PNR 205/PNR205 Exam 1 V2 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager provides the staff with a great deal of autonomy and allows them to set
their own goals and make their own decisions. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: C
Expert Explanation: Laissez-faire leadership is characterized by a ‘hands-off’ approach
where the leader provides little to no direction. While this can foster independence, it may
lead to a lack of cohesion or direction if the team is not highly experienced. This style
contrasts sharply with the high control seen in autocratic leadership.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which of the following
is a primary responsibility of the licensed nurse?
A. Evaluating the outcome of the delegated task
B. Ensuring the UAP has a nursing degree
C. Asking the UAP to perform an initial assessment
,D. Allowing the UAP to delegate to other staff
Correct Answer: A
Expert Explanation: The licensed nurse maintains ultimate accountability for the patient’s
care even after delegation. Evaluation of the task’s outcome is a critical step in the nursing
process that cannot be delegated. Failure to supervise and evaluate the outcome of a
delegated task is a violation of the professional nursing scope.
3. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ section?
A. The client’s current vital signs
B. The nurse’s recommendation for a change in treatment
C. The reason the nurse is calling about the client
D. The client’s medical history and admitting diagnosis
Correct Answer: D
Expert Explanation: The ‘B’ in SBAR stands for Background, which provides context
regarding the patient’s history and current clinical situation. This helps the provider
understand the clinical timeline leading up to the current issue. Accurate background
information ensures that the provider has the data necessary to make an informed
decision.
, 4. Which of the following describes the ethical principle of ‘Nonmaleficence’ in nursing
practice?
A. The obligation to do no harm
B. The duty to tell the truth to patients
C. The right of the patient to make their own decisions
D. The fair distribution of resources
Correct Answer: A
Expert Explanation: Nonmaleficence is the core ethical duty of healthcare providers to
avoid causing harm to patients. This includes avoiding intentional harm as well as
minimizing the risk of accidental harm during treatment. It is often balanced with
beneficence, which is the duty to act in the patient’s best interest.
5. A nurse is caring for four clients. Which client should the nurse assess first after receiving
the shift report?
A. A client scheduled for physical therapy in one hour
B. A client with a history of hypertension requesting a PRN medication for a headache
C. A client who is 2 days postoperative and reporting pain as 4/10
D. A client with shortness of breath and an oxygen saturation of 88%
Correct Answer: D
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager provides the staff with a great deal of autonomy and allows them to set
their own goals and make their own decisions. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: C
Expert Explanation: Laissez-faire leadership is characterized by a ‘hands-off’ approach
where the leader provides little to no direction. While this can foster independence, it may
lead to a lack of cohesion or direction if the team is not highly experienced. This style
contrasts sharply with the high control seen in autocratic leadership.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which of the following
is a primary responsibility of the licensed nurse?
A. Evaluating the outcome of the delegated task
B. Ensuring the UAP has a nursing degree
C. Asking the UAP to perform an initial assessment
,D. Allowing the UAP to delegate to other staff
Correct Answer: A
Expert Explanation: The licensed nurse maintains ultimate accountability for the patient’s
care even after delegation. Evaluation of the task’s outcome is a critical step in the nursing
process that cannot be delegated. Failure to supervise and evaluate the outcome of a
delegated task is a violation of the professional nursing scope.
3. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ section?
A. The client’s current vital signs
B. The nurse’s recommendation for a change in treatment
C. The reason the nurse is calling about the client
D. The client’s medical history and admitting diagnosis
Correct Answer: D
Expert Explanation: The ‘B’ in SBAR stands for Background, which provides context
regarding the patient’s history and current clinical situation. This helps the provider
understand the clinical timeline leading up to the current issue. Accurate background
information ensures that the provider has the data necessary to make an informed
decision.
, 4. Which of the following describes the ethical principle of ‘Nonmaleficence’ in nursing
practice?
A. The obligation to do no harm
B. The duty to tell the truth to patients
C. The right of the patient to make their own decisions
D. The fair distribution of resources
Correct Answer: A
Expert Explanation: Nonmaleficence is the core ethical duty of healthcare providers to
avoid causing harm to patients. This includes avoiding intentional harm as well as
minimizing the risk of accidental harm during treatment. It is often balanced with
beneficence, which is the duty to act in the patient’s best interest.
5. A nurse is caring for four clients. Which client should the nurse assess first after receiving
the shift report?
A. A client scheduled for physical therapy in one hour
B. A client with a history of hypertension requesting a PRN medication for a headache
C. A client who is 2 days postoperative and reporting pain as 4/10
D. A client with shortness of breath and an oxygen saturation of 88%
Correct Answer: D
