NSG 436 Exam 4 V1 | NSG 436 Leadership, Ethics,
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 4) | Grand Canyon
University
1. A nurse manager is implementing a new evidence-based practice protocol. Which
leadership style is most likely to inspire the staff and create a shared vision for change?
A. Transactional Leadership
B. Autocratic Leadership
C. Laissez-faire Leadership
D. Transformational Leadership
Correct Answer: D
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision. It encourages innovation and personal growth
among team members to achieve organizational goals. This style is highly effective in
navigating complex changes in healthcare environments.
2. When addressing a patient’s refusal of a life-saving blood transfusion due to religious
beliefs, which ethical principle is the nurse primarily upholding?
A. Autonomy
B. Beneficence
C. Justice
,D. Non-maleficence
Correct Answer: A
Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their medical care. Even if the healthcare team disagrees with the choice, they
must respect the competent patient’s right to refuse treatment. This principle is
fundamental to patient-centered care and informed consent.
3. A nurse manager is resolving a conflict between two staff members. Which of the following
are recognized conflict management strategies? (Select All That Apply)
A. Avoiding
B. Accommodating
C. Compromising
D. Collaborating
E. Competing
F. Smoothing
Correct Answer: A,B,C,D,E,F
Explanation: Conflict management involves various strategies depending on the situation
and the importance of the relationship. Collaborating seeks a win-win solution, while
compromising involves both parties giving up something. Understanding these diverse
approaches allows leaders to select the most effective tool for specific unit dynamics.
, 4. Under the Health Insurance Portability and Accountability Act (HIPAA), which action by a
nurse constitutes a violation?
A. Accessing the medical record of a patient not assigned to the nurse out of curiosity.
B. Discussing a patient’s condition with the consulting physician in a private office.
C. Sharing patient status with a designated family spokesperson.
D. Using a password-protected computer to document care.
Correct Answer: A
Explanation: Accessing records without a professional ‘need to know’ is a direct violation
of HIPAA privacy regulations. Nurses must only access information required to perform
their specific job duties for assigned patients. Unauthorized access can lead to legal action,
fines, and termination of employment.
5. A quality improvement team is using the Plan-Do-Study-Act (PDSA) cycle. What occurs
during the ‘Study’ phase?
A. Analyzing the data and comparing it to predictions.
B. Identifying the problem and planning data collection.
C. Implementing the change on a small scale.
D. Formally adopting the change into the system.
Correct Answer: A
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 4) | Grand Canyon
University
1. A nurse manager is implementing a new evidence-based practice protocol. Which
leadership style is most likely to inspire the staff and create a shared vision for change?
A. Transactional Leadership
B. Autocratic Leadership
C. Laissez-faire Leadership
D. Transformational Leadership
Correct Answer: D
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision. It encourages innovation and personal growth
among team members to achieve organizational goals. This style is highly effective in
navigating complex changes in healthcare environments.
2. When addressing a patient’s refusal of a life-saving blood transfusion due to religious
beliefs, which ethical principle is the nurse primarily upholding?
A. Autonomy
B. Beneficence
C. Justice
,D. Non-maleficence
Correct Answer: A
Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their medical care. Even if the healthcare team disagrees with the choice, they
must respect the competent patient’s right to refuse treatment. This principle is
fundamental to patient-centered care and informed consent.
3. A nurse manager is resolving a conflict between two staff members. Which of the following
are recognized conflict management strategies? (Select All That Apply)
A. Avoiding
B. Accommodating
C. Compromising
D. Collaborating
E. Competing
F. Smoothing
Correct Answer: A,B,C,D,E,F
Explanation: Conflict management involves various strategies depending on the situation
and the importance of the relationship. Collaborating seeks a win-win solution, while
compromising involves both parties giving up something. Understanding these diverse
approaches allows leaders to select the most effective tool for specific unit dynamics.
, 4. Under the Health Insurance Portability and Accountability Act (HIPAA), which action by a
nurse constitutes a violation?
A. Accessing the medical record of a patient not assigned to the nurse out of curiosity.
B. Discussing a patient’s condition with the consulting physician in a private office.
C. Sharing patient status with a designated family spokesperson.
D. Using a password-protected computer to document care.
Correct Answer: A
Explanation: Accessing records without a professional ‘need to know’ is a direct violation
of HIPAA privacy regulations. Nurses must only access information required to perform
their specific job duties for assigned patients. Unauthorized access can lead to legal action,
fines, and termination of employment.
5. A quality improvement team is using the Plan-Do-Study-Act (PDSA) cycle. What occurs
during the ‘Study’ phase?
A. Analyzing the data and comparing it to predictions.
B. Identifying the problem and planning data collection.
C. Implementing the change on a small scale.
D. Formally adopting the change into the system.
Correct Answer: A
