PNR 205/PNR205 Exam 4 V1 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager allows the staff to make all decisions and rarely provides feedback or
direction to the nursing unit. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Transactional
D. Laissez-faire
Correct Answer: D
Expert Explanation: Laissez-faire leadership is characterized by a hands-off approach
where the leader provides minimal direction or interference. While this can foster
independence in a highly skilled team, it often leads to a lack of cohesion or direction in
nursing units. This style is generally ineffective in clinical settings where clear guidance is
necessary for patient safety.
2. When a nurse leader involves the staff in decision-making and encourages participation in
policy changes, which leadership style are they utilizing?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Expert Explanation: The democratic leadership style focuses on collaboration and shared
decision-making between the leader and the staff. This approach increases job satisfaction
and staff morale because employees feel their input is valued. It is effective for long-term
planning but may be slower in emergency situations compared to other styles.
3. In a code blue or emergency situation, which leadership style is most appropriate for the
nurse to adopt?
A. Transformational
B. Democratic
C. Laissez-faire
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership involves centralized decision-making with the
leader making all commands without staff input. This style is essential during life-
threatening emergencies because it ensures rapid action and clear directives. In a high-
stress clinical crisis, there is no time for the collaborative discussion found in democratic
styles.
, 4. According to Lewin’s Change Theory, the stage where a leader creates awareness of the
need for a change is known as:
A. Moving
B. Refreezing
C. Unfreezing
D. Stabilizing
Correct Answer: C
Expert Explanation: Unfreezing is the first stage of Lewin’s theory where the leader
identifies a problem and makes staff aware that a change is necessary. This phase often
involves overcoming resistance and preparing the environment for a new process. Without
effective unfreezing, staff may remain stuck in old habits and resist the transition.
5. A nurse is delegating a task to an Unlicensed Assistive Personnel (UAP). Which of the
following is one of the ‘Five Rights’ of delegation?
A. Right Circumstance
B. Right Cost
C. Right Hospital
D. Right Diagnosis
Correct Answer: A
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager allows the staff to make all decisions and rarely provides feedback or
direction to the nursing unit. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Transactional
D. Laissez-faire
Correct Answer: D
Expert Explanation: Laissez-faire leadership is characterized by a hands-off approach
where the leader provides minimal direction or interference. While this can foster
independence in a highly skilled team, it often leads to a lack of cohesion or direction in
nursing units. This style is generally ineffective in clinical settings where clear guidance is
necessary for patient safety.
2. When a nurse leader involves the staff in decision-making and encourages participation in
policy changes, which leadership style are they utilizing?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Expert Explanation: The democratic leadership style focuses on collaboration and shared
decision-making between the leader and the staff. This approach increases job satisfaction
and staff morale because employees feel their input is valued. It is effective for long-term
planning but may be slower in emergency situations compared to other styles.
3. In a code blue or emergency situation, which leadership style is most appropriate for the
nurse to adopt?
A. Transformational
B. Democratic
C. Laissez-faire
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership involves centralized decision-making with the
leader making all commands without staff input. This style is essential during life-
threatening emergencies because it ensures rapid action and clear directives. In a high-
stress clinical crisis, there is no time for the collaborative discussion found in democratic
styles.
, 4. According to Lewin’s Change Theory, the stage where a leader creates awareness of the
need for a change is known as:
A. Moving
B. Refreezing
C. Unfreezing
D. Stabilizing
Correct Answer: C
Expert Explanation: Unfreezing is the first stage of Lewin’s theory where the leader
identifies a problem and makes staff aware that a change is necessary. This phase often
involves overcoming resistance and preparing the environment for a new process. Without
effective unfreezing, staff may remain stuck in old habits and resist the transition.
5. A nurse is delegating a task to an Unlicensed Assistive Personnel (UAP). Which of the
following is one of the ‘Five Rights’ of delegation?
A. Right Circumstance
B. Right Cost
C. Right Hospital
D. Right Diagnosis
Correct Answer: A
