NSG 436 Exam 4 V3 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 4) |
Grand Canyon University
1. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Setting a date for the system to go live across all departments.
B. Conducting a meeting to explain the inadequacies of the current paper-based system.
C. Providing training sessions for all staff members on how to use the software.
D. Evaluating the efficiency of the new system three months after implementation.
Correct Answer: B
Explanation: The unfreezing stage involves creating the motivation for change by helping
individuals realize that the current status quo is no longer productive. By explaining the
inadequacies of the current system, the manager is identifying the need for change. This
stage is crucial for reducing resistance before new methods are introduced.
2. A charge nurse is managing a conflict between two staff nurses regarding shift
assignments. Which conflict resolution strategy is being used when one nurse gives up their
preferred shift to maintain harmony in the unit?
A. Compromising
,B. Competing
C. Accommodating
D. Avoiding
Correct Answer: C
Explanation: Accommodating occurs when one party neglects their own concerns to
satisfy the concerns of the other party. This is often used when the issue is more important
to the other person or when maintaining the relationship is a priority. While it resolves the
conflict quickly, the person who accommodates may feel resentment later if this pattern
continues.
3. When delegating tasks to Unlicensed Assistive Personnel (UAP), the nurse must adhere to
the ‘Five Rights of Delegation.’ Select all that apply.
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction and Communication
E. Right Supervision and Evaluation
F. Right Documentation Style
Correct Answer: A,B,C,D,E
, Explanation: The Five Rights of Delegation are standardized by the NCSBN to ensure
safety and quality in nursing practice. These include the Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Right
Documentation is a responsibility after the task but is not considered one of the five
specific ‘Rights’ in the delegation framework.
4. A nurse leader is advocating for a policy change at the state level to increase funding for
community mental health clinics. Which action best describes the nurse’s role as a ‘lobbyist’?
A. Providing direct care to underserved populations in the community.
B. Drafting a research paper on the benefits of mental health interventions.
C. Meeting with legislators to influence their vote on a specific healthcare bill.
D. Organizing a support group for patients with chronic mental illness.
Correct Answer: C
Explanation: Lobbying specifically refers to efforts to influence the decisions made by
government officials, usually legislators or members of regulatory agencies. This involves
direct communication regarding specific legislation or policy changes. Nurses utilize their
expertise to educate policymakers on how certain bills will impact public health.
5. Which ethical principle is most directly challenged when a nurse discovers a colleague is
working while impaired but hesitates to report them due to a long-term friendship?
A. Autonomy
B. Non-maleficence
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 4) |
Grand Canyon University
1. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Setting a date for the system to go live across all departments.
B. Conducting a meeting to explain the inadequacies of the current paper-based system.
C. Providing training sessions for all staff members on how to use the software.
D. Evaluating the efficiency of the new system three months after implementation.
Correct Answer: B
Explanation: The unfreezing stage involves creating the motivation for change by helping
individuals realize that the current status quo is no longer productive. By explaining the
inadequacies of the current system, the manager is identifying the need for change. This
stage is crucial for reducing resistance before new methods are introduced.
2. A charge nurse is managing a conflict between two staff nurses regarding shift
assignments. Which conflict resolution strategy is being used when one nurse gives up their
preferred shift to maintain harmony in the unit?
A. Compromising
,B. Competing
C. Accommodating
D. Avoiding
Correct Answer: C
Explanation: Accommodating occurs when one party neglects their own concerns to
satisfy the concerns of the other party. This is often used when the issue is more important
to the other person or when maintaining the relationship is a priority. While it resolves the
conflict quickly, the person who accommodates may feel resentment later if this pattern
continues.
3. When delegating tasks to Unlicensed Assistive Personnel (UAP), the nurse must adhere to
the ‘Five Rights of Delegation.’ Select all that apply.
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction and Communication
E. Right Supervision and Evaluation
F. Right Documentation Style
Correct Answer: A,B,C,D,E
, Explanation: The Five Rights of Delegation are standardized by the NCSBN to ensure
safety and quality in nursing practice. These include the Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Right
Documentation is a responsibility after the task but is not considered one of the five
specific ‘Rights’ in the delegation framework.
4. A nurse leader is advocating for a policy change at the state level to increase funding for
community mental health clinics. Which action best describes the nurse’s role as a ‘lobbyist’?
A. Providing direct care to underserved populations in the community.
B. Drafting a research paper on the benefits of mental health interventions.
C. Meeting with legislators to influence their vote on a specific healthcare bill.
D. Organizing a support group for patients with chronic mental illness.
Correct Answer: C
Explanation: Lobbying specifically refers to efforts to influence the decisions made by
government officials, usually legislators or members of regulatory agencies. This involves
direct communication regarding specific legislation or policy changes. Nurses utilize their
expertise to educate policymakers on how certain bills will impact public health.
5. Which ethical principle is most directly challenged when a nurse discovers a colleague is
working while impaired but hesitates to report them due to a long-term friendship?
A. Autonomy
B. Non-maleficence
