,NR 446 Collaborative Healthcare final Exam
Prep chamberlain collage of nursing
2026/2027 Collaboration + Leadership +
Delegation MCQs
1. A nurse manager is implementing a significant practice change on the unit and begins by
educating staff about the flaws in the current documentation system that lead to frequent
errors and delays in patient care. According to Lewin's Change Theory, which stage of change is
this manager actively demonstrating with this educational approach?
A. Moving stage
B. Refreezing stage
C. Unfreezing stage
D. Evaluation stage
Correct Answer: C
Rationale: The unfreezing stage involves creating readiness for change by helping staff recognize
that the current status quo is no longer effective or safe. Educating staff about flaws in the
current system builds awareness of the need for change and motivates them to accept new
approaches.
2. Which leadership style is characterized by a leader who motivates employees by appealing to
their values and sense of higher purpose?
A. Transformational Leadership
B. Transactional Leadership
C. Autocratic Leadership
D. Laissez-faire Leadership
,Correct Answer: A
Rationale: Transformational leaders inspire and motivate followers to achieve extraordinary
outcomes and develop their own leadership capacity by focusing on shared values and vision.
3. A charge nurse consistently makes all decisions without seeking input from staff members
and maintains strict control over all unit operations, even in nonemergency situations. Which
leadership style is this charge nurse demonstrating?
A. Democratic leadership
B. Laissez-faire leadership
C. Autocratic leadership
D. Transformational leadership
Correct Answer: C
Rationale: Autocratic (or authoritarian) leaders maintain total control over decision-making and
generally do not seek input from the group. While this style can be effective in emergencies, it
can lower staff morale when used in all situations.
4. A nurse manager is working with a team to develop new unit policies and encourages all staff
members to share their ideas and participate in the decision-making process. Which leadership
style is this manager primarily utilizing?
A. Autocratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Transactional leadership
, Correct Answer: B
Rationale: Democratic leadership is characterized by active participation from team members in
decision-making processes. The leader facilitates discussion, seeks input from all staff, and
works toward consensus.
5. A nurse manager is utilizing a transformational leadership style. Which action by the manager
best exemplifies this approach?
A. Empowering staff to achieve a shared vision through inspiration
B. Focusing on day-to-day operations and task completion
C. Allowing the team to function independently without interference
D. Using rewards and punishments to motivate staff performance
Correct Answer: A
Rationale: Transformational leaders focus on motivating and inspiring staff to achieve a common
vision and personal growth, whereas transactional leaders focus on tasks and rewards.
6. What is a Transactional leader primarily concerned with?
A. Inspiring staff to achieve a shared vision
B. Day-to-day tasks and what benefits them
C. Empowering others to reach their full potential
D. Long-term strategic planning
Correct Answer: B
Rationale: Transactional leaders are concerned with day-to-day tasks and look for what benefits
them. They use a "I'll give you this if you give me that" type of model.
Prep chamberlain collage of nursing
2026/2027 Collaboration + Leadership +
Delegation MCQs
1. A nurse manager is implementing a significant practice change on the unit and begins by
educating staff about the flaws in the current documentation system that lead to frequent
errors and delays in patient care. According to Lewin's Change Theory, which stage of change is
this manager actively demonstrating with this educational approach?
A. Moving stage
B. Refreezing stage
C. Unfreezing stage
D. Evaluation stage
Correct Answer: C
Rationale: The unfreezing stage involves creating readiness for change by helping staff recognize
that the current status quo is no longer effective or safe. Educating staff about flaws in the
current system builds awareness of the need for change and motivates them to accept new
approaches.
2. Which leadership style is characterized by a leader who motivates employees by appealing to
their values and sense of higher purpose?
A. Transformational Leadership
B. Transactional Leadership
C. Autocratic Leadership
D. Laissez-faire Leadership
,Correct Answer: A
Rationale: Transformational leaders inspire and motivate followers to achieve extraordinary
outcomes and develop their own leadership capacity by focusing on shared values and vision.
3. A charge nurse consistently makes all decisions without seeking input from staff members
and maintains strict control over all unit operations, even in nonemergency situations. Which
leadership style is this charge nurse demonstrating?
A. Democratic leadership
B. Laissez-faire leadership
C. Autocratic leadership
D. Transformational leadership
Correct Answer: C
Rationale: Autocratic (or authoritarian) leaders maintain total control over decision-making and
generally do not seek input from the group. While this style can be effective in emergencies, it
can lower staff morale when used in all situations.
4. A nurse manager is working with a team to develop new unit policies and encourages all staff
members to share their ideas and participate in the decision-making process. Which leadership
style is this manager primarily utilizing?
A. Autocratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Transactional leadership
, Correct Answer: B
Rationale: Democratic leadership is characterized by active participation from team members in
decision-making processes. The leader facilitates discussion, seeks input from all staff, and
works toward consensus.
5. A nurse manager is utilizing a transformational leadership style. Which action by the manager
best exemplifies this approach?
A. Empowering staff to achieve a shared vision through inspiration
B. Focusing on day-to-day operations and task completion
C. Allowing the team to function independently without interference
D. Using rewards and punishments to motivate staff performance
Correct Answer: A
Rationale: Transformational leaders focus on motivating and inspiring staff to achieve a common
vision and personal growth, whereas transactional leaders focus on tasks and rewards.
6. What is a Transactional leader primarily concerned with?
A. Inspiring staff to achieve a shared vision
B. Day-to-day tasks and what benefits them
C. Empowering others to reach their full potential
D. Long-term strategic planning
Correct Answer: B
Rationale: Transactional leaders are concerned with day-to-day tasks and look for what benefits
them. They use a "I'll give you this if you give me that" type of model.
