NR 446 Collaborative Healthcare Study Guide 2026 |Chamberlain
College
1. 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
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.
2. A nurse manager is planning to implement a new electronic health record
system. According to Lewin’s Change Theory, which stage involves creating the
motivation to change?
A. Unfreezing
B. Refreezing
C. Moving
D. Transitioning
Answer: A
Rationale: Unfreezing is the first stage of Lewin’s theory, where the need for change is
recognized and old habits or processes are challenged to create readiness.
,3. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after surgery
B. Administering oral medications to a stable patient
C. Teaching a patient how to use an incentive spirometer
D. Assisting a stable patient with activities of daily living (ADLs)
Answer: D
Rationale: UAPs can perform non-invasive tasks such as hygiene, feeding, and ambulation
for stable patients. Assessment, medication administration, and teaching require the
judgment of a licensed nurse.
4. The nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a history of hypertension requesting a PRN medication for a headache.
B. A patient who had a hip replacement 2 days ago and needs assistance with ambulation.
C. A patient scheduled for discharge in one hour who needs prescriptions explained.
D. A patient with a new onset of shortness of breath and an oxygen saturation of 88%.
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with respiratory distress and low oxygen saturation is the highest priority.
5. What is the first step in the Quality Improvement (QI) process?
A. Collecting data to measure performance
B. Implementing a pilot study
C. Identifying a problem or area for improvement
D. Developing a plan for change
Answer: C
Rationale: The first step in QI is identifying the problem, usually through clinical indicators
or safety reports, before planning or implementing changes.
, 6. Which ethical principle is defined as ‘the duty to do good and protect the
interests of the patient’?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: A
Rationale: Beneficence refers to the obligation to act in ways that benefit others and
promote the well-being of the patient.
7. In conflict management, which strategy involves both parties giving up
something to reach a solution?
A. Compromising
B. Collaborating
C. Accommodating
D. Avoiding
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ approach where both parties
concede part of their requirements to reach a middle ground.
8. A nurse is using SBAR to communicate with a physician. Which information
belongs in the ‘B’ (Background) section?
A. ‘I am calling because the patient’s heart rate is 140 bpm.’
B. ‘I suggest we order an EKG and a troponin level.’
C. ‘The patient appears pale and is complaining of chest pain.’
D. ‘The patient was admitted yesterday with a diagnosis of heart failure.’
Answer: D
Rationale: Background (B) includes the patient’s history, admission diagnosis, and
relevant medical information that sets the context for the current issue.
College
1. 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
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.
2. A nurse manager is planning to implement a new electronic health record
system. According to Lewin’s Change Theory, which stage involves creating the
motivation to change?
A. Unfreezing
B. Refreezing
C. Moving
D. Transitioning
Answer: A
Rationale: Unfreezing is the first stage of Lewin’s theory, where the need for change is
recognized and old habits or processes are challenged to create readiness.
,3. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after surgery
B. Administering oral medications to a stable patient
C. Teaching a patient how to use an incentive spirometer
D. Assisting a stable patient with activities of daily living (ADLs)
Answer: D
Rationale: UAPs can perform non-invasive tasks such as hygiene, feeding, and ambulation
for stable patients. Assessment, medication administration, and teaching require the
judgment of a licensed nurse.
4. The nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a history of hypertension requesting a PRN medication for a headache.
B. A patient who had a hip replacement 2 days ago and needs assistance with ambulation.
C. A patient scheduled for discharge in one hour who needs prescriptions explained.
D. A patient with a new onset of shortness of breath and an oxygen saturation of 88%.
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with respiratory distress and low oxygen saturation is the highest priority.
5. What is the first step in the Quality Improvement (QI) process?
A. Collecting data to measure performance
B. Implementing a pilot study
C. Identifying a problem or area for improvement
D. Developing a plan for change
Answer: C
Rationale: The first step in QI is identifying the problem, usually through clinical indicators
or safety reports, before planning or implementing changes.
, 6. Which ethical principle is defined as ‘the duty to do good and protect the
interests of the patient’?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: A
Rationale: Beneficence refers to the obligation to act in ways that benefit others and
promote the well-being of the patient.
7. In conflict management, which strategy involves both parties giving up
something to reach a solution?
A. Compromising
B. Collaborating
C. Accommodating
D. Avoiding
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ approach where both parties
concede part of their requirements to reach a middle ground.
8. A nurse is using SBAR to communicate with a physician. Which information
belongs in the ‘B’ (Background) section?
A. ‘I am calling because the patient’s heart rate is 140 bpm.’
B. ‘I suggest we order an EKG and a troponin level.’
C. ‘The patient appears pale and is complaining of chest pain.’
D. ‘The patient was admitted yesterday with a diagnosis of heart failure.’
Answer: D
Rationale: Background (B) includes the patient’s history, admission diagnosis, and
relevant medical information that sets the context for the current issue.
