PNR 205/PNR205 Exam 1 V3 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager on a surgical unit makes all the decisions for the department without
seeking input from the staff. What type of leadership style is being exhibited?
A. Democratic
B. Laissez-faire
C. Situational
D. Autocratic
Correct Answer: D
Explanation: The autocratic leadership style involves a leader who maintains total control
and makes decisions independently. This style is often necessary in emergency or crisis
situations where quick action is required. However, it can stifle creativity and decrease
staff morale if used in everyday management scenarios.
2. When a nurse delegates a task to an unlicensed assistive personnel (UAP), which of the
following remains the responsibility of the nurse?
A. The accountability for the outcome
B. The performance of the task
C. The documentation of the vital signs
,D. The implementation of the action
Correct Answer: A
Explanation: While the nurse can delegate the responsibility of performing a task, they
cannot delegate the accountability for the patient’s care. The nurse must ensure the task
was completed correctly and evaluate the findings. Professional nursing judgment and the
outcome of the delegated task are always the nurse’s ultimate responsibility.
3. Which conflict resolution strategy involves both parties giving up something they value to
reach a solution?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Correct Answer: D
Explanation: Compromising is a conflict management style where each party involved
makes concessions to reach a middle ground. This approach is useful when goals are
moderately important but not worth the potential disruption of more assertive methods. It
ensures a quick resolution but may leave both parties feeling only partially satisfied.
4. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with asthma who has a new onset of wheezing
, B. A patient who is 1 day postoperative and requesting pain medication
C. A patient with a history of hypertension and a BP of 148/92
D. A patient who needs discharge instructions for home oxygen
Correct Answer: A
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
asthma and new wheezing takes priority. A change in respiratory status indicates a
potential airway or breathing compromise that requires immediate intervention. Other
tasks such as pain management or discharge teaching are important but not immediately
life-threatening.
5. Which of the following is an example of the ‘Right Circumstance’ in the five rights of
delegation?
A. Delegating vital signs for a patient who is clinically unstable
B. Delegating the feeding of a patient with an intact gag reflex
C. Assigning an LPN to perform a complex dressing change on a new admission
D. Providing clear instructions to a UAP about when to report a blood pressure
Correct Answer: B
Explanation: The ‘Right Circumstance’ involves delegating tasks that do not require
independent nursing judgment and are performed on stable patients. Delegating the
feeding of a patient with a known intact gag reflex is appropriate because the risk of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager on a surgical unit makes all the decisions for the department without
seeking input from the staff. What type of leadership style is being exhibited?
A. Democratic
B. Laissez-faire
C. Situational
D. Autocratic
Correct Answer: D
Explanation: The autocratic leadership style involves a leader who maintains total control
and makes decisions independently. This style is often necessary in emergency or crisis
situations where quick action is required. However, it can stifle creativity and decrease
staff morale if used in everyday management scenarios.
2. When a nurse delegates a task to an unlicensed assistive personnel (UAP), which of the
following remains the responsibility of the nurse?
A. The accountability for the outcome
B. The performance of the task
C. The documentation of the vital signs
,D. The implementation of the action
Correct Answer: A
Explanation: While the nurse can delegate the responsibility of performing a task, they
cannot delegate the accountability for the patient’s care. The nurse must ensure the task
was completed correctly and evaluate the findings. Professional nursing judgment and the
outcome of the delegated task are always the nurse’s ultimate responsibility.
3. Which conflict resolution strategy involves both parties giving up something they value to
reach a solution?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Correct Answer: D
Explanation: Compromising is a conflict management style where each party involved
makes concessions to reach a middle ground. This approach is useful when goals are
moderately important but not worth the potential disruption of more assertive methods. It
ensures a quick resolution but may leave both parties feeling only partially satisfied.
4. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with asthma who has a new onset of wheezing
, B. A patient who is 1 day postoperative and requesting pain medication
C. A patient with a history of hypertension and a BP of 148/92
D. A patient who needs discharge instructions for home oxygen
Correct Answer: A
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
asthma and new wheezing takes priority. A change in respiratory status indicates a
potential airway or breathing compromise that requires immediate intervention. Other
tasks such as pain management or discharge teaching are important but not immediately
life-threatening.
5. Which of the following is an example of the ‘Right Circumstance’ in the five rights of
delegation?
A. Delegating vital signs for a patient who is clinically unstable
B. Delegating the feeding of a patient with an intact gag reflex
C. Assigning an LPN to perform a complex dressing change on a new admission
D. Providing clear instructions to a UAP about when to report a blood pressure
Correct Answer: B
Explanation: The ‘Right Circumstance’ involves delegating tasks that do not require
independent nursing judgment and are performed on stable patients. Delegating the
feeding of a patient with a known intact gag reflex is appropriate because the risk of
