NSG 436 Exam 2 V2 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 2) |
Grand Canyon University
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Setting a date for the old system to be deactivated
B. Gathering data to demonstrate the need for change to the staff
C. Rewarding staff members who successfully adopt the new system
D. Providing hands-on training sessions for the new software
Correct Answer: B
Explanation: The unfreezing stage focuses on creating the motivation to change by
identifying a problem and demonstrating the need for improvement. It involves helping the
staff let go of old patterns and preparing them for something new. Without this initial buy-
in, resistance to the subsequent stages of change is significantly higher.
2. Which leadership style is characterized by a leader who inspires and motivates followers by
creating a shared vision and fostering an environment of innovation?
A. Transactional Leadership
B. Laissez-faire Leadership
,C. Autocratic Leadership
D. Transformational Leadership
Correct Answer: D
Explanation: Transformational leadership focuses on the interpersonal relationship
between the leader and the staff to empower others. These leaders encourage creativity
and intellectual stimulation while focusing on long-term goals rather than just daily tasks.
This style is often associated with higher staff satisfaction and better patient outcomes.
3. According to the ANA Code of Ethics for Nurses, which of the following are primary duties
of the nurse? (Select All That Apply)
A. Advocating for the rights and safety of the patient
B. Maintaining professional competence and personal growth
C. Prioritizing hospital profitability over individual care
D. Collaborating with other health professionals to reduce disparities
E. Ensuring the nurse’s own health and safety to provide care
F. Assisting physicians regardless of ethical concerns
Correct Answer: A, B, D, E
Explanation: The ANA Code of Ethics emphasizes patient advocacy, professional
development, and interprofessional collaboration. It also uniquely highlights that nurses
have a duty to themselves to maintain their own health and integrity. Profitability and blind
, obedience to other providers are not part of the ethical mandates for professional nursing
practice.
4. A nurse reports a colleague for documenting a medication administration that was never
given. This action best demonstrates which ethical principle?
A. Fidelity
B. Veracity
C. Autonomy
D. Beneficence
Correct Answer: B
Explanation: Veracity is the ethical principle of truth-telling and honesty in all professional
interactions. Reporting falsified documentation is a requirement to maintain the integrity
of the medical record and ensure patient safety. Failing to act in this situation would be a
violation of the nurse’s professional ethical standards regarding truthfulness.
5. Which conflict resolution strategy involves both parties giving up something of value to
reach a mutually acceptable solution?
A. Compromising
B. Avoiding
C. Collaborating
D. Competing
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 2) |
Grand Canyon University
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Setting a date for the old system to be deactivated
B. Gathering data to demonstrate the need for change to the staff
C. Rewarding staff members who successfully adopt the new system
D. Providing hands-on training sessions for the new software
Correct Answer: B
Explanation: The unfreezing stage focuses on creating the motivation to change by
identifying a problem and demonstrating the need for improvement. It involves helping the
staff let go of old patterns and preparing them for something new. Without this initial buy-
in, resistance to the subsequent stages of change is significantly higher.
2. Which leadership style is characterized by a leader who inspires and motivates followers by
creating a shared vision and fostering an environment of innovation?
A. Transactional Leadership
B. Laissez-faire Leadership
,C. Autocratic Leadership
D. Transformational Leadership
Correct Answer: D
Explanation: Transformational leadership focuses on the interpersonal relationship
between the leader and the staff to empower others. These leaders encourage creativity
and intellectual stimulation while focusing on long-term goals rather than just daily tasks.
This style is often associated with higher staff satisfaction and better patient outcomes.
3. According to the ANA Code of Ethics for Nurses, which of the following are primary duties
of the nurse? (Select All That Apply)
A. Advocating for the rights and safety of the patient
B. Maintaining professional competence and personal growth
C. Prioritizing hospital profitability over individual care
D. Collaborating with other health professionals to reduce disparities
E. Ensuring the nurse’s own health and safety to provide care
F. Assisting physicians regardless of ethical concerns
Correct Answer: A, B, D, E
Explanation: The ANA Code of Ethics emphasizes patient advocacy, professional
development, and interprofessional collaboration. It also uniquely highlights that nurses
have a duty to themselves to maintain their own health and integrity. Profitability and blind
, obedience to other providers are not part of the ethical mandates for professional nursing
practice.
4. A nurse reports a colleague for documenting a medication administration that was never
given. This action best demonstrates which ethical principle?
A. Fidelity
B. Veracity
C. Autonomy
D. Beneficence
Correct Answer: B
Explanation: Veracity is the ethical principle of truth-telling and honesty in all professional
interactions. Reporting falsified documentation is a requirement to maintain the integrity
of the medical record and ensure patient safety. Failing to act in this situation would be a
violation of the nurse’s professional ethical standards regarding truthfulness.
5. Which conflict resolution strategy involves both parties giving up something of value to
reach a mutually acceptable solution?
A. Compromising
B. Avoiding
C. Collaborating
D. Competing
