NSG 436 Final Exam V1 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Final Exam) | Grand Canyon
University
1. Which of the following characteristics are associated with transformational leadership in
nursing? (Select all that apply)
A. Intellectual stimulation
B. Individualized consideration
C. Inspirational motivation
D. Contingent reward
E. Idealized influence
F. Management by exception
Correct Answer: A, B, C, E
Explanation: Transformational leaders use intellectual stimulation to encourage creativity
and innovation among their staff. They also provide individualized consideration by acting
as mentors and recognizing the unique needs of each team member. Finally, they utilize
inspirational motivation and idealized influence to serve as role models, whereas
contingent reward and management by exception are traits of transactional leadership.
,2. A nurse manager is resolving a conflict between two staff members. Which approach
represents the ‘collaborating’ conflict resolution style?
A. One party neglects their own needs to satisfy the other.
B. Both parties give up something of value to reach a middle ground.
C. All parties work together to find a mutually satisfying solution.
D. One party uses power to force a solution on the other.
Correct Answer: C
Explanation: Collaboration involves an assertive and cooperative process where all parties
work together to find a win-win solution. This style focuses on open communication and
shared problem-solving to address the root causes of the conflict. It is considered the most
effective long-term strategy for maintaining healthy professional relationships in health
care settings.
3. Which ethical principle is most directly applied when a nurse provides all relevant
information to a patient so they can make an informed decision about their surgery?
A. Autonomy
B. Justice
C. Non-maleficence
D. Beneficence
Correct Answer: A
,Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their health care. By providing the necessary information for informed consent,
the nurse respects the patient’s self-determination and independent choice. This principle
is foundational to the nurse-patient relationship and is a legal requirement in most clinical
settings.
4. When a nurse leader ensures that the hospital resources are distributed fairly among all
units based on patient acuity, they are demonstrating which ethical principle?
A. Fidelity
B. Justice
C. Veracity
D. Autonomy
Correct Answer: B
Explanation: Justice is the ethical principle that focuses on fairness and the equitable
distribution of resources. In a leadership context, it means treating all individuals and units
fairly regardless of their status or power. Ensuring that staffing or equipment is allocated
based on actual need (acuity) is a practical application of distributive justice.
5. Which of the following are components of the ‘Five Rights of Delegation’? (Select all that
apply)
A. Right task
B. Right circumstance
, C. Right person
D. Right cost
E. Right directions/communication
F. Right supervision/evaluation
Correct Answer: A, B, C, E, F
Explanation: The Five Rights of Delegation provide a framework for safe nursing practice
when assigning tasks to unlicensed assistive personnel or other staff. These rights include
the right task, right circumstance, right person, right communication, and right supervision.
Cost-effectiveness is not considered one of the five specific rights defined by the ANA and
NCSBN.
6. A nurse manager is implementing a new EHR system and is currently identifying potential
‘change agents’ and building motivation for the change. According to Lewin’s Change Theory,
which stage is this?
A. Moving
B. Refreezing
C. Unfreezing
D. Sustaining
Correct Answer: C
Ethics, and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Final Exam) | Grand Canyon
University
1. Which of the following characteristics are associated with transformational leadership in
nursing? (Select all that apply)
A. Intellectual stimulation
B. Individualized consideration
C. Inspirational motivation
D. Contingent reward
E. Idealized influence
F. Management by exception
Correct Answer: A, B, C, E
Explanation: Transformational leaders use intellectual stimulation to encourage creativity
and innovation among their staff. They also provide individualized consideration by acting
as mentors and recognizing the unique needs of each team member. Finally, they utilize
inspirational motivation and idealized influence to serve as role models, whereas
contingent reward and management by exception are traits of transactional leadership.
,2. A nurse manager is resolving a conflict between two staff members. Which approach
represents the ‘collaborating’ conflict resolution style?
A. One party neglects their own needs to satisfy the other.
B. Both parties give up something of value to reach a middle ground.
C. All parties work together to find a mutually satisfying solution.
D. One party uses power to force a solution on the other.
Correct Answer: C
Explanation: Collaboration involves an assertive and cooperative process where all parties
work together to find a win-win solution. This style focuses on open communication and
shared problem-solving to address the root causes of the conflict. It is considered the most
effective long-term strategy for maintaining healthy professional relationships in health
care settings.
3. Which ethical principle is most directly applied when a nurse provides all relevant
information to a patient so they can make an informed decision about their surgery?
A. Autonomy
B. Justice
C. Non-maleficence
D. Beneficence
Correct Answer: A
,Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their health care. By providing the necessary information for informed consent,
the nurse respects the patient’s self-determination and independent choice. This principle
is foundational to the nurse-patient relationship and is a legal requirement in most clinical
settings.
4. When a nurse leader ensures that the hospital resources are distributed fairly among all
units based on patient acuity, they are demonstrating which ethical principle?
A. Fidelity
B. Justice
C. Veracity
D. Autonomy
Correct Answer: B
Explanation: Justice is the ethical principle that focuses on fairness and the equitable
distribution of resources. In a leadership context, it means treating all individuals and units
fairly regardless of their status or power. Ensuring that staffing or equipment is allocated
based on actual need (acuity) is a practical application of distributive justice.
5. Which of the following are components of the ‘Five Rights of Delegation’? (Select all that
apply)
A. Right task
B. Right circumstance
, C. Right person
D. Right cost
E. Right directions/communication
F. Right supervision/evaluation
Correct Answer: A, B, C, E, F
Explanation: The Five Rights of Delegation provide a framework for safe nursing practice
when assigning tasks to unlicensed assistive personnel or other staff. These rights include
the right task, right circumstance, right person, right communication, and right supervision.
Cost-effectiveness is not considered one of the five specific rights defined by the ANA and
NCSBN.
6. A nurse manager is implementing a new EHR system and is currently identifying potential
‘change agents’ and building motivation for the change. According to Lewin’s Change Theory,
which stage is this?
A. Moving
B. Refreezing
C. Unfreezing
D. Sustaining
Correct Answer: C
