NR 446 Nursing Leadership Week 3 Study Guide 2026 |Chamberlain
College
1. Which leadership style is characterized by the leader making all decisions
without input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: The autocratic leadership style involves the leader maintaining full control and
making decisions independently of the team.
2. A nurse manager encourages staff nurses to participate in decision-making
and values their input. Which leadership style is this?
A. Transactional
B. Democratic
C. Autocratic
D. Laissez-faire
Answer: B
Rationale: Democratic leadership, also known as participative leadership, involves sharing
the decision-making process with group members.
,3. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Physician
B. Right Supervision
C. Right Cost
D. Right Hospital
Answer: B
Rationale: The five rights are Right Task, Right Circumstance, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
4. An RN delegates a task to an Unlicensed Assistive Personnel (UAP). Who
retains the ultimate accountability for the task?
A. The RN
B. The Nurse Manager
C. The UAP
D. The Hospital Administrator
Answer: A
Rationale: While the responsibility for performing the task is transferred to the UAP, the
RN retains accountability for the outcome and proper supervision.
5. Which task is most appropriate for an RN to delegate to a UAP?
A. Administering oral medications
B. Performing an initial admission assessment
C. Assisting a stable patient with ambulation
D. Providing discharge education
Answer: C
Rationale: UAPs can perform non-invasive, routine tasks such as ambulation, feeding, and
hygiene for stable patients.
, 6. What is the primary focus of Lewin’s ‘Unfreezing’ stage of change?
A. Implementing the new change
B. Stabilizing the change into the system
C. Evaluating the outcomes of the change
D. Recognizing the need for change and preparing the team
Answer: D
Rationale: Unfreezing is the first stage where the leader helps others let go of old patterns
and realize that change is necessary.
7. Which prioritization framework focuses on life-threatening needs first?
A. ABCs (Airway, Breathing, Circulation)
B. The Nursing Process
C. Maslow’s Hierarchy of Needs
D. Least Restrictive Environment
Answer: A
Rationale: The ABC framework ensures that the most immediate life-threatening
physiological needs are addressed first.
8. In conflict resolution, which strategy involves both parties giving up
something to reach a solution?
A. Compromising
B. Avoiding
C. Competing
D. Collaborating
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ middle-ground where each party
sacrifices something to settle the dispute.
College
1. Which leadership style is characterized by the leader making all decisions
without input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: The autocratic leadership style involves the leader maintaining full control and
making decisions independently of the team.
2. A nurse manager encourages staff nurses to participate in decision-making
and values their input. Which leadership style is this?
A. Transactional
B. Democratic
C. Autocratic
D. Laissez-faire
Answer: B
Rationale: Democratic leadership, also known as participative leadership, involves sharing
the decision-making process with group members.
,3. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Physician
B. Right Supervision
C. Right Cost
D. Right Hospital
Answer: B
Rationale: The five rights are Right Task, Right Circumstance, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
4. An RN delegates a task to an Unlicensed Assistive Personnel (UAP). Who
retains the ultimate accountability for the task?
A. The RN
B. The Nurse Manager
C. The UAP
D. The Hospital Administrator
Answer: A
Rationale: While the responsibility for performing the task is transferred to the UAP, the
RN retains accountability for the outcome and proper supervision.
5. Which task is most appropriate for an RN to delegate to a UAP?
A. Administering oral medications
B. Performing an initial admission assessment
C. Assisting a stable patient with ambulation
D. Providing discharge education
Answer: C
Rationale: UAPs can perform non-invasive, routine tasks such as ambulation, feeding, and
hygiene for stable patients.
, 6. What is the primary focus of Lewin’s ‘Unfreezing’ stage of change?
A. Implementing the new change
B. Stabilizing the change into the system
C. Evaluating the outcomes of the change
D. Recognizing the need for change and preparing the team
Answer: D
Rationale: Unfreezing is the first stage where the leader helps others let go of old patterns
and realize that change is necessary.
7. Which prioritization framework focuses on life-threatening needs first?
A. ABCs (Airway, Breathing, Circulation)
B. The Nursing Process
C. Maslow’s Hierarchy of Needs
D. Least Restrictive Environment
Answer: A
Rationale: The ABC framework ensures that the most immediate life-threatening
physiological needs are addressed first.
8. In conflict resolution, which strategy involves both parties giving up
something to reach a solution?
A. Compromising
B. Avoiding
C. Competing
D. Collaborating
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ middle-ground where each party
sacrifices something to settle the dispute.
