NSG 436 Exam 3 V1 | 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 described as someone who motivates staff by providing a vision for the
future and encouraging professional growth through mentorship. Which leadership style does
this represent?
A. Transformational Leadership
B. Transactional Leadership
C. Laissez-faire Leadership
D. Autocratic Leadership
Correct Answer: A
Explanation: Transformational leadership focuses on creating a shared vision and
motivating followers to exceed expectations by transforming their values and beliefs. This
style is highly effective in nursing for improving patient outcomes and staff satisfaction. It
contrasts with transactional leadership, which relies on rewards and punishments for
routine performance.
,2. Nurses are encouraged to participate in political advocacy to improve healthcare delivery.
Which of the following actions are appropriate for a nurse advocate to take? (Select All That
Apply)
A. Joining a professional nursing organization like the American Nurses Association (ANA).
B. Writing letters to local legislators regarding healthcare staffing ratios.
C. Participating in a political action committee (PAC) to support candidates.
D. Promoting personal political views to patients during bedside care.
E. Testifying at a public hearing about community health needs.
Correct Answer: A, B, C, E
Explanation: Advocacy in nursing involves influencing policy at local, state, and federal
levels to improve health outcomes. Joining professional organizations and communicating
with legislators are key strategies for professional influence. However, promoting personal
political views to patients is an ethical violation and does not constitute professional
advocacy.
3. A healthcare facility is implementing a new EHR system. The nurse manager uses Lewin’s
Change Theory to guide the staff. In which stage does the manager prepare the staff for the
change by highlighting the need for improvement?
A. Unfreezing
B. Refreezing
C. Moving
, D. Stabilizing
Correct Answer: A
Explanation: Unfreezing is the first stage of Lewin’s theory where the need for change is
identified and resistance is addressed. This stage involves breaking down old habits and
mentalities to prepare for new ways of working. It is essential for ensuring that staff are
psychologically ready for the transition.
4. A nurse respects a patient’s decision to refuse a life-saving blood transfusion due to
religious beliefs. Which ethical principle is the nurse primarily upholding?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their medical care. Even if the nurse disagrees with the decision, they must
respect the patient’s self-determination. This principle is a cornerstone of patient-centered
care and legal rights in healthcare.
5. A nurse leader uses ‘expert power’ to influence the unit. Which characteristic best
describes this type of power?
A. Power derived from a formal position or title.
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 3) |
Grand Canyon University
1. A nurse manager is described as someone who motivates staff by providing a vision for the
future and encouraging professional growth through mentorship. Which leadership style does
this represent?
A. Transformational Leadership
B. Transactional Leadership
C. Laissez-faire Leadership
D. Autocratic Leadership
Correct Answer: A
Explanation: Transformational leadership focuses on creating a shared vision and
motivating followers to exceed expectations by transforming their values and beliefs. This
style is highly effective in nursing for improving patient outcomes and staff satisfaction. It
contrasts with transactional leadership, which relies on rewards and punishments for
routine performance.
,2. Nurses are encouraged to participate in political advocacy to improve healthcare delivery.
Which of the following actions are appropriate for a nurse advocate to take? (Select All That
Apply)
A. Joining a professional nursing organization like the American Nurses Association (ANA).
B. Writing letters to local legislators regarding healthcare staffing ratios.
C. Participating in a political action committee (PAC) to support candidates.
D. Promoting personal political views to patients during bedside care.
E. Testifying at a public hearing about community health needs.
Correct Answer: A, B, C, E
Explanation: Advocacy in nursing involves influencing policy at local, state, and federal
levels to improve health outcomes. Joining professional organizations and communicating
with legislators are key strategies for professional influence. However, promoting personal
political views to patients is an ethical violation and does not constitute professional
advocacy.
3. A healthcare facility is implementing a new EHR system. The nurse manager uses Lewin’s
Change Theory to guide the staff. In which stage does the manager prepare the staff for the
change by highlighting the need for improvement?
A. Unfreezing
B. Refreezing
C. Moving
, D. Stabilizing
Correct Answer: A
Explanation: Unfreezing is the first stage of Lewin’s theory where the need for change is
identified and resistance is addressed. This stage involves breaking down old habits and
mentalities to prepare for new ways of working. It is essential for ensuring that staff are
psychologically ready for the transition.
4. A nurse respects a patient’s decision to refuse a life-saving blood transfusion due to
religious beliefs. Which ethical principle is the nurse primarily upholding?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their medical care. Even if the nurse disagrees with the decision, they must
respect the patient’s self-determination. This principle is a cornerstone of patient-centered
care and legal rights in healthcare.
5. A nurse leader uses ‘expert power’ to influence the unit. Which characteristic best
describes this type of power?
A. Power derived from a formal position or title.
