PNR 205/PNR205 Exam 4 V3 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager uses a leadership style where they make all decisions independently and
expect immediate obedience from the staff. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Expert Explanation: Autocratic leadership involves centralized decision-making with little
to no input from subordinates. This style is often effective in emergency situations where
rapid action is required. However, it can lead to low staff morale and high turnover if
utilized in routine clinical settings.
2. When using the SBAR communication tool, which information belongs in the ‘Background’
section?
A. The patient’s current vital signs and immediate symptoms.
B. A specific request for a medication or intervention.
C. The patient’s medical history and relevant past treatments.
,D. The nurse’s assessment of the patient’s neurological status.
Correct Answer: C
Expert Explanation: The Background component of SBAR provides the context necessary
to understand the current clinical situation. It includes historical data such as admitting
diagnosis, medical history, and recent interventions. This ensures the healthcare provider
has a comprehensive view before making new orders.
3. A practical nurse (PN) is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate for the PN to delegate?
A. Assisting a stable patient with a bed bath.
B. Teaching a patient how to use a walker.
C. Evaluating the effectiveness of pain medication.
D. Assessing a new admission’s skin integrity.
Correct Answer: A
Expert Explanation: UAPs are permitted to perform routine tasks such as basic hygiene,
feeding stable patients, and ambulation. Tasks that require clinical judgment, such as
assessment and evaluation, must be performed by a licensed nurse. Proper delegation
ensures patient safety while maximizing the efficiency of the healthcare team.
, 4. A nurse manager observes conflict between two staff members regarding the holiday
schedule. One nurse agrees to work the holiday to end the argument, even though they are
unhappy. Which conflict resolution strategy was used?
A. Collaboration
B. Accommodating
C. Competing
D. Compromising
Correct Answer: B
Expert Explanation: Accommodating occurs when one party neglects their own concerns
to satisfy the concerns of the other party. While this preserves harmony in the short term,
it may lead to resentment for the person who gives in. It is considered a ‘lose-win’ strategy
in conflict management.
5. According to Maslow’s Hierarchy of Needs, which patient should the nurse prioritize first?
A. A patient who is anxious about their upcoming surgery.
B. A patient asking for information about their discharge.
C. A patient who feels isolated because their family has not visited.
D. A patient reporting shortness of breath and chest pain.
Correct Answer: D
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager uses a leadership style where they make all decisions independently and
expect immediate obedience from the staff. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Expert Explanation: Autocratic leadership involves centralized decision-making with little
to no input from subordinates. This style is often effective in emergency situations where
rapid action is required. However, it can lead to low staff morale and high turnover if
utilized in routine clinical settings.
2. When using the SBAR communication tool, which information belongs in the ‘Background’
section?
A. The patient’s current vital signs and immediate symptoms.
B. A specific request for a medication or intervention.
C. The patient’s medical history and relevant past treatments.
,D. The nurse’s assessment of the patient’s neurological status.
Correct Answer: C
Expert Explanation: The Background component of SBAR provides the context necessary
to understand the current clinical situation. It includes historical data such as admitting
diagnosis, medical history, and recent interventions. This ensures the healthcare provider
has a comprehensive view before making new orders.
3. A practical nurse (PN) is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate for the PN to delegate?
A. Assisting a stable patient with a bed bath.
B. Teaching a patient how to use a walker.
C. Evaluating the effectiveness of pain medication.
D. Assessing a new admission’s skin integrity.
Correct Answer: A
Expert Explanation: UAPs are permitted to perform routine tasks such as basic hygiene,
feeding stable patients, and ambulation. Tasks that require clinical judgment, such as
assessment and evaluation, must be performed by a licensed nurse. Proper delegation
ensures patient safety while maximizing the efficiency of the healthcare team.
, 4. A nurse manager observes conflict between two staff members regarding the holiday
schedule. One nurse agrees to work the holiday to end the argument, even though they are
unhappy. Which conflict resolution strategy was used?
A. Collaboration
B. Accommodating
C. Competing
D. Compromising
Correct Answer: B
Expert Explanation: Accommodating occurs when one party neglects their own concerns
to satisfy the concerns of the other party. While this preserves harmony in the short term,
it may lead to resentment for the person who gives in. It is considered a ‘lose-win’ strategy
in conflict management.
5. According to Maslow’s Hierarchy of Needs, which patient should the nurse prioritize first?
A. A patient who is anxious about their upcoming surgery.
B. A patient asking for information about their discharge.
C. A patient who feels isolated because their family has not visited.
D. A patient reporting shortness of breath and chest pain.
Correct Answer: D
