PNR 205/PNR205 Exam 2 V1 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is using an autocratic leadership style during a crisis. Which of the
following characteristics defines this style?
A. The leader encourages group participation in decision-making.
B. The leader focuses on building relationships through shared governance.
C. The leader provides no direction and allows the staff to function autonomously.
D. The leader makes decisions independently without seeking input.
Correct Answer: D
Explanation: Autocratic leadership is characterized by the leader having full control over
decision-making processes. This style is often necessary in emergency situations where
quick, decisive action is required to ensure patient safety. It does not prioritize staff input
but provides clear and direct instructions for the team to follow.
2. A charge nurse is delegating tasks to a Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate for the UAP?
A. Providing basic hygiene and skin care to a stable client.
B. Administering oral medications to a stable client.
C. Assisting a client with ambulation on the first day postoperative.
,D. Assessing a client’s lung sounds after a breathing treatment.
Correct Answer: A
Explanation: Providing basic hygiene and skin care falls within the scope of practice for a
UAP as it is a routine, non-invasive task. Assessing lung sounds and administering
medications require specialized nursing knowledge and are reserved for licensed
personnel. The nurse must always ensure the client is stable before delegating even basic
care tasks to unlicensed staff.
3. A nurse is using the SBAR tool to communicate with a provider about a client’s condition.
Which information should the nurse include in the ‘A’ section?
A. The client’s medical history and current medications.
B. The nurse’s professional interpretation of the current vital signs.
C. A request for a specific change in the client’s treatment plan.
D. The nurse’s name and the specific unit where they are working.
Correct Answer: B
Explanation: The ‘A’ in SBAR stands for Assessment, where the nurse provides their
analysis of the situation and clinical findings. This includes interpreting subjective and
objective data like abnormal vital signs or physical changes. It is the step where the nurse
summarizes what they believe the problem is before making a recommendation.
, 4. Which conflict resolution strategy involves both parties giving up something of value to
reach a solution?
A. Avoiding
B. Compromising
C. Competing
D. Collaborating
Correct Answer: B
Explanation: Compromising is a conflict resolution style where each party makes
concessions to reach a middle ground. This strategy is effective when time is limited and a
quick resolution is necessary to maintain workflow. Unlike collaboration, where a win-win
is sought, compromising often results in each party feeling partially satisfied.
5. A nurse is practicing democratic leadership on a surgical unit. Which action demonstrates
this style?
A. Holding a staff meeting to vote on a new holiday schedule.
B. Assigning tasks without regard for staff preferences.
C. Allowing staff to do whatever they want during their shifts.
D. Dictating all unit policies without consulting the team.
Correct Answer: A
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is using an autocratic leadership style during a crisis. Which of the
following characteristics defines this style?
A. The leader encourages group participation in decision-making.
B. The leader focuses on building relationships through shared governance.
C. The leader provides no direction and allows the staff to function autonomously.
D. The leader makes decisions independently without seeking input.
Correct Answer: D
Explanation: Autocratic leadership is characterized by the leader having full control over
decision-making processes. This style is often necessary in emergency situations where
quick, decisive action is required to ensure patient safety. It does not prioritize staff input
but provides clear and direct instructions for the team to follow.
2. A charge nurse is delegating tasks to a Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate for the UAP?
A. Providing basic hygiene and skin care to a stable client.
B. Administering oral medications to a stable client.
C. Assisting a client with ambulation on the first day postoperative.
,D. Assessing a client’s lung sounds after a breathing treatment.
Correct Answer: A
Explanation: Providing basic hygiene and skin care falls within the scope of practice for a
UAP as it is a routine, non-invasive task. Assessing lung sounds and administering
medications require specialized nursing knowledge and are reserved for licensed
personnel. The nurse must always ensure the client is stable before delegating even basic
care tasks to unlicensed staff.
3. A nurse is using the SBAR tool to communicate with a provider about a client’s condition.
Which information should the nurse include in the ‘A’ section?
A. The client’s medical history and current medications.
B. The nurse’s professional interpretation of the current vital signs.
C. A request for a specific change in the client’s treatment plan.
D. The nurse’s name and the specific unit where they are working.
Correct Answer: B
Explanation: The ‘A’ in SBAR stands for Assessment, where the nurse provides their
analysis of the situation and clinical findings. This includes interpreting subjective and
objective data like abnormal vital signs or physical changes. It is the step where the nurse
summarizes what they believe the problem is before making a recommendation.
, 4. Which conflict resolution strategy involves both parties giving up something of value to
reach a solution?
A. Avoiding
B. Compromising
C. Competing
D. Collaborating
Correct Answer: B
Explanation: Compromising is a conflict resolution style where each party makes
concessions to reach a middle ground. This strategy is effective when time is limited and a
quick resolution is necessary to maintain workflow. Unlike collaboration, where a win-win
is sought, compromising often results in each party feeling partially satisfied.
5. A nurse is practicing democratic leadership on a surgical unit. Which action demonstrates
this style?
A. Holding a staff meeting to vote on a new holiday schedule.
B. Assigning tasks without regard for staff preferences.
C. Allowing staff to do whatever they want during their shifts.
D. Dictating all unit policies without consulting the team.
Correct Answer: A