NR 446 Collaborative Healthcare Week 1 Study Guide 2026
|Chamberlain College
1. Which leadership style is characterized by a leader who makes decisions
independently without input from the team?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
Answer: D
Rationale: Autocratic leadership involves centralized decision-making where the leader
maintains full control and provides little room for team input.
2. When a nurse manager empowers staff to participate in decision-making and
values group consensus, which leadership style is being used?
A. Transactional
B. Democratic
C. Bureaucratic
D. Autocratic
Answer: B
Rationale: Democratic leadership encourages communication and staff participation in the
decision-making process.
,3. A nurse identifies that a patient is experiencing a new onset of shortness of
breath. Which action should the nurse take first?
A. Notify the healthcare provider
B. Assess the patient’s oxygen saturation
C. Administer prescribed pain medication
D. Document the finding in the medical record
Answer: B
Rationale: According to the nursing process and ABCs, assessment of the respiratory
status (oxygenation) is the priority when a patient has a new respiratory symptom.
4. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Direction and Communication
B. Right Hospital
C. Right Salary
D. Right Patient History
Answer: A
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
5. Which leadership theory focuses on the relationship between leaders and
followers and inspires others through a shared vision?
A. Transformational Leadership
B. Transactional Leadership
C. Trait Theory
D. Situational Theory
Answer: A
Rationale: Transformational leadership focuses on inspiring and motivating followers to
achieve extraordinary outcomes and develop their own leadership capacity.
, 6. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assisting a stable patient with ambulation
B. Performing an initial admission assessment
C. Evaluating a patient’s response to pain medication
D. Developing a plan of care for a new diabetic patient
Answer: A
Rationale: UAPs can perform routine tasks such as ADLs and ambulating stable patients.
Assessment, evaluation, and care planning must be done by the RN.
7. What is the primary goal of ‘Shared Governance’ in a healthcare setting?
A. To give administrators total control over nursing practice
B. To reduce the number of staff members needed on a unit
C. To empower bedside nurses to have a voice in clinical practice decisions
D. To eliminate the need for a nurse manager
Answer: C
Rationale: Shared governance is a model of nursing practice that integrates core values
and beliefs that professional practice is embraced through the empowerment of nurses.
8. In the SBAR communication tool, what does the ‘B’ stand for?
A. Beliefs
B. Background
C. Behavior
D. Beneficence
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
‘Background’ provides objective data related to the current situation.
|Chamberlain College
1. Which leadership style is characterized by a leader who makes decisions
independently without input from the team?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
Answer: D
Rationale: Autocratic leadership involves centralized decision-making where the leader
maintains full control and provides little room for team input.
2. When a nurse manager empowers staff to participate in decision-making and
values group consensus, which leadership style is being used?
A. Transactional
B. Democratic
C. Bureaucratic
D. Autocratic
Answer: B
Rationale: Democratic leadership encourages communication and staff participation in the
decision-making process.
,3. A nurse identifies that a patient is experiencing a new onset of shortness of
breath. Which action should the nurse take first?
A. Notify the healthcare provider
B. Assess the patient’s oxygen saturation
C. Administer prescribed pain medication
D. Document the finding in the medical record
Answer: B
Rationale: According to the nursing process and ABCs, assessment of the respiratory
status (oxygenation) is the priority when a patient has a new respiratory symptom.
4. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Direction and Communication
B. Right Hospital
C. Right Salary
D. Right Patient History
Answer: A
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
5. Which leadership theory focuses on the relationship between leaders and
followers and inspires others through a shared vision?
A. Transformational Leadership
B. Transactional Leadership
C. Trait Theory
D. Situational Theory
Answer: A
Rationale: Transformational leadership focuses on inspiring and motivating followers to
achieve extraordinary outcomes and develop their own leadership capacity.
, 6. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assisting a stable patient with ambulation
B. Performing an initial admission assessment
C. Evaluating a patient’s response to pain medication
D. Developing a plan of care for a new diabetic patient
Answer: A
Rationale: UAPs can perform routine tasks such as ADLs and ambulating stable patients.
Assessment, evaluation, and care planning must be done by the RN.
7. What is the primary goal of ‘Shared Governance’ in a healthcare setting?
A. To give administrators total control over nursing practice
B. To reduce the number of staff members needed on a unit
C. To empower bedside nurses to have a voice in clinical practice decisions
D. To eliminate the need for a nurse manager
Answer: C
Rationale: Shared governance is a model of nursing practice that integrates core values
and beliefs that professional practice is embraced through the empowerment of nurses.
8. In the SBAR communication tool, what does the ‘B’ stand for?
A. Beliefs
B. Background
C. Behavior
D. Beneficence
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
‘Background’ provides objective data related to the current situation.
