NSG 436 Exam 1 V1 | NSG 436 Leadership, Ethics,
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 1) | Grand Canyon
University
1. A nurse manager is promoting a vision of excellence in patient care and encouraging staff
members to achieve their highest potential. Which leadership style is this manager
demonstrating?
A. Transactional leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Autocratic leadership
Correct Answer: C
Explanation: Transformational leadership focuses on inspiring and motivating followers
to exceed their own self-interests for the good of the organization. This style involves
creating a shared vision and fostering a culture of innovation and empowerment. In
contrast, transactional leadership relies on rewards and punishments to manage
performance.
2. A healthcare facility is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Implementing a pilot program on one unit
,B. Updating the policy manual to reflect the new system
C. Providing training sessions for all staff members
D. Creating awareness of the need for the new system
Correct Answer: D
Explanation: The unfreezing stage involves identifying the need for change and preparing
the organization for the transition by overcoming resistance. It requires leaders to
communicate why the status quo is no longer acceptable. Once staff understand the
necessity of the change, the movement stage can begin.
3. A nurse leader is identifying characteristics of transformational leaders. Which of the
following are recognized components of this leadership model? (Select All That Apply)
A. Idealized influence
B. Inspirational motivation
C. Intellectual stimulation
D. Individualized consideration
E. Passive management-by-exception
F. Contingent reward
Correct Answer: A,B,C,D
Explanation: Transformational leadership consists of four key components often referred
to as the ‘Four Is.’ These include idealized influence (role modeling), inspirational
, motivation (articulating a vision), intellectual stimulation (challenging the status quo), and
individualized consideration (coaching). Passive management and contingent rewards are
actually associated with transactional leadership styles.
4. An elderly patient refuses a life-saving blood transfusion due to religious beliefs. The nurse
supports the patient’s decision despite personal disagreement. Which ethical principle is the
nurse upholding?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Explanation: Autonomy refers to the patient’s right to self-determination and to make
their own decisions regarding their medical care. Even if the nurse believes the decision is
detrimental to the patient’s health, they must respect the patient’s choice. This principle is
a cornerstone of modern nursing ethics and patient-centered care.
5. Which leadership theory emphasizes that there is no single best way to lead, and that the
most effective style depends on the complexity of the situation and the maturity of the
followers?
A. Trait theory
B. Behavioral theory
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 1) | Grand Canyon
University
1. A nurse manager is promoting a vision of excellence in patient care and encouraging staff
members to achieve their highest potential. Which leadership style is this manager
demonstrating?
A. Transactional leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Autocratic leadership
Correct Answer: C
Explanation: Transformational leadership focuses on inspiring and motivating followers
to exceed their own self-interests for the good of the organization. This style involves
creating a shared vision and fostering a culture of innovation and empowerment. In
contrast, transactional leadership relies on rewards and punishments to manage
performance.
2. A healthcare facility is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Implementing a pilot program on one unit
,B. Updating the policy manual to reflect the new system
C. Providing training sessions for all staff members
D. Creating awareness of the need for the new system
Correct Answer: D
Explanation: The unfreezing stage involves identifying the need for change and preparing
the organization for the transition by overcoming resistance. It requires leaders to
communicate why the status quo is no longer acceptable. Once staff understand the
necessity of the change, the movement stage can begin.
3. A nurse leader is identifying characteristics of transformational leaders. Which of the
following are recognized components of this leadership model? (Select All That Apply)
A. Idealized influence
B. Inspirational motivation
C. Intellectual stimulation
D. Individualized consideration
E. Passive management-by-exception
F. Contingent reward
Correct Answer: A,B,C,D
Explanation: Transformational leadership consists of four key components often referred
to as the ‘Four Is.’ These include idealized influence (role modeling), inspirational
, motivation (articulating a vision), intellectual stimulation (challenging the status quo), and
individualized consideration (coaching). Passive management and contingent rewards are
actually associated with transactional leadership styles.
4. An elderly patient refuses a life-saving blood transfusion due to religious beliefs. The nurse
supports the patient’s decision despite personal disagreement. Which ethical principle is the
nurse upholding?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Explanation: Autonomy refers to the patient’s right to self-determination and to make
their own decisions regarding their medical care. Even if the nurse believes the decision is
detrimental to the patient’s health, they must respect the patient’s choice. This principle is
a cornerstone of modern nursing ethics and patient-centered care.
5. Which leadership theory emphasizes that there is no single best way to lead, and that the
most effective style depends on the complexity of the situation and the maturity of the
followers?
A. Trait theory
B. Behavioral theory
