NSG 436 Exam 3 V2 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 3) |
Grand Canyon University
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which leadership style is most effective for fostering long-term commitment and inspiring
staff to embrace the change?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Transactional leadership
Correct Answer: C
Explanation: Transformational leadership is characterized by inspiring and motivating
followers to achieve extraordinary outcomes by internalizing the vision of the organization.
This style focuses on building relationships and empowering staff, which is essential for
successful change management. Unlike transactional leadership, which relies on rewards
and punishments, transformational leaders encourage professional growth and innovation.
,2. An ICU nurse is caring for a patient whose family disagrees with the patient’s advanced
directive. The nurse advocates for the patient’s right to refuse treatment based on the
principle of:
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of an individual to make their own decisions
regarding their healthcare and body. In this scenario, the nurse is upholding the patient’s
self-determination as documented in their legal advanced directive. Respecting autonomy
ensures that the patient’s values and wishes remain the priority despite external pressures
from family members.
3. The American Nurses Credentialing Center (ANCC) Magnet Recognition Program identifies
five essential components of the Magnet Model. Which of the following are included in this
model? Select all that apply.
A. Transformational Leadership
B. Structural Empowerment
C. Exemplary Professional Practice
D. New Knowledge, Innovations, and Improvements
,E. Empirical Quality Results
F. Centralized Control of Clinical Decision-making
Correct Answer: A, B, C, D, E
Explanation: The Magnet Model consists of five key components: Transformational
Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge,
Innovations, and Improvements, and Empirical Quality Results. These components focus on
excellence in nursing leadership, clinical practice, and patient outcomes. Centralized
control is actually discouraged in favor of shared governance and decentralized decision-
making in Magnet-designated facilities.
4. When applying the principle of Justice in healthcare resource allocation, the nurse leader
should ensure that:
A. Resources are given only to those who can pay for them.
B. The nurse’s personal preferences guide the distribution.
C. The most difficult patients receive fewer resources to save time.
D. Resources are distributed fairly and equitably among all patients.
Correct Answer: D
Explanation: Justice in healthcare ethics refers to the fair and equitable distribution of
benefits, risks, and costs. It requires that patients in similar circumstances receive similar
care and that resources are allocated based on need rather than socioeconomic status. The
, nurse leader must advocate for systems that prevent discrimination and ensure all patients
have access to necessary services.
5. Which healthcare policy legislation was primarily designed to expand insurance coverage
to millions of uninsured Americans and improve the quality of care?
A. Health Insurance Portability and Accountability Act (HIPAA)
B. Patient Protection and Affordable Care Act (ACA)
C. Emergency Medical Treatment and Labor Act (EMTALA)
D. Social Security Act of 1965
Correct Answer: B
Explanation: The Affordable Care Act (ACA) was enacted in 2010 to increase the quality
and affordability of health insurance. It aimed to decrease the number of uninsured
individuals through mandates, subsidies, and insurance exchanges. While HIPAA focuses on
privacy and EMTALA focuses on emergency access, the ACA specifically targeted systemic
coverage expansion.
6. A nurse is involved in a conflict with a physician regarding a patient’s care plan. The nurse
chooses to use a ‘collaborating’ strategy. This approach is best described as:
A. One party yields to the other to maintain harmony.
B. Each party gives up something of value to reach an agreement.
C. Both parties work together to find a mutually satisfying solution.
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 3) |
Grand Canyon University
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which leadership style is most effective for fostering long-term commitment and inspiring
staff to embrace the change?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Transactional leadership
Correct Answer: C
Explanation: Transformational leadership is characterized by inspiring and motivating
followers to achieve extraordinary outcomes by internalizing the vision of the organization.
This style focuses on building relationships and empowering staff, which is essential for
successful change management. Unlike transactional leadership, which relies on rewards
and punishments, transformational leaders encourage professional growth and innovation.
,2. An ICU nurse is caring for a patient whose family disagrees with the patient’s advanced
directive. The nurse advocates for the patient’s right to refuse treatment based on the
principle of:
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of an individual to make their own decisions
regarding their healthcare and body. In this scenario, the nurse is upholding the patient’s
self-determination as documented in their legal advanced directive. Respecting autonomy
ensures that the patient’s values and wishes remain the priority despite external pressures
from family members.
3. The American Nurses Credentialing Center (ANCC) Magnet Recognition Program identifies
five essential components of the Magnet Model. Which of the following are included in this
model? Select all that apply.
A. Transformational Leadership
B. Structural Empowerment
C. Exemplary Professional Practice
D. New Knowledge, Innovations, and Improvements
,E. Empirical Quality Results
F. Centralized Control of Clinical Decision-making
Correct Answer: A, B, C, D, E
Explanation: The Magnet Model consists of five key components: Transformational
Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge,
Innovations, and Improvements, and Empirical Quality Results. These components focus on
excellence in nursing leadership, clinical practice, and patient outcomes. Centralized
control is actually discouraged in favor of shared governance and decentralized decision-
making in Magnet-designated facilities.
4. When applying the principle of Justice in healthcare resource allocation, the nurse leader
should ensure that:
A. Resources are given only to those who can pay for them.
B. The nurse’s personal preferences guide the distribution.
C. The most difficult patients receive fewer resources to save time.
D. Resources are distributed fairly and equitably among all patients.
Correct Answer: D
Explanation: Justice in healthcare ethics refers to the fair and equitable distribution of
benefits, risks, and costs. It requires that patients in similar circumstances receive similar
care and that resources are allocated based on need rather than socioeconomic status. The
, nurse leader must advocate for systems that prevent discrimination and ensure all patients
have access to necessary services.
5. Which healthcare policy legislation was primarily designed to expand insurance coverage
to millions of uninsured Americans and improve the quality of care?
A. Health Insurance Portability and Accountability Act (HIPAA)
B. Patient Protection and Affordable Care Act (ACA)
C. Emergency Medical Treatment and Labor Act (EMTALA)
D. Social Security Act of 1965
Correct Answer: B
Explanation: The Affordable Care Act (ACA) was enacted in 2010 to increase the quality
and affordability of health insurance. It aimed to decrease the number of uninsured
individuals through mandates, subsidies, and insurance exchanges. While HIPAA focuses on
privacy and EMTALA focuses on emergency access, the ACA specifically targeted systemic
coverage expansion.
6. A nurse is involved in a conflict with a physician regarding a patient’s care plan. The nurse
chooses to use a ‘collaborating’ strategy. This approach is best described as:
A. One party yields to the other to maintain harmony.
B. Each party gives up something of value to reach an agreement.
C. Both parties work together to find a mutually satisfying solution.
