PNR 205/PNR205 Exam 2 V3 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is known for making all decisions for the unit without consulting the staff.
Which leadership style is this manager exhibiting?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership occurs when the leader maintains total control
and makes decisions independently of the group. This style is often efficient in crisis
situations but can lead to low staff morale if used exclusively. It contrasts with the
democratic style where input is encouraged from team members.
2. Which of the following is considered one of the ‘Five Rights of Delegation’ in nursing
practice?
A. Right medication
B. Right documentation
C. Right diagnosis
,D. Right circumstance
Correct Answer: D
Expert Explanation: The Right Circumstance is one of the essential Five Rights of
Delegation, ensuring the patient’s condition is stable and appropriate for the delegated
task. The nurse must assess the complexity of the task and the resources available before
assigning it to another staff member. Other rights include Right Task, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
3. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient requesting pain medication for chronic back pain
B. A patient reporting sudden shortness of breath and chest tightness
C. A patient with a blood pressure of 160/90 mmHg
D. A patient with a scheduled dressing change in one hour
Correct Answer: B
Expert Explanation: The patient with sudden shortness of breath takes priority according
to the ABC (Airway, Breathing, Circulation) framework. Acute respiratory distress is a life-
threatening emergency that requires immediate intervention. Stable patients or those with
chronic issues can be managed after the emergent situation is addressed.
4. The nurse manager is evaluating the effectiveness of a new scheduling system. This action
represents which function of management?
A. Planning
, B. Organizing
C. Directing
D. Controlling
Correct Answer: D
Expert Explanation: Controlling involves the process of evaluating performance against
established standards and making necessary corrections. In this scenario, the manager is
measuring the results of a previous decision to see if it met the goals. This is a critical step
in the continuous quality improvement cycle within healthcare management.
5. Which communication tool is specifically designed to provide a structured format for
reporting patient information between healthcare providers?
A. SBAR
B. HIPAA
C. SOAP
D. ADPIE
Correct Answer: A
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation, which provides a concise and clear framework for hand-off reports.
Using this tool reduces the risk of communication errors that can lead to patient harm. It is
a standard practice recommended by many accrediting bodies to ensure patient safety.
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is known for making all decisions for the unit without consulting the staff.
Which leadership style is this manager exhibiting?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership occurs when the leader maintains total control
and makes decisions independently of the group. This style is often efficient in crisis
situations but can lead to low staff morale if used exclusively. It contrasts with the
democratic style where input is encouraged from team members.
2. Which of the following is considered one of the ‘Five Rights of Delegation’ in nursing
practice?
A. Right medication
B. Right documentation
C. Right diagnosis
,D. Right circumstance
Correct Answer: D
Expert Explanation: The Right Circumstance is one of the essential Five Rights of
Delegation, ensuring the patient’s condition is stable and appropriate for the delegated
task. The nurse must assess the complexity of the task and the resources available before
assigning it to another staff member. Other rights include Right Task, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
3. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient requesting pain medication for chronic back pain
B. A patient reporting sudden shortness of breath and chest tightness
C. A patient with a blood pressure of 160/90 mmHg
D. A patient with a scheduled dressing change in one hour
Correct Answer: B
Expert Explanation: The patient with sudden shortness of breath takes priority according
to the ABC (Airway, Breathing, Circulation) framework. Acute respiratory distress is a life-
threatening emergency that requires immediate intervention. Stable patients or those with
chronic issues can be managed after the emergent situation is addressed.
4. The nurse manager is evaluating the effectiveness of a new scheduling system. This action
represents which function of management?
A. Planning
, B. Organizing
C. Directing
D. Controlling
Correct Answer: D
Expert Explanation: Controlling involves the process of evaluating performance against
established standards and making necessary corrections. In this scenario, the manager is
measuring the results of a previous decision to see if it met the goals. This is a critical step
in the continuous quality improvement cycle within healthcare management.
5. Which communication tool is specifically designed to provide a structured format for
reporting patient information between healthcare providers?
A. SBAR
B. HIPAA
C. SOAP
D. ADPIE
Correct Answer: A
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation, which provides a concise and clear framework for hand-off reports.
Using this tool reduces the risk of communication errors that can lead to patient harm. It is
a standard practice recommended by many accrediting bodies to ensure patient safety.
