PNR 205/PNR205 Exam 2 V2 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A charge nurse is observing a newly licensed nurse who is leading a team of unlicensed
assistive personnel (UAP). Which action by the new nurse indicates an effective use of the
autocratic leadership style during a code blue situation?
A. Giving clear, concise direct orders to specific individuals to perform immediate life-
saving tasks.
B. Asking the team members for their input on which task they would prefer to perform.
C. Allowing the team to self-organize and decide who will handle the compressions.
D. Requesting a meeting after the code to discuss how the team felt about the leadership.
Correct Answer: A
Expert Explanation: The autocratic leadership style is characterized by direct control and
decision-making without input from others. This style is most effective in emergency
situations like a code blue where rapid, decisive action is required to save a life. It ensures
that critical tasks are completed immediately without the delay of consensus-building.
,2. A nurse manager is resolving a conflict between two staff nurses regarding holiday
scheduling. The manager decides to use the ‘compromising’ strategy. Which of the following
actions best illustrates this?
A. The manager tells both nurses they must work their assigned shifts without further
discussion.
B. The manager asks both nurses to give up a portion of their preferred time off to reach a
middle ground.
C. The manager ignores the conflict and hopes the nurses will settle it between themselves.
D. The manager gives one nurse the entire holiday off and requires the other to work the
double shift.
Correct Answer: B
Expert Explanation: Compromising involves each party giving up something of value to
reach a mutually acceptable agreement. In this scenario, both nurses concede a part of their
preference to resolve the scheduling conflict. This approach is useful when goals are
moderately important but not worth the potential disruption of more assertive methods.
3. According to the ‘Five Rights of Delegation,’ which factor must the nurse consider when
determining the ‘Right Circumstance’ for a task?
A. The job description and training of the unlicensed assistive personnel (UAP).
B. The health status and stability of the patient being cared for.
C. The ability of the nurse to provide clear, concise instructions for the task.
, D. The availability of the nurse to monitor the performance of the task.
Correct Answer: B
Expert Explanation: The Right Circumstance refers to the health status of the patient and
the complexity of the task in relation to the environment. Nurses must assess if the
patient’s condition is stable enough to allow a task to be safely performed by a delegatee. If
a patient is unstable, the nurse should perform the task themselves rather than delegating.
4. A nurse is teaching a group of nursing students about Lewin’s Change Theory. Which action
represents the ‘Unfreezing’ stage of this model?
A. Integrating a new electronic health record system into daily clinical practice.
B. Standardizing the new protocol as the permanent way of performing a procedure.
C. Providing education and data to staff to show why a current workflow is inefficient.
D. Evaluating the outcomes of a new policy implemented three months ago.
Correct Answer: C
Expert Explanation: Unfreezing is the first stage of Lewin’s theory, where the need for
change is identified and the status quo is challenged. This stage involves creating
motivation for change by demonstrating the necessity of moving away from current habits.
Without successful unfreezing, staff are likely to resist the transition to new practices.
5. When delegating to an unlicensed assistive personnel (UAP), which task is appropriate for
the nurse to assign?
A. Assessing a patient’s pain level 30 minutes after medication administration.
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A charge nurse is observing a newly licensed nurse who is leading a team of unlicensed
assistive personnel (UAP). Which action by the new nurse indicates an effective use of the
autocratic leadership style during a code blue situation?
A. Giving clear, concise direct orders to specific individuals to perform immediate life-
saving tasks.
B. Asking the team members for their input on which task they would prefer to perform.
C. Allowing the team to self-organize and decide who will handle the compressions.
D. Requesting a meeting after the code to discuss how the team felt about the leadership.
Correct Answer: A
Expert Explanation: The autocratic leadership style is characterized by direct control and
decision-making without input from others. This style is most effective in emergency
situations like a code blue where rapid, decisive action is required to save a life. It ensures
that critical tasks are completed immediately without the delay of consensus-building.
,2. A nurse manager is resolving a conflict between two staff nurses regarding holiday
scheduling. The manager decides to use the ‘compromising’ strategy. Which of the following
actions best illustrates this?
A. The manager tells both nurses they must work their assigned shifts without further
discussion.
B. The manager asks both nurses to give up a portion of their preferred time off to reach a
middle ground.
C. The manager ignores the conflict and hopes the nurses will settle it between themselves.
D. The manager gives one nurse the entire holiday off and requires the other to work the
double shift.
Correct Answer: B
Expert Explanation: Compromising involves each party giving up something of value to
reach a mutually acceptable agreement. In this scenario, both nurses concede a part of their
preference to resolve the scheduling conflict. This approach is useful when goals are
moderately important but not worth the potential disruption of more assertive methods.
3. According to the ‘Five Rights of Delegation,’ which factor must the nurse consider when
determining the ‘Right Circumstance’ for a task?
A. The job description and training of the unlicensed assistive personnel (UAP).
B. The health status and stability of the patient being cared for.
C. The ability of the nurse to provide clear, concise instructions for the task.
, D. The availability of the nurse to monitor the performance of the task.
Correct Answer: B
Expert Explanation: The Right Circumstance refers to the health status of the patient and
the complexity of the task in relation to the environment. Nurses must assess if the
patient’s condition is stable enough to allow a task to be safely performed by a delegatee. If
a patient is unstable, the nurse should perform the task themselves rather than delegating.
4. A nurse is teaching a group of nursing students about Lewin’s Change Theory. Which action
represents the ‘Unfreezing’ stage of this model?
A. Integrating a new electronic health record system into daily clinical practice.
B. Standardizing the new protocol as the permanent way of performing a procedure.
C. Providing education and data to staff to show why a current workflow is inefficient.
D. Evaluating the outcomes of a new policy implemented three months ago.
Correct Answer: C
Expert Explanation: Unfreezing is the first stage of Lewin’s theory, where the need for
change is identified and the status quo is challenged. This stage involves creating
motivation for change by demonstrating the necessity of moving away from current habits.
Without successful unfreezing, staff are likely to resist the transition to new practices.
5. When delegating to an unlicensed assistive personnel (UAP), which task is appropriate for
the nurse to assign?
A. Assessing a patient’s pain level 30 minutes after medication administration.
