NSG 436 Exam 2 V1 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 2) |
Grand Canyon University
1. A nurse manager is utilizing transformational leadership to improve unit morale. Which
action by the manager best exemplifies this leadership style?
A. Offering a financial bonus to nurses who have no absences for six months.
B. Setting clear performance standards and strictly enforcing disciplinary actions.
C. Maintaining a hands-off approach and allowing the staff to self-govern without
interference.
D. Encouraging staff to share their vision for the unit’s future and fostering professional
growth.
Correct Answer: D
Explanation: Transformational leadership focuses on inspiring and motivating followers
to achieve extraordinary outcomes. This style emphasizes intellectual stimulation,
individualized consideration, and idealized influence. By involving staff in the vision, the
leader fosters a sense of commitment and shared purpose within the organization.
,2. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. Which ethical principle is the nurse primarily upholding by respecting the patient’s
decision?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Correct Answer: C
Explanation: Autonomy refers to the right of patients to make their own decisions about
their medical care without being influenced by others. In this scenario, the nurse respects
the patient’s self-determination even if it conflicts with medical advice. This principle is
fundamental to patient-centered care and legal requirements for informed consent.
3. Advocacy is a critical role for the professional nurse leader. Which of the following actions
are considered forms of policy-level advocacy? (Select all that apply.)
A. Lobbying state legislators regarding nurse-to-patient ratio bills.
B. Participating in a professional nursing organization’s legislative day.
C. Assisting a patient in understanding their insurance benefits.
D. Writing an op-ed piece for a local newspaper about community health needs.
E. Providing testimony at a public hearing regarding healthcare access.
, F. Reporting a medication error to the hospital’s quality department.
Correct Answer: A, B, D, E
Explanation: Policy-level advocacy involves activities that influence legislation,
regulations, and systems beyond the individual patient level. Examples include direct
communication with lawmakers, public speaking on health issues, and active involvement
in professional organizations. While patient advocacy is vital at the bedside, policy
advocacy seeks to improve the health environment for entire populations.
4. A nurse manager is addressing a conflict between two staff members regarding scheduling.
The manager chooses a ‘competing’ conflict resolution strategy. What is the most likely
outcome?
A. One party will win at the total expense of the other.
B. Both parties will find a mutually beneficial solution.
C. Both parties will give up something to reach an agreement.
D. The manager will ignore the issue until it resolves itself.
Correct Answer: A
Explanation: The competing strategy is a win-lose approach where one individual pursues
their own goals at the expense of others. It is often used when quick, decisive action is
necessary or when an unpopular decision must be implemented. However, it can lead to
resentment and decreased morale among the ‘losing’ party.
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 2) |
Grand Canyon University
1. A nurse manager is utilizing transformational leadership to improve unit morale. Which
action by the manager best exemplifies this leadership style?
A. Offering a financial bonus to nurses who have no absences for six months.
B. Setting clear performance standards and strictly enforcing disciplinary actions.
C. Maintaining a hands-off approach and allowing the staff to self-govern without
interference.
D. Encouraging staff to share their vision for the unit’s future and fostering professional
growth.
Correct Answer: D
Explanation: Transformational leadership focuses on inspiring and motivating followers
to achieve extraordinary outcomes. This style emphasizes intellectual stimulation,
individualized consideration, and idealized influence. By involving staff in the vision, the
leader fosters a sense of commitment and shared purpose within the organization.
,2. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. Which ethical principle is the nurse primarily upholding by respecting the patient’s
decision?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Correct Answer: C
Explanation: Autonomy refers to the right of patients to make their own decisions about
their medical care without being influenced by others. In this scenario, the nurse respects
the patient’s self-determination even if it conflicts with medical advice. This principle is
fundamental to patient-centered care and legal requirements for informed consent.
3. Advocacy is a critical role for the professional nurse leader. Which of the following actions
are considered forms of policy-level advocacy? (Select all that apply.)
A. Lobbying state legislators regarding nurse-to-patient ratio bills.
B. Participating in a professional nursing organization’s legislative day.
C. Assisting a patient in understanding their insurance benefits.
D. Writing an op-ed piece for a local newspaper about community health needs.
E. Providing testimony at a public hearing regarding healthcare access.
, F. Reporting a medication error to the hospital’s quality department.
Correct Answer: A, B, D, E
Explanation: Policy-level advocacy involves activities that influence legislation,
regulations, and systems beyond the individual patient level. Examples include direct
communication with lawmakers, public speaking on health issues, and active involvement
in professional organizations. While patient advocacy is vital at the bedside, policy
advocacy seeks to improve the health environment for entire populations.
4. A nurse manager is addressing a conflict between two staff members regarding scheduling.
The manager chooses a ‘competing’ conflict resolution strategy. What is the most likely
outcome?
A. One party will win at the total expense of the other.
B. Both parties will find a mutually beneficial solution.
C. Both parties will give up something to reach an agreement.
D. The manager will ignore the issue until it resolves itself.
Correct Answer: A
Explanation: The competing strategy is a win-lose approach where one individual pursues
their own goals at the expense of others. It is often used when quick, decisive action is
necessary or when an unpopular decision must be implemented. However, it can lead to
resentment and decreased morale among the ‘losing’ party.
