PNR 205/PNR205 Exam 4 V1 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is dealing with a code blue situation and begins giving direct orders to the
staff. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Explanation: The autocratic leadership style is characterized by the leader making
decisions independently and issuing commands to others. This style is most effective in
emergency situations, such as a code blue, where quick and decisive action is necessary for
patient safety. In these high-stress environments, there is no time for group consensus or
collaboration.
2. A licensed practical nurse (LPN) is delegating tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate for the LPN to delegate?
A. Assisting a stable patient with ambulation
B. Performing an initial post-operative assessment
,C. Providing discharge instructions to a patient
D. Administering intravenous pain medication
Correct Answer: A
Explanation: Assisting a stable patient with ambulation is a task that does not require
clinical judgment or the nursing process, making it suitable for a UAP. Nurses cannot
delegate assessment, teaching, or medication administration (depending on state law and
facility policy) to unlicensed staff. The nurse must always ensure the patient’s condition is
stable before delegating any mobility tasks.
3. When prioritizing patient care, which patient should the nurse see first?
A. A patient requesting a scheduled PRN pain medication
B. A patient with a blood pressure of 110/70 mmHg
C. A patient reporting shortness of breath and tracheostomy secretion
D. A patient who needs a dressing change for a surgical wound
Correct Answer: C
Explanation: According to the ABC (Airway, Breathing, Circulation) framework, airway
and breathing issues take priority over other needs. Shortness of breath and potential
airway obstruction from secretions represent an immediate physiological threat.
Addressing this concern ensures the patient remains stable before moving on to less urgent
tasks like pain management or wound care.
, 4. A nurse is working with a team to implement a new electronic health record system. Which
stage of Lewin’s Change Theory involves creating the motivation for change?
A. Evaluating
B. Moving
C. Refreezing
D. Unfreezing
Correct Answer: D
Explanation: The ‘Unfreezing’ stage is the first step in Lewin’s Change Theory, where the
leader helps others recognize the need for change. This involves breaking down existing
habits and creating a sense of urgency or readiness. Without successful unfreezing, staff
may resist the transition to the new system during the moving phase.
5. Two nurses are in conflict regarding the holiday work schedule. They meet and agree that
one will work Christmas if the other works New Year’s Day. Which conflict resolution strategy
is this?
A. Avoiding
B. Compromising
C. Competing
D. Smoothing
Correct Answer: B
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is dealing with a code blue situation and begins giving direct orders to the
staff. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Explanation: The autocratic leadership style is characterized by the leader making
decisions independently and issuing commands to others. This style is most effective in
emergency situations, such as a code blue, where quick and decisive action is necessary for
patient safety. In these high-stress environments, there is no time for group consensus or
collaboration.
2. A licensed practical nurse (LPN) is delegating tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate for the LPN to delegate?
A. Assisting a stable patient with ambulation
B. Performing an initial post-operative assessment
,C. Providing discharge instructions to a patient
D. Administering intravenous pain medication
Correct Answer: A
Explanation: Assisting a stable patient with ambulation is a task that does not require
clinical judgment or the nursing process, making it suitable for a UAP. Nurses cannot
delegate assessment, teaching, or medication administration (depending on state law and
facility policy) to unlicensed staff. The nurse must always ensure the patient’s condition is
stable before delegating any mobility tasks.
3. When prioritizing patient care, which patient should the nurse see first?
A. A patient requesting a scheduled PRN pain medication
B. A patient with a blood pressure of 110/70 mmHg
C. A patient reporting shortness of breath and tracheostomy secretion
D. A patient who needs a dressing change for a surgical wound
Correct Answer: C
Explanation: According to the ABC (Airway, Breathing, Circulation) framework, airway
and breathing issues take priority over other needs. Shortness of breath and potential
airway obstruction from secretions represent an immediate physiological threat.
Addressing this concern ensures the patient remains stable before moving on to less urgent
tasks like pain management or wound care.
, 4. A nurse is working with a team to implement a new electronic health record system. Which
stage of Lewin’s Change Theory involves creating the motivation for change?
A. Evaluating
B. Moving
C. Refreezing
D. Unfreezing
Correct Answer: D
Explanation: The ‘Unfreezing’ stage is the first step in Lewin’s Change Theory, where the
leader helps others recognize the need for change. This involves breaking down existing
habits and creating a sense of urgency or readiness. Without successful unfreezing, staff
may resist the transition to the new system during the moving phase.
5. Two nurses are in conflict regarding the holiday work schedule. They meet and agree that
one will work Christmas if the other works New Year’s Day. Which conflict resolution strategy
is this?
A. Avoiding
B. Compromising
C. Competing
D. Smoothing
Correct Answer: B
