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 is utilizing a leadership style that focuses on the development of staff,
inspires a shared vision, and encourages employees to transcend their own interests for the
sake of the team. Which leadership style is being demonstrated?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Transformational Leadership
D. Autocratic Leadership
Correct Answer: C
Explanation: Transformational leadership is characterized by a leader who motivates and
inspires followers to achieve higher levels of performance. This style focuses on long-term
goals and building relationships rather than immediate rewards or punishments. It is
considered highly effective in nursing for improving patient outcomes and staff retention.
2. A patient refuses to undergo a life-saving blood transfusion due to religious beliefs. The
nurse supports the patient’s decision even though they disagree. Which ethical principle is
the nurse upholding?
A. Beneficence
,B. Autonomy
C. Nonmaleficence
D. Justice
Correct Answer: B
Explanation: Autonomy refers to the right of an individual to make their own healthcare
decisions. The nurse’s role is to ensure the patient has the information necessary to make
an informed choice. Even when the choice conflicts with medical advice, the nurse must
respect the patient’s self-determination.
3. A nurse is teaching a group of students about the foundational ethical principles in
healthcare. Which of the following concepts are considered core bioethical principles? Select
all that apply.
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
E. Fidelity
F. Paternalism
Correct Answer: A,B,C,D,E
, Explanation: The primary bioethical principles include autonomy, beneficence,
nonmaleficence, and justice. Fidelity, which refers to keeping promises and being faithful to
commitments, is also a core professional ethical standard. Paternalism is generally viewed
negatively as it involves overriding a patient’s autonomy for what the provider believes is
best.
4. A healthcare organization is undergoing a major transition to a new electronic health
record system. According to Lewin’s Change Theory, what is the first stage the nurse leader
must facilitate?
A. Unfreezing
B. Refreezing
C. Moving
D. Implementing
Correct Answer: A
Explanation: Unfreezing is the initial stage where the leader creates the motivation for
change by helping others let go of old patterns. This involves identifying the need for
change and overcoming resistance. Without successful unfreezing, the organization is likely
to revert to old behaviors.
5. A hospital committee is comparing its patient fall rates against the national average of
high-performing hospitals. This process is known as:
A. Gap analysis
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 1) | Grand Canyon
University
1. A nurse manager is utilizing a leadership style that focuses on the development of staff,
inspires a shared vision, and encourages employees to transcend their own interests for the
sake of the team. Which leadership style is being demonstrated?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Transformational Leadership
D. Autocratic Leadership
Correct Answer: C
Explanation: Transformational leadership is characterized by a leader who motivates and
inspires followers to achieve higher levels of performance. This style focuses on long-term
goals and building relationships rather than immediate rewards or punishments. It is
considered highly effective in nursing for improving patient outcomes and staff retention.
2. A patient refuses to undergo a life-saving blood transfusion due to religious beliefs. The
nurse supports the patient’s decision even though they disagree. Which ethical principle is
the nurse upholding?
A. Beneficence
,B. Autonomy
C. Nonmaleficence
D. Justice
Correct Answer: B
Explanation: Autonomy refers to the right of an individual to make their own healthcare
decisions. The nurse’s role is to ensure the patient has the information necessary to make
an informed choice. Even when the choice conflicts with medical advice, the nurse must
respect the patient’s self-determination.
3. A nurse is teaching a group of students about the foundational ethical principles in
healthcare. Which of the following concepts are considered core bioethical principles? Select
all that apply.
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
E. Fidelity
F. Paternalism
Correct Answer: A,B,C,D,E
, Explanation: The primary bioethical principles include autonomy, beneficence,
nonmaleficence, and justice. Fidelity, which refers to keeping promises and being faithful to
commitments, is also a core professional ethical standard. Paternalism is generally viewed
negatively as it involves overriding a patient’s autonomy for what the provider believes is
best.
4. A healthcare organization is undergoing a major transition to a new electronic health
record system. According to Lewin’s Change Theory, what is the first stage the nurse leader
must facilitate?
A. Unfreezing
B. Refreezing
C. Moving
D. Implementing
Correct Answer: A
Explanation: Unfreezing is the initial stage where the leader creates the motivation for
change by helping others let go of old patterns. This involves identifying the need for
change and overcoming resistance. Without successful unfreezing, the organization is likely
to revert to old behaviors.
5. A hospital committee is comparing its patient fall rates against the national average of
high-performing hospitals. This process is known as:
A. Gap analysis
