PNR 205/PNR205 Exam 4 V2 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse is preparing to delegate tasks to a Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assisting a stable client with ambulation in the hallway.
B. Providing discharge instructions to a client and their family.
C. Assessing a client’s surgical incision for signs of infection.
D. Adjusting the flow rate of a client’s intravenous fluids.
Correct Answer: A
Expert Explanation: Assisting a stable client with ambulation is a routine, non-invasive
task that falls within the UAP’s scope of practice. The nurse remains responsible for
assessment, teaching, and clinical judgment tasks, which include wound evaluation and
medication management. Effective delegation requires the nurse to ensure the UAP has the
necessary skills and that the client’s condition is stable.
2. A charge nurse is utilizing Lewin’s Change Theory to implement a new electronic
documentation system. Which action represents the ‘unfreezing’ stage?
A. Evaluating the efficiency of the new system after one month.
B. Providing hands-on training sessions for the nursing staff.
,C. Sharing data with staff about the high error rate of the current paper system.
D. Developing a policy manual for the new documentation process.
Correct Answer: C
Expert Explanation: The unfreezing stage involves creating a sense of urgency and helping
staff realize that the current status quo is no longer effective. By sharing data regarding
errors, the nurse leader motivates the team to accept that change is necessary for patient
safety. This stage is critical for overcoming resistance before moving into the actual
implementation phase.
3. Which leadership style is characterized by a leader who makes all the decisions and gives
orders to the staff without seeking input?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
Expert Explanation: The autocratic or authoritarian leadership style involves centralized
decision-making where the leader maintains high control. This style can be effective in
emergency situations where rapid decisions are required but may stifle creativity and
morale in routine environments. It contrasts with democratic leadership, which values
group input and collaboration for decision-making processes.
,4. A nurse is caring for a group of clients. Using the Maslow’s Hierarchy of Needs, which client
should the nurse see first?
A. A client who is reporting difficulty breathing and has a low oxygen saturation.
B. A client who is requesting information about their new diagnosis.
C. A client who is crying because they feel lonely and isolated.
D. A client who is asking for extra pillows to get comfortable in bed.
Correct Answer: A
Expert Explanation: According to Maslow’s Hierarchy, physiological needs such as
oxygenation and breathing take priority over safety, social, or self-actualization needs.
Difficulty breathing indicates a potential life-threatening situation that requires immediate
nursing intervention. Once the client’s physiological stability is ensured, the nurse can then
address psychological or comfort needs.
5. A nurse is practicing as a patient advocate. Which action best demonstrates this
professional role?
A. Persuading a client to accept a treatment they have previously refused.
B. Ensuring the client has all necessary information to make an informed decision.
C. Making the final decision for a client who is confused and has no family.
D. Informing the family of the client’s diagnosis before telling the client.
Correct Answer: B
, Expert Explanation: Advocacy involves supporting the client’s right to self-determination
and ensuring they have the information required for informed consent. The nurse must act
as a liaison between the client and the healthcare team to protect the client’s interests and
autonomy. Advocacy does not include making decisions for the client or coercing them into
a specific course of action.
6. Which component is a key element of the SBAR communication tool used during hand-off
reports?
A. Budgeting
B. Standardization
C. Assessment
D. Socialization
Correct Answer: C
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation, which is a standardized communication framework. The ‘Assessment’
portion allows the nurse to communicate what they believe the problem is based on clinical
findings. Using this tool helps prevent communication errors and ensures that critical
patient information is transferred accurately during transitions of care.
7. A nurse is working in a hospital that has achieved Magnet status. What is a primary
characteristic of a Magnet-designated facility?
A. Low nurse-to-patient ratios are mandated by state law.
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse is preparing to delegate tasks to a Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assisting a stable client with ambulation in the hallway.
B. Providing discharge instructions to a client and their family.
C. Assessing a client’s surgical incision for signs of infection.
D. Adjusting the flow rate of a client’s intravenous fluids.
Correct Answer: A
Expert Explanation: Assisting a stable client with ambulation is a routine, non-invasive
task that falls within the UAP’s scope of practice. The nurse remains responsible for
assessment, teaching, and clinical judgment tasks, which include wound evaluation and
medication management. Effective delegation requires the nurse to ensure the UAP has the
necessary skills and that the client’s condition is stable.
2. A charge nurse is utilizing Lewin’s Change Theory to implement a new electronic
documentation system. Which action represents the ‘unfreezing’ stage?
A. Evaluating the efficiency of the new system after one month.
B. Providing hands-on training sessions for the nursing staff.
,C. Sharing data with staff about the high error rate of the current paper system.
D. Developing a policy manual for the new documentation process.
Correct Answer: C
Expert Explanation: The unfreezing stage involves creating a sense of urgency and helping
staff realize that the current status quo is no longer effective. By sharing data regarding
errors, the nurse leader motivates the team to accept that change is necessary for patient
safety. This stage is critical for overcoming resistance before moving into the actual
implementation phase.
3. Which leadership style is characterized by a leader who makes all the decisions and gives
orders to the staff without seeking input?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
Expert Explanation: The autocratic or authoritarian leadership style involves centralized
decision-making where the leader maintains high control. This style can be effective in
emergency situations where rapid decisions are required but may stifle creativity and
morale in routine environments. It contrasts with democratic leadership, which values
group input and collaboration for decision-making processes.
,4. A nurse is caring for a group of clients. Using the Maslow’s Hierarchy of Needs, which client
should the nurse see first?
A. A client who is reporting difficulty breathing and has a low oxygen saturation.
B. A client who is requesting information about their new diagnosis.
C. A client who is crying because they feel lonely and isolated.
D. A client who is asking for extra pillows to get comfortable in bed.
Correct Answer: A
Expert Explanation: According to Maslow’s Hierarchy, physiological needs such as
oxygenation and breathing take priority over safety, social, or self-actualization needs.
Difficulty breathing indicates a potential life-threatening situation that requires immediate
nursing intervention. Once the client’s physiological stability is ensured, the nurse can then
address psychological or comfort needs.
5. A nurse is practicing as a patient advocate. Which action best demonstrates this
professional role?
A. Persuading a client to accept a treatment they have previously refused.
B. Ensuring the client has all necessary information to make an informed decision.
C. Making the final decision for a client who is confused and has no family.
D. Informing the family of the client’s diagnosis before telling the client.
Correct Answer: B
, Expert Explanation: Advocacy involves supporting the client’s right to self-determination
and ensuring they have the information required for informed consent. The nurse must act
as a liaison between the client and the healthcare team to protect the client’s interests and
autonomy. Advocacy does not include making decisions for the client or coercing them into
a specific course of action.
6. Which component is a key element of the SBAR communication tool used during hand-off
reports?
A. Budgeting
B. Standardization
C. Assessment
D. Socialization
Correct Answer: C
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation, which is a standardized communication framework. The ‘Assessment’
portion allows the nurse to communicate what they believe the problem is based on clinical
findings. Using this tool helps prevent communication errors and ensures that critical
patient information is transferred accurately during transitions of care.
7. A nurse is working in a hospital that has achieved Magnet status. What is a primary
characteristic of a Magnet-designated facility?
A. Low nurse-to-patient ratios are mandated by state law.
