PNR 205/PNR205 Exam 3 V1 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is organizing a meeting to discuss a new policy regarding patient bedside
reporting. Which leadership style is being utilized when the manager encourages all staff
members to provide input and reach a consensus?
A. Democratic leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Bureaucratic leadership
Correct Answer: A
Expert Explanation: Democratic leadership is characterized by the inclusion of team
members in the decision-making process, fostering a sense of ownership and collaboration.
This style is effective in healthcare settings because it utilizes the diverse expertise of the
staff to improve patient care outcomes. The nurse manager’s focus on consensus and staff
input is a hallmark of this participative approach.
,2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which of the following tasks is most appropriate to delegate to the
UAP?
A. Measuring and recording intake and output for a client on floor
B. Administering subcutaneous insulin to a diabetic patient
C. Assisting a post-operative patient with ambulation for the first time
D. Performing an initial admission assessment on a stable patient
Correct Answer: A
Expert Explanation: Measuring and recording intake and output is a routine task that
does not require clinical judgment, making it suitable for a UAP. Initial assessments and
medication administration require the advanced training and licensure of an RN or LPN.
Assisting a post-operative patient for the first time carries higher risk and should be
performed by a nurse to assess for orthostatic hypotension or stability.
3. Which component of the SBAR communication tool is a nurse using when stating, ‘The
patient’s blood pressure has dropped from 120/80 to 90/50 mmHg over the last hour’?
A. Situation
B. Background
C. Recommendation
D. Assessment
,Correct Answer: D
Expert Explanation: The Assessment portion of SBAR involves the nurse providing clinical
data and their interpretation of the patient’s current status. In this scenario, reporting the
specific change in blood pressure demonstrates the nurse’s analysis of the physiological
decline. This step is crucial for the physician to understand the severity of the clinical
situation being reported.
4. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. The nurse respects the patient’s right to make this choice. Which ethical principle
is the nurse demonstrating?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A
Expert Explanation: Autonomy refers to the right of patients to make their own decisions
about their medical care without influence from healthcare providers. By honoring the
patient’s refusal, the nurse acknowledges the patient’s self-determination and legal right to
decline treatment. This principle is a cornerstone of professional nursing ethics and
patient-centered care.
, 5. A nurse is using the ‘Five Rights of Delegation’ to assign tasks. Which of the following is one
of the five rights?
A. Right documentation
B. Right financial cost
C. Right medication
D. Right circumstance
Correct Answer: D
Expert Explanation: The ‘Right Circumstance’ is one of the Five Rights of Delegation,
ensuring that the patient’s condition is stable and the setting is appropriate for the task.
The other rights include Right Task, Right Person, Right Direction/Communication, and
Right Supervision/Evaluation. Verifying the circumstance prevents delegating complex
tasks in unstable clinical environments.
6. During a staff conflict, two nurses agree to ‘split the difference’ so that each gets some of
what they want, though neither is fully satisfied. Which conflict management strategy is
being used?
A. Collaboration
B. Avoidance
C. Competing
D. Compromising
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is organizing a meeting to discuss a new policy regarding patient bedside
reporting. Which leadership style is being utilized when the manager encourages all staff
members to provide input and reach a consensus?
A. Democratic leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Bureaucratic leadership
Correct Answer: A
Expert Explanation: Democratic leadership is characterized by the inclusion of team
members in the decision-making process, fostering a sense of ownership and collaboration.
This style is effective in healthcare settings because it utilizes the diverse expertise of the
staff to improve patient care outcomes. The nurse manager’s focus on consensus and staff
input is a hallmark of this participative approach.
,2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which of the following tasks is most appropriate to delegate to the
UAP?
A. Measuring and recording intake and output for a client on floor
B. Administering subcutaneous insulin to a diabetic patient
C. Assisting a post-operative patient with ambulation for the first time
D. Performing an initial admission assessment on a stable patient
Correct Answer: A
Expert Explanation: Measuring and recording intake and output is a routine task that
does not require clinical judgment, making it suitable for a UAP. Initial assessments and
medication administration require the advanced training and licensure of an RN or LPN.
Assisting a post-operative patient for the first time carries higher risk and should be
performed by a nurse to assess for orthostatic hypotension or stability.
3. Which component of the SBAR communication tool is a nurse using when stating, ‘The
patient’s blood pressure has dropped from 120/80 to 90/50 mmHg over the last hour’?
A. Situation
B. Background
C. Recommendation
D. Assessment
,Correct Answer: D
Expert Explanation: The Assessment portion of SBAR involves the nurse providing clinical
data and their interpretation of the patient’s current status. In this scenario, reporting the
specific change in blood pressure demonstrates the nurse’s analysis of the physiological
decline. This step is crucial for the physician to understand the severity of the clinical
situation being reported.
4. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. The nurse respects the patient’s right to make this choice. Which ethical principle
is the nurse demonstrating?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A
Expert Explanation: Autonomy refers to the right of patients to make their own decisions
about their medical care without influence from healthcare providers. By honoring the
patient’s refusal, the nurse acknowledges the patient’s self-determination and legal right to
decline treatment. This principle is a cornerstone of professional nursing ethics and
patient-centered care.
, 5. A nurse is using the ‘Five Rights of Delegation’ to assign tasks. Which of the following is one
of the five rights?
A. Right documentation
B. Right financial cost
C. Right medication
D. Right circumstance
Correct Answer: D
Expert Explanation: The ‘Right Circumstance’ is one of the Five Rights of Delegation,
ensuring that the patient’s condition is stable and the setting is appropriate for the task.
The other rights include Right Task, Right Person, Right Direction/Communication, and
Right Supervision/Evaluation. Verifying the circumstance prevents delegating complex
tasks in unstable clinical environments.
6. During a staff conflict, two nurses agree to ‘split the difference’ so that each gets some of
what they want, though neither is fully satisfied. Which conflict management strategy is
being used?
A. Collaboration
B. Avoidance
C. Competing
D. Compromising
