PNR 205/PNR205 Exam 3 V3 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is explaining the concept of ‘Unfreezing’ in Lewin’s Change Theory to
staff. Which action best represents this stage?
A. Implementing a new electronic charting system across the unit.
B. Gathering data and showing evidence that current practices are ineffective.
C. Strengthening the new habits to ensure they become the norm.
D. Developing a timeline for the integration of new clinical protocols.
Correct Answer: B
Explanation: Unfreezing is the first stage of Lewin’s Change Theory where the need for
change is identified and established. By gathering data and demonstrating that current
practices are suboptimal, the manager creates the motivation for staff to let go of old
patterns. This stage is crucial for overcoming resistance before any actual transition or
movement occurs.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is
appropriate for the nurse to assign?
A. Assisting a stable client with routine morning hygiene and grooming.
B. Performing a sterile dressing change on a post-operative wound.
,C. Assisting a stable client with ambulation for the first time after surgery.
D. Evaluating the effectiveness of a client’s pain medication.
Correct Answer: A
Explanation: Assisting with routine hygiene is a standard task within the scope of a UAP
for stable patients. Nurses cannot delegate tasks that require clinical judgment, such as
evaluation or complex assessments. The nurse remains responsible for the outcome of the
delegated task and must ensure the UAP is competent in the specific activity.
3. A nurse is using the SBAR communication tool during a hand-off report. Which information
should be included in the ‘Background’ section?
A. The client’s current vital signs and mental status.
B. The nurse’s assessment of the client’s deteriorating condition.
C. A specific request for a change in the client’s medication dosage.
D. The client’s medical history, allergies, and recent laboratory results.
Correct Answer: D
Explanation: The Background component of SBAR focuses on pertinent clinical history
that provides context for the current situation. This includes diagnoses, past medical
history, and relevant medications or laboratory data. Proper use of SBAR facilitates clear
and concise communication among healthcare professionals, reducing the risk of errors
during transitions of care.
, 4. A nurse manager exhibits a leadership style where they involve the staff in the decision-
making process and value their input. Which style does this describe?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Correct Answer: D
Explanation: Democratic leadership is characterized by collaborative decision-making and
open communication between the leader and the team. This style often increases staff
morale and job satisfaction because employees feel their opinions are valued. In contrast,
autocratic leadership centralizes power in the leader, while laissez-faire leadership
provides very little guidance or control.
5. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Compensation
B. Right Circumstance
C. Right Documentation
D. Right Duration
Correct Answer: B
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is explaining the concept of ‘Unfreezing’ in Lewin’s Change Theory to
staff. Which action best represents this stage?
A. Implementing a new electronic charting system across the unit.
B. Gathering data and showing evidence that current practices are ineffective.
C. Strengthening the new habits to ensure they become the norm.
D. Developing a timeline for the integration of new clinical protocols.
Correct Answer: B
Explanation: Unfreezing is the first stage of Lewin’s Change Theory where the need for
change is identified and established. By gathering data and demonstrating that current
practices are suboptimal, the manager creates the motivation for staff to let go of old
patterns. This stage is crucial for overcoming resistance before any actual transition or
movement occurs.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is
appropriate for the nurse to assign?
A. Assisting a stable client with routine morning hygiene and grooming.
B. Performing a sterile dressing change on a post-operative wound.
,C. Assisting a stable client with ambulation for the first time after surgery.
D. Evaluating the effectiveness of a client’s pain medication.
Correct Answer: A
Explanation: Assisting with routine hygiene is a standard task within the scope of a UAP
for stable patients. Nurses cannot delegate tasks that require clinical judgment, such as
evaluation or complex assessments. The nurse remains responsible for the outcome of the
delegated task and must ensure the UAP is competent in the specific activity.
3. A nurse is using the SBAR communication tool during a hand-off report. Which information
should be included in the ‘Background’ section?
A. The client’s current vital signs and mental status.
B. The nurse’s assessment of the client’s deteriorating condition.
C. A specific request for a change in the client’s medication dosage.
D. The client’s medical history, allergies, and recent laboratory results.
Correct Answer: D
Explanation: The Background component of SBAR focuses on pertinent clinical history
that provides context for the current situation. This includes diagnoses, past medical
history, and relevant medications or laboratory data. Proper use of SBAR facilitates clear
and concise communication among healthcare professionals, reducing the risk of errors
during transitions of care.
, 4. A nurse manager exhibits a leadership style where they involve the staff in the decision-
making process and value their input. Which style does this describe?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Correct Answer: D
Explanation: Democratic leadership is characterized by collaborative decision-making and
open communication between the leader and the team. This style often increases staff
morale and job satisfaction because employees feel their opinions are valued. In contrast,
autocratic leadership centralizes power in the leader, while laissez-faire leadership
provides very little guidance or control.
5. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Compensation
B. Right Circumstance
C. Right Documentation
D. Right Duration
Correct Answer: B
