NR446 Exam 1 Actual Exam Style V2 | NR
446 Collaborative Healthcare |
Chamberlain
1. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which of
the following tasks is appropriate for the nurse to delegate?
A. Assessing a client’s surgical incision site
B. Obtaining vital signs on a stable post-operative client
C. Performing a sterile dressing change
D. Providing discharge instructions to a client
Correct Answer: B
Expert Explanation: The nurse must delegate tasks that are routine and do not require
clinical judgment or assessment. Obtaining vital signs on a stable client is a standardized
procedure appropriate for a UAP. Assessing wounds and providing teaching are tasks that
must be performed by a registered nurse.
2. Which leadership style is characterized by the leader making decisions independently
without input from the staff?
A. Autocratic
B. Democratic
C. Laissez-faire
,D. Transformational
Correct Answer: A
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains full control. This style is often used in emergency situations where
quick decisions are necessary. However, it can lead to low staff satisfaction because team
members have little input in the process.
3. A nurse manager is resolving a conflict between two nurses by asking them both to give up
something to reach a solution. Which conflict resolution strategy is being used?
A. Competing
B. Avoiding
C. Compromising
D. Collaborating
Correct Answer: C
Expert Explanation: Compromising is a ‘give-and-take’ strategy where both parties
sacrifice something to reach a middle ground. While this resolves the issue quickly, it may
not address the underlying problem as effectively as collaboration. It is considered a ‘lose-
lose’ or ‘win-lose’ scenario depending on what is given up.
4. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ (Background) portion?
A. The client’s current vital signs and oxygen saturation
, B. The client’s medical history and admitting diagnosis
C. The reason for the call and the client’s current distress
D. The nurse’s suggestion for a specific intervention
Correct Answer: B
Expert Explanation: The ‘Background’ section of SBAR provides the context for the
current situation, such as the patient’s history and recent treatments. This allows the
provider to understand the patient’s baseline before hearing the current assessment. It
differs from the ‘Situation’ which focuses on why the nurse is calling right now.
5. According to the Five Rights of Delegation, which right is being exercised when a nurse
ensures the UAP understands how to perform the task and what to report?
A. Right Direction/Communication
B. Right Circumstance
C. Right Task
D. Right Supervision/Evaluation
Correct Answer: A
Expert Explanation: Right Direction and Communication requires the nurse to provide
clear, concise, and specific instructions to the delegatee. This includes the expected results
and specific data that needs to be reported back to the nurse. Effective communication is
vital to prevent errors and ensure patient safety during delegated tasks.
446 Collaborative Healthcare |
Chamberlain
1. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which of
the following tasks is appropriate for the nurse to delegate?
A. Assessing a client’s surgical incision site
B. Obtaining vital signs on a stable post-operative client
C. Performing a sterile dressing change
D. Providing discharge instructions to a client
Correct Answer: B
Expert Explanation: The nurse must delegate tasks that are routine and do not require
clinical judgment or assessment. Obtaining vital signs on a stable client is a standardized
procedure appropriate for a UAP. Assessing wounds and providing teaching are tasks that
must be performed by a registered nurse.
2. Which leadership style is characterized by the leader making decisions independently
without input from the staff?
A. Autocratic
B. Democratic
C. Laissez-faire
,D. Transformational
Correct Answer: A
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains full control. This style is often used in emergency situations where
quick decisions are necessary. However, it can lead to low staff satisfaction because team
members have little input in the process.
3. A nurse manager is resolving a conflict between two nurses by asking them both to give up
something to reach a solution. Which conflict resolution strategy is being used?
A. Competing
B. Avoiding
C. Compromising
D. Collaborating
Correct Answer: C
Expert Explanation: Compromising is a ‘give-and-take’ strategy where both parties
sacrifice something to reach a middle ground. While this resolves the issue quickly, it may
not address the underlying problem as effectively as collaboration. It is considered a ‘lose-
lose’ or ‘win-lose’ scenario depending on what is given up.
4. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ (Background) portion?
A. The client’s current vital signs and oxygen saturation
, B. The client’s medical history and admitting diagnosis
C. The reason for the call and the client’s current distress
D. The nurse’s suggestion for a specific intervention
Correct Answer: B
Expert Explanation: The ‘Background’ section of SBAR provides the context for the
current situation, such as the patient’s history and recent treatments. This allows the
provider to understand the patient’s baseline before hearing the current assessment. It
differs from the ‘Situation’ which focuses on why the nurse is calling right now.
5. According to the Five Rights of Delegation, which right is being exercised when a nurse
ensures the UAP understands how to perform the task and what to report?
A. Right Direction/Communication
B. Right Circumstance
C. Right Task
D. Right Supervision/Evaluation
Correct Answer: A
Expert Explanation: Right Direction and Communication requires the nurse to provide
clear, concise, and specific instructions to the delegatee. This includes the expected results
and specific data that needs to be reported back to the nurse. Effective communication is
vital to prevent errors and ensure patient safety during delegated tasks.
