PNR 205/PNR205 Exam 1 V1 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager involves the staff in decision-making and values their input regarding
policy changes. Which leadership style is this manager demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: A
Explanation: Democratic leadership is characterized by a participative approach where
the leader encourages group discussion and decision-making. This style fosters a sense of
ownership and high morale among staff members. It is effective in environments where
teamwork and collaboration are essential for quality care.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), which of the following
represents the ‘Right Direction/Communication’?
A. Checking the UAP’s competency record before assigning the task.
B. Providing a clear, concise description of the task, including specific limits and
expectations.
,C. Evaluating the patient’s response to the task after it is completed.
D. Ensuring the patient’s condition is stable enough for the UAP to handle.
Correct Answer: B
Explanation: Right Direction and Communication requires the nurse to communicate
specifically what needs to be done and what the expected outcomes are. This includes
specifying when to report back and any data that needs to be collected. Without clear
instructions, the risk of error increases significantly during delegation.
3. An LPN is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient scheduled for physical therapy in 30 minutes.
B. A patient with a chronic cough and a history of COPD.
C. A patient who is 1-day postoperative and reporting sudden shortness of breath.
D. A patient requesting a PRN medication for mild back pain.
Correct Answer: C
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness
of breath is a priority as it indicates a potential life-threatening respiratory or
cardiovascular issue. Postoperative patients are at high risk for complications such as
pulmonary embolism. The other patients are either stable or addressing non-urgent needs.
, 4. Which leadership theory focuses on the leader’s ability to inspire and motivate followers to
achieve more than what was originally intended?
A. Transactional Leadership
B. Situational Leadership
C. Transformational Leadership
D. Trait Theory
Correct Answer: C
Explanation: Transformational leadership emphasizes vision, inspiration, and
empowerment of staff to improve performance beyond expectations. Leaders using this
style build strong relationships and foster an environment of innovation. It is often
contrasted with transactional leadership, which relies on rewards and punishments.
5. A nurse is using the SBAR tool to communicate with a physician. Which component
describes the current clinical status of the patient?
A. Background
B. Situation
C. Assessment
D. Recommendation
Correct Answer: B
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager involves the staff in decision-making and values their input regarding
policy changes. Which leadership style is this manager demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: A
Explanation: Democratic leadership is characterized by a participative approach where
the leader encourages group discussion and decision-making. This style fosters a sense of
ownership and high morale among staff members. It is effective in environments where
teamwork and collaboration are essential for quality care.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), which of the following
represents the ‘Right Direction/Communication’?
A. Checking the UAP’s competency record before assigning the task.
B. Providing a clear, concise description of the task, including specific limits and
expectations.
,C. Evaluating the patient’s response to the task after it is completed.
D. Ensuring the patient’s condition is stable enough for the UAP to handle.
Correct Answer: B
Explanation: Right Direction and Communication requires the nurse to communicate
specifically what needs to be done and what the expected outcomes are. This includes
specifying when to report back and any data that needs to be collected. Without clear
instructions, the risk of error increases significantly during delegation.
3. An LPN is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient scheduled for physical therapy in 30 minutes.
B. A patient with a chronic cough and a history of COPD.
C. A patient who is 1-day postoperative and reporting sudden shortness of breath.
D. A patient requesting a PRN medication for mild back pain.
Correct Answer: C
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness
of breath is a priority as it indicates a potential life-threatening respiratory or
cardiovascular issue. Postoperative patients are at high risk for complications such as
pulmonary embolism. The other patients are either stable or addressing non-urgent needs.
, 4. Which leadership theory focuses on the leader’s ability to inspire and motivate followers to
achieve more than what was originally intended?
A. Transactional Leadership
B. Situational Leadership
C. Transformational Leadership
D. Trait Theory
Correct Answer: C
Explanation: Transformational leadership emphasizes vision, inspiration, and
empowerment of staff to improve performance beyond expectations. Leaders using this
style build strong relationships and foster an environment of innovation. It is often
contrasted with transactional leadership, which relies on rewards and punishments.
5. A nurse is using the SBAR tool to communicate with a physician. Which component
describes the current clinical status of the patient?
A. Background
B. Situation
C. Assessment
D. Recommendation
Correct Answer: B
