NSG 436 Exam 2 V3 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 2) |
Grand Canyon University
1. Which leadership style is most associated with long-term nurse retention and increased job
satisfaction by focusing on empowering staff and building relationships?
A. Transformational leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Autocratic leadership
Correct Answer: A
Explanation: Transformational leadership focuses on shared vision and empowering the
workforce. This approach fosters a positive work environment and higher levels of
commitment from the nursing staff. Unlike transactional leadership, which relies on
rewards and punishments, transformational leaders inspire staff through intrinsic
motivation.
2. The nurse manager is applying the principles of ethical decision-making. Select all the
primary ethical principles that guide professional nursing practice: (Select All That Apply)
A. Autonomy
,B. Beneficence
C. Nonmaleficence
D. Justice
E. Fidelity
F. Veracity
Correct Answer: A, B, C, D, E, F
Explanation: These six concepts form the foundation of ethical nursing practice according
to the ANA Code of Ethics. Autonomy refers to the patient’s right to self-determination,
while justice ensures fairness in care delivery. Veracity and fidelity involve truth-telling
and keeping promises to the patient, respectively.
3. A nurse is caring for a patient who refuses a life-saving blood transfusion due to religious
beliefs. Which ethical principle is the nurse upholding by honoring this request?
A. Justice
B. Beneficence
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Explanation: Autonomy is the right of the patient to make their own decisions regarding
healthcare even if the provider disagrees. The nurse must support the patient’s choice if
, they are competent and informed. Failing to honor this would violate the patient’s legal and
ethical rights to self-determination.
4. When participating in health policy development at the state level, what is the first step a
nurse should take to advocate for change?
A. Identify a specific health-related issue or problem
B. Write a letter to the Governor
C. Join a political action committee (PAC)
D. Hire a lobbyist to represent nursing interests
Correct Answer: A
Explanation: Effective policy advocacy begins with identifying and clearly defining the
problem that needs to be addressed. Once the issue is identified, the nurse can gather
evidence and data to support the need for policy change. Only after defining the problem
can strategies like letter writing or joining a PAC be effectively implemented.
5. Which legal term describes a nurse’s failure to perform an action that a reasonably prudent
nurse would do in a similar situation, resulting in patient harm?
A. Battery
B. Assault
C. Libel
D. Negligence
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 2) |
Grand Canyon University
1. Which leadership style is most associated with long-term nurse retention and increased job
satisfaction by focusing on empowering staff and building relationships?
A. Transformational leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Autocratic leadership
Correct Answer: A
Explanation: Transformational leadership focuses on shared vision and empowering the
workforce. This approach fosters a positive work environment and higher levels of
commitment from the nursing staff. Unlike transactional leadership, which relies on
rewards and punishments, transformational leaders inspire staff through intrinsic
motivation.
2. The nurse manager is applying the principles of ethical decision-making. Select all the
primary ethical principles that guide professional nursing practice: (Select All That Apply)
A. Autonomy
,B. Beneficence
C. Nonmaleficence
D. Justice
E. Fidelity
F. Veracity
Correct Answer: A, B, C, D, E, F
Explanation: These six concepts form the foundation of ethical nursing practice according
to the ANA Code of Ethics. Autonomy refers to the patient’s right to self-determination,
while justice ensures fairness in care delivery. Veracity and fidelity involve truth-telling
and keeping promises to the patient, respectively.
3. A nurse is caring for a patient who refuses a life-saving blood transfusion due to religious
beliefs. Which ethical principle is the nurse upholding by honoring this request?
A. Justice
B. Beneficence
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Explanation: Autonomy is the right of the patient to make their own decisions regarding
healthcare even if the provider disagrees. The nurse must support the patient’s choice if
, they are competent and informed. Failing to honor this would violate the patient’s legal and
ethical rights to self-determination.
4. When participating in health policy development at the state level, what is the first step a
nurse should take to advocate for change?
A. Identify a specific health-related issue or problem
B. Write a letter to the Governor
C. Join a political action committee (PAC)
D. Hire a lobbyist to represent nursing interests
Correct Answer: A
Explanation: Effective policy advocacy begins with identifying and clearly defining the
problem that needs to be addressed. Once the issue is identified, the nurse can gather
evidence and data to support the need for policy change. Only after defining the problem
can strategies like letter writing or joining a PAC be effectively implemented.
5. Which legal term describes a nurse’s failure to perform an action that a reasonably prudent
nurse would do in a similar situation, resulting in patient harm?
A. Battery
B. Assault
C. Libel
D. Negligence
