NR 446 Collaborative Healthcare Week 3 Study Guide 2026
|Chamberlain College
1. Which action is a priority for a nurse when managing a client with a sudden
change in mental status?
A. Document the findings in the electronic health record.
B. Review the client’s past medical history.
C. Notify the healthcare provider immediately.
D. Assess the client’s airway, breathing, and circulation.
Answer: D
Rationale: According to the ABC (Airway, Breathing, Circulation) framework, assessment
of these vital functions takes priority over notification or documentation when a client’s
condition changes acutely.
2. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for delegation?
A. Evaluating a client’s response to pain medication.
B. Teaching a client how to use an incentive spirometer.
C. Assisting a stable client with ambulation.
D. Assessing the skin integrity of a new admission.
Answer: C
Rationale: UAPs can perform routine tasks for stable clients, such as ambulation.
Assessment, evaluation, and teaching are responsibilities that must be performed by a
licensed nurse.
,3. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the team?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leaders maintain control and make decisions without staff input,
which is useful in emergency situations but can decrease morale in routine care.
4. In the SBAR communication tool, which component involves the nurse
suggesting a specific action to the healthcare provider?
A. Situation
B. Background
C. Recommendation
D. Assessment
Answer: C
Rationale: The ‘R’ in SBAR stands for Recommendation, where the nurse suggests what
they think needs to be done for the patient.
5. A nurse is using Lewin’s Change Theory to implement a new bedside
reporting protocol. Which stage involves creating the motivation for change?
A. Evaluating
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory, which involves identifying the
need for change and preparing the team to move away from current habits.
, 6. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
Answer: C
Rationale: Compromising is a ‘give-and-take’ approach where both parties sacrifice
something to reach a middle ground.
7. When prioritizing care for four clients, which client should the nurse see first?
A. A client with a scheduled physical therapy session in 30 minutes.
B. A client reporting a pain level of 4 out of 10.
C. A client requesting a dressing change before discharge.
D. A client who has a blood pressure of 88/50 mmHg.
Answer: D
Rationale: A blood pressure of 88/50 mmHg indicates potential instability and shock,
making this client the highest priority based on physiological stability.
8. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Developing the initial plan of care for a new client.
B. Monitoring a client’s condition after the RN performs the initial assessment.
C. Administering an intravenous push medication.
D. Performing an admission assessment on a critically ill patient.
Answer: B
Rationale: LPNs can monitor stable clients and perform data collection, but the RN is
responsible for the initial assessment and developing the care plan.
|Chamberlain College
1. Which action is a priority for a nurse when managing a client with a sudden
change in mental status?
A. Document the findings in the electronic health record.
B. Review the client’s past medical history.
C. Notify the healthcare provider immediately.
D. Assess the client’s airway, breathing, and circulation.
Answer: D
Rationale: According to the ABC (Airway, Breathing, Circulation) framework, assessment
of these vital functions takes priority over notification or documentation when a client’s
condition changes acutely.
2. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for delegation?
A. Evaluating a client’s response to pain medication.
B. Teaching a client how to use an incentive spirometer.
C. Assisting a stable client with ambulation.
D. Assessing the skin integrity of a new admission.
Answer: C
Rationale: UAPs can perform routine tasks for stable clients, such as ambulation.
Assessment, evaluation, and teaching are responsibilities that must be performed by a
licensed nurse.
,3. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the team?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leaders maintain control and make decisions without staff input,
which is useful in emergency situations but can decrease morale in routine care.
4. In the SBAR communication tool, which component involves the nurse
suggesting a specific action to the healthcare provider?
A. Situation
B. Background
C. Recommendation
D. Assessment
Answer: C
Rationale: The ‘R’ in SBAR stands for Recommendation, where the nurse suggests what
they think needs to be done for the patient.
5. A nurse is using Lewin’s Change Theory to implement a new bedside
reporting protocol. Which stage involves creating the motivation for change?
A. Evaluating
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory, which involves identifying the
need for change and preparing the team to move away from current habits.
, 6. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
Answer: C
Rationale: Compromising is a ‘give-and-take’ approach where both parties sacrifice
something to reach a middle ground.
7. When prioritizing care for four clients, which client should the nurse see first?
A. A client with a scheduled physical therapy session in 30 minutes.
B. A client reporting a pain level of 4 out of 10.
C. A client requesting a dressing change before discharge.
D. A client who has a blood pressure of 88/50 mmHg.
Answer: D
Rationale: A blood pressure of 88/50 mmHg indicates potential instability and shock,
making this client the highest priority based on physiological stability.
8. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Developing the initial plan of care for a new client.
B. Monitoring a client’s condition after the RN performs the initial assessment.
C. Administering an intravenous push medication.
D. Performing an admission assessment on a critically ill patient.
Answer: B
Rationale: LPNs can monitor stable clients and perform data collection, but the RN is
responsible for the initial assessment and developing the care plan.
