolving a conflict between two nurses regarding a holiday schedule, the nurse
manager encourages both parties to give up something of value to reach a solution. Which
conflict resolution strategy is being utilized?
A. Collaborating
B. Competing
C. Avoiding
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is planning to implement a new documentation system and is currently
identifying potential obstacles and gathering support from staff. According to Lewin’s Change
Theory, which stage is the manager demonstrating?
A. Moving stage
B. Unfreezing stage
C. Refreezing stage
D. Evaluation stage
Correct Answer: B
Explanation: The unfreezing stage involves identifying a need for change and preparing
the members of the group for the change. During this phase, the manager highlights the
discrepancies between the current state and the desired state. It is essential to build trust
and provide rationale to minimize resistance from the staff.
2. A charge nurse on a medical-surgical unit is delegating tasks to a Licensed Practical Nurse
(LPN) and an Unlicensed Assistive Personnel (UAP). Which task is most appropriate to
delegate to the UAP?
A. Administering a nebulizer treatment to a patient with asthma
B. Updating the plan of care for a patient with a pressure ulcer
,C. Assisting a stable patient with ambulation for the first time post-surgery
D. Measuring and recording intake and output for multiple patients
Correct Answer: D
Explanation: Measuring and recording intake and output is a routine, non-invasive task
that falls within the UAP’s scope of practice. The nurse must ensure the UAP is competent
and provides clear instructions for the task. The RN or LPN remains responsible for
interpreting the data collected by the UAP.
3. A nurse is caring for a group of patients and must determine which patient to assess first.
Which patient should the nurse prioritize?
A. A patient with a history of heart failure who has 2+ pitting edema
B. A patient who just returned from a bronchoscopy and has a diminished gag reflex
C. A patient with chronic obstructive pulmonary disease (COPD) and an SpO2 of 90%
D. A patient who is 1 day postoperative and reports pain as 6 out of 10
Correct Answer: B
Explanation: The nurse should prioritize the patient who returned from a bronchoscopy
because a diminished gag reflex poses an immediate risk for aspiration and airway
obstruction. Following the ABC (Airway, Breathing, Circulation) framework, airway issues
take precedence over stable chronic conditions or expected post-op pain. Assessment of
the gag reflex is critical before allowing the patient to consume any oral fluids.
, 4. A nurse manager observes a staff nurse consistently arriving late to work. The manager
meets with the nurse and states, ‘I have noticed you have been late three times this week,
which affects the team’s ability to provide timely care.’ This is an example of which
leadership style?
A. Transactional leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Democratic leadership
Correct Answer: A
Explanation: Transactional leadership focuses on the exchange between leader and
follower, often involving monitoring performance and taking corrective action when
standards are not met. This style emphasizes routine, structure, and the achievement of
specific goals through rewards or punishments. In this scenario, the manager is addressing
a specific behavior that violates organizational policy.
5. When resolving a conflict between two nurses regarding a holiday schedule, the nurse
manager encourages both parties to give up something of value to reach a solution. Which
conflict resolution strategy is being utilized?
A. Collaborating
B. Competing
C. Avoiding
