NSG 436 Exam 1 V2 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 1) |
Grand Canyon University
1. A nurse manager demonstrates transformational leadership by involving the staff in
decision-making and encouraging professional growth. Which characteristic best identifies
this leadership style?
A. Focusing on maintaining the status quo and correcting deviations.
B. Using rewards and punishments to control staff behavior.
C. Empowering others to achieve a shared vision through inspiration.
D. Making all decisions independently to ensure unit efficiency.
Correct Answer: C
Explanation: Transformational leadership focuses on building relationships and
motivating staff to achieve a shared vision. This style is characterized by intellectual
stimulation and individualized consideration for employees. By empowering staff, the
leader fosters an environment of innovation and professional growth.
,2. Ethical principles are fundamental to nursing practice. When a nurse provides a patient
with all the necessary information to make a decision about surgery, which principle is being
upheld? (Select All That Apply)
A. Autonomy
B. Fidelity
C. Veracity
D. Non-maleficence
E. Beneficence
F. Justice
Correct Answer: A, C
Explanation: Autonomy refers to the patient’s right to self-determination and making their
own healthcare choices. Veracity involves the nurse’s duty to tell the truth and provide
honest information to the patient. By ensuring the patient is fully informed, the nurse
respects their right to decide while maintaining professional integrity.
3. A nurse is caring for a terminally ill patient who wishes to stop further treatment. The
family, however, insists that the medical team ‘do everything.’ Which ethical conflict is the
nurse primarily facing?
A. Paternalism vs. Autonomy
B. Beneficence vs. Justice
, C. Non-maleficence vs. Fidelity
D. Veracity vs. Confidentiality
Correct Answer: A
Explanation: This situation represents a conflict between paternalism (the family/medical
team deciding what is best) and autonomy (the patient’s right to choose). The nurse must
advocate for the patient’s wishes even when they conflict with the family’s desires.
Resolving this requires ethical deliberation and often the involvement of an ethics
committee.
4. The Patient Protection and Affordable Care Act (ACA) was designed to improve healthcare
access. Which of the following are primary components of this legislation? (Select All That
Apply)
A. Expansion of Medicaid eligibility
B. Mandating that all employers provide private insurance
C. Prohibiting insurance companies from denying coverage for pre-existing conditions
D. Creation of health insurance marketplaces
E. Eliminating the Medicare program
Correct Answer: A, C, D
Explanation: The ACA aimed to decrease the number of uninsured Americans by
expanding Medicaid and creating competitive marketplaces. It also introduced critical
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 1) |
Grand Canyon University
1. A nurse manager demonstrates transformational leadership by involving the staff in
decision-making and encouraging professional growth. Which characteristic best identifies
this leadership style?
A. Focusing on maintaining the status quo and correcting deviations.
B. Using rewards and punishments to control staff behavior.
C. Empowering others to achieve a shared vision through inspiration.
D. Making all decisions independently to ensure unit efficiency.
Correct Answer: C
Explanation: Transformational leadership focuses on building relationships and
motivating staff to achieve a shared vision. This style is characterized by intellectual
stimulation and individualized consideration for employees. By empowering staff, the
leader fosters an environment of innovation and professional growth.
,2. Ethical principles are fundamental to nursing practice. When a nurse provides a patient
with all the necessary information to make a decision about surgery, which principle is being
upheld? (Select All That Apply)
A. Autonomy
B. Fidelity
C. Veracity
D. Non-maleficence
E. Beneficence
F. Justice
Correct Answer: A, C
Explanation: Autonomy refers to the patient’s right to self-determination and making their
own healthcare choices. Veracity involves the nurse’s duty to tell the truth and provide
honest information to the patient. By ensuring the patient is fully informed, the nurse
respects their right to decide while maintaining professional integrity.
3. A nurse is caring for a terminally ill patient who wishes to stop further treatment. The
family, however, insists that the medical team ‘do everything.’ Which ethical conflict is the
nurse primarily facing?
A. Paternalism vs. Autonomy
B. Beneficence vs. Justice
, C. Non-maleficence vs. Fidelity
D. Veracity vs. Confidentiality
Correct Answer: A
Explanation: This situation represents a conflict between paternalism (the family/medical
team deciding what is best) and autonomy (the patient’s right to choose). The nurse must
advocate for the patient’s wishes even when they conflict with the family’s desires.
Resolving this requires ethical deliberation and often the involvement of an ethics
committee.
4. The Patient Protection and Affordable Care Act (ACA) was designed to improve healthcare
access. Which of the following are primary components of this legislation? (Select All That
Apply)
A. Expansion of Medicaid eligibility
B. Mandating that all employers provide private insurance
C. Prohibiting insurance companies from denying coverage for pre-existing conditions
D. Creation of health insurance marketplaces
E. Eliminating the Medicare program
Correct Answer: A, C, D
Explanation: The ACA aimed to decrease the number of uninsured Americans by
expanding Medicaid and creating competitive marketplaces. It also introduced critical
