NR 446 Collaborative Healthcare Week 9 Study Guide 2026
|Chamberlain College
1. A nurse manager is utilizing transformational leadership. Which action best
demonstrates this style?
A. Empowering staff to participate in the unit’s long-term vision
B. Focusing on day-to-day operations and maintenance
C. Rewarding staff for working extra shifts with bonuses
D. Using a hands-off approach and letting the team make all decisions
Answer: A
Rationale: Transformational leadership focuses on inspiration, vision, and empowering
staff, whereas transactional focuses on rewards and laissez-faire is hands-off.
2. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right diagnosis
B. Right financial reimbursement
C. Right medication dose
D. Right supervision and evaluation
Answer: D
Rationale: The Five Rights include Right Task, Circumstance, Person,
Communication/Direction, and Supervision/Evaluation.
,3. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient who is 1 day post-op and reports new onset shortness of breath
B. A patient with a scheduled dressing change in one hour
C. A patient requesting a PRN pain medication for chronic back pain
D. A patient who needs discharge teaching for insulin administration
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new onset shortness of breath is the highest priority.
4. In a collaborative healthcare environment, what is the primary goal of Case
Management?
A. To ensure high-quality care while managing resources and costs
B. To provide 24-hour bedside nursing care
C. To replace the role of the primary physician
D. To focus solely on the patient’s emotional well-being
Answer: A
Rationale: Case management aims to coordinate care efficiently, ensuring quality and cost-
effectiveness through the continuum of care.
5. A nurse is resolving a conflict using the ‘collaborating’ strategy. Which action
describes this?
A. Both parties work together to find a win-win solution
B. Both parties ignore the issue until it goes away
C. One party yields to the other to maintain harmony
D. One party uses power to force a decision
Answer: A
Rationale: Collaboration is a win-win strategy where both parties work together to
address concerns and find a mutually satisfying solution.
, 6. Which ethical principle is defined as ‘the duty to do good’?
A. Non-maleficence
B. Justice
C. Beneficence
D. Autonomy
Answer: C
Rationale: Beneficence refers to taking positive actions to help others and doing good.
7. Which task is most appropriate for the RN to delegate to a Licensed Practical
Nurse (LPN)?
A. Performing an admission assessment on a new patient
B. Administering an IV push cardiac medication
C. Providing stoma care for a patient with an established colostomy
D. Developing a plan of care for a patient with complex needs
Answer: C
Rationale: LPNs can perform routine tasks like stoma care for stable patients; assessments
and IV push meds are typically RN responsibilities.
8. What is the first step in the Quality Improvement (QI) process?
A. Implementing a new policy
B. Collecting data on current performance
C. Identifying a problem or area for improvement
D. Evaluating the effectiveness of a change
Answer: C
Rationale: The QI process begins with identifying a specific problem or opportunity for
improvement.
|Chamberlain College
1. A nurse manager is utilizing transformational leadership. Which action best
demonstrates this style?
A. Empowering staff to participate in the unit’s long-term vision
B. Focusing on day-to-day operations and maintenance
C. Rewarding staff for working extra shifts with bonuses
D. Using a hands-off approach and letting the team make all decisions
Answer: A
Rationale: Transformational leadership focuses on inspiration, vision, and empowering
staff, whereas transactional focuses on rewards and laissez-faire is hands-off.
2. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right diagnosis
B. Right financial reimbursement
C. Right medication dose
D. Right supervision and evaluation
Answer: D
Rationale: The Five Rights include Right Task, Circumstance, Person,
Communication/Direction, and Supervision/Evaluation.
,3. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient who is 1 day post-op and reports new onset shortness of breath
B. A patient with a scheduled dressing change in one hour
C. A patient requesting a PRN pain medication for chronic back pain
D. A patient who needs discharge teaching for insulin administration
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new onset shortness of breath is the highest priority.
4. In a collaborative healthcare environment, what is the primary goal of Case
Management?
A. To ensure high-quality care while managing resources and costs
B. To provide 24-hour bedside nursing care
C. To replace the role of the primary physician
D. To focus solely on the patient’s emotional well-being
Answer: A
Rationale: Case management aims to coordinate care efficiently, ensuring quality and cost-
effectiveness through the continuum of care.
5. A nurse is resolving a conflict using the ‘collaborating’ strategy. Which action
describes this?
A. Both parties work together to find a win-win solution
B. Both parties ignore the issue until it goes away
C. One party yields to the other to maintain harmony
D. One party uses power to force a decision
Answer: A
Rationale: Collaboration is a win-win strategy where both parties work together to
address concerns and find a mutually satisfying solution.
, 6. Which ethical principle is defined as ‘the duty to do good’?
A. Non-maleficence
B. Justice
C. Beneficence
D. Autonomy
Answer: C
Rationale: Beneficence refers to taking positive actions to help others and doing good.
7. Which task is most appropriate for the RN to delegate to a Licensed Practical
Nurse (LPN)?
A. Performing an admission assessment on a new patient
B. Administering an IV push cardiac medication
C. Providing stoma care for a patient with an established colostomy
D. Developing a plan of care for a patient with complex needs
Answer: C
Rationale: LPNs can perform routine tasks like stoma care for stable patients; assessments
and IV push meds are typically RN responsibilities.
8. What is the first step in the Quality Improvement (QI) process?
A. Implementing a new policy
B. Collecting data on current performance
C. Identifying a problem or area for improvement
D. Evaluating the effectiveness of a change
Answer: C
Rationale: The QI process begins with identifying a specific problem or opportunity for
improvement.
