NR 446 Collaborative Healthcare Study Guide 2026 |Chamberlain
College
1. Which phase of Lewin’s Change Theory involves creating the motivation to
change by reducing the forces that maintain the status quo?
A. Unfreezing
B. Refreezing
C. Moving
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage where the need for change is recognized and the
status quo is disrupted to prepare for a new process.
2. A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which
action by the nurse represents the ‘Right Supervision’ in the five rights of
delegation?
A. Checking the patient’s vital signs after the UAP reports them.
B. Confirming the UAP is competent to perform the task.
C. Providing clear instructions on when to report back.
D. Selecting a task that is within the UAP’s scope of practice.
Answer: A
Rationale: Right Supervision involves monitoring the delegated activity, evaluating the
outcome, and providing feedback.
,3. When using the SBAR communication tool, which component involves the
nurse suggesting a specific intervention to the physician?
A. Recommendation
B. Background
C. Assessment
D. Situation
Answer: A
Rationale: Recommendation is the part of SBAR where the nurse suggests what should be
done to resolve the situation.
4. Which leadership style is characterized by the leader making all decisions
with little to no input from the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members.
5. A nurse is caring for four patients. Using the principle of ‘Airway, Breathing,
Circulation,’ which patient should the nurse assess first?
A. A patient with a pulse oximetry reading of 88% on room air.
B. A patient with a fractured femur requesting pain medication.
C. A patient who needs a dressing change for a surgical wound.
D. A patient who was admitted for dehydration and has a dry mouth.
Answer: A
Rationale: Airway and Breathing take priority. A low oxygen saturation indicates a
potential respiratory issue that must be addressed immediately.
, 6. In the context of conflict resolution, which strategy involves both parties
giving up something to reach a solution?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: D
Rationale: Compromising requires each party to concede something of value to reach a
middle ground.
7. Which ethical principle refers to the nurse’s obligation to do no harm to the
patient?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: D
Rationale: Non-maleficence is the ethical requirement to avoid causing harm to patients.
8. A nurse manager is evaluating a new nurse’s ability to delegate. Which task is
appropriate for the nurse to delegate to an LPN?
A. Completing the initial admission assessment.
B. Providing discharge education to a patient.
C. Developing the patient’s nursing care plan.
D. Administering a scheduled subcutaneous insulin injection.
Answer: D
Rationale: LPNs can perform routine tasks and administer most medications, but initial
assessments, discharge teaching, and care planning are the responsibility of the RN.
College
1. Which phase of Lewin’s Change Theory involves creating the motivation to
change by reducing the forces that maintain the status quo?
A. Unfreezing
B. Refreezing
C. Moving
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage where the need for change is recognized and the
status quo is disrupted to prepare for a new process.
2. A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which
action by the nurse represents the ‘Right Supervision’ in the five rights of
delegation?
A. Checking the patient’s vital signs after the UAP reports them.
B. Confirming the UAP is competent to perform the task.
C. Providing clear instructions on when to report back.
D. Selecting a task that is within the UAP’s scope of practice.
Answer: A
Rationale: Right Supervision involves monitoring the delegated activity, evaluating the
outcome, and providing feedback.
,3. When using the SBAR communication tool, which component involves the
nurse suggesting a specific intervention to the physician?
A. Recommendation
B. Background
C. Assessment
D. Situation
Answer: A
Rationale: Recommendation is the part of SBAR where the nurse suggests what should be
done to resolve the situation.
4. Which leadership style is characterized by the leader making all decisions
with little to no input from the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members.
5. A nurse is caring for four patients. Using the principle of ‘Airway, Breathing,
Circulation,’ which patient should the nurse assess first?
A. A patient with a pulse oximetry reading of 88% on room air.
B. A patient with a fractured femur requesting pain medication.
C. A patient who needs a dressing change for a surgical wound.
D. A patient who was admitted for dehydration and has a dry mouth.
Answer: A
Rationale: Airway and Breathing take priority. A low oxygen saturation indicates a
potential respiratory issue that must be addressed immediately.
, 6. In the context of conflict resolution, which strategy involves both parties
giving up something to reach a solution?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: D
Rationale: Compromising requires each party to concede something of value to reach a
middle ground.
7. Which ethical principle refers to the nurse’s obligation to do no harm to the
patient?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: D
Rationale: Non-maleficence is the ethical requirement to avoid causing harm to patients.
8. A nurse manager is evaluating a new nurse’s ability to delegate. Which task is
appropriate for the nurse to delegate to an LPN?
A. Completing the initial admission assessment.
B. Providing discharge education to a patient.
C. Developing the patient’s nursing care plan.
D. Administering a scheduled subcutaneous insulin injection.
Answer: D
Rationale: LPNs can perform routine tasks and administer most medications, but initial
assessments, discharge teaching, and care planning are the responsibility of the RN.
