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. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which actions by the manager demonstrate the ‘Moving’ stage of Lewin’s Change Theory?
(Select all that apply)
A. Recognizing the need for change due to high infection rates.
B. Training staff on the new protocol techniques.
C. Developing a plan to overcome resistance among senior staff.
D. Integrating the new protocol into the annual performance review.
E. Providing ongoing support and resources during the transition.
F. Evaluating initial data to see if the protocol is being followed.
Correct Answer: B, C, E, F
Explanation: The ‘Moving’ stage involves the actual implementation of the change where
the manager facilitates the transition through education and support. It includes strategies
to handle resistance and real-time evaluation of the adoption process. This phase is distinct
from Unfreezing, which focuses on preparation, and Refreezing, which focuses on
sustainability.
,2. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. The
patient’s family wants to continue aggressive treatment, but the patient previously expressed
a desire for comfort care only. Which ethical principle is the nurse’s primary priority?
A. Justice
B. Beneficence
C. Nonmaleficence
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of the patient to make their own decisions
regarding their medical care. In this scenario, the nurse must advocate for the patient’s
previously stated wishes over the family’s desires. This principle is foundational to patient-
centered care and informed consent in nursing practice.
3. The Nurse Practice Act (NPA) is a critical piece of legislation for every practicing nurse.
Which of the following are components regulated by the NPA? (Select all that apply)
A. Scope of practice for RNs and LPNs.
B. Requirements for nursing licensure.
C. Disciplinary actions for professional misconduct.
D. Salary ranges for different nursing specialties.
E. Approval of nursing education programs.
, Correct Answer: A, B, C, E
Explanation: The Nurse Practice Act is state-specific legislation that defines the legal
boundaries of nursing practice. It ensures that only qualified individuals practice nursing
and provides the framework for the Board of Nursing to oversee public safety. It does not
regulate financial aspects such as salary, which are determined by the employer or market.
4. A nurse manager is using a transformational leadership style to improve unit morale.
Which characteristic is most associated with this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Empowering staff to participate in decision-making processes.
C. Using rewards and punishments to motivate staff.
D. Maintaining a hands-off approach to allow staff autonomy.
Correct Answer: B
Explanation: Transformational leadership focuses on inspiring and motivating followers
to achieve extraordinary outcomes. These leaders empower their staff, foster innovation,
and create a shared vision for the future. Unlike transactional leaders, they look beyond
immediate tasks to long-term organizational growth.
5. Which of the following are considered ‘Rights of Delegation’ that a Registered Nurse must
verify? (Select all that apply)
A. Right Task
B. Right Circumstance
Leadership, Ethics, and Policy in Health
Care | Actual Q&A with Rationale (NSG436
Final Exam) | Grand Canyon University
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which actions by the manager demonstrate the ‘Moving’ stage of Lewin’s Change Theory?
(Select all that apply)
A. Recognizing the need for change due to high infection rates.
B. Training staff on the new protocol techniques.
C. Developing a plan to overcome resistance among senior staff.
D. Integrating the new protocol into the annual performance review.
E. Providing ongoing support and resources during the transition.
F. Evaluating initial data to see if the protocol is being followed.
Correct Answer: B, C, E, F
Explanation: The ‘Moving’ stage involves the actual implementation of the change where
the manager facilitates the transition through education and support. It includes strategies
to handle resistance and real-time evaluation of the adoption process. This phase is distinct
from Unfreezing, which focuses on preparation, and Refreezing, which focuses on
sustainability.
,2. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. The
patient’s family wants to continue aggressive treatment, but the patient previously expressed
a desire for comfort care only. Which ethical principle is the nurse’s primary priority?
A. Justice
B. Beneficence
C. Nonmaleficence
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of the patient to make their own decisions
regarding their medical care. In this scenario, the nurse must advocate for the patient’s
previously stated wishes over the family’s desires. This principle is foundational to patient-
centered care and informed consent in nursing practice.
3. The Nurse Practice Act (NPA) is a critical piece of legislation for every practicing nurse.
Which of the following are components regulated by the NPA? (Select all that apply)
A. Scope of practice for RNs and LPNs.
B. Requirements for nursing licensure.
C. Disciplinary actions for professional misconduct.
D. Salary ranges for different nursing specialties.
E. Approval of nursing education programs.
, Correct Answer: A, B, C, E
Explanation: The Nurse Practice Act is state-specific legislation that defines the legal
boundaries of nursing practice. It ensures that only qualified individuals practice nursing
and provides the framework for the Board of Nursing to oversee public safety. It does not
regulate financial aspects such as salary, which are determined by the employer or market.
4. A nurse manager is using a transformational leadership style to improve unit morale.
Which characteristic is most associated with this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Empowering staff to participate in decision-making processes.
C. Using rewards and punishments to motivate staff.
D. Maintaining a hands-off approach to allow staff autonomy.
Correct Answer: B
Explanation: Transformational leadership focuses on inspiring and motivating followers
to achieve extraordinary outcomes. These leaders empower their staff, foster innovation,
and create a shared vision for the future. Unlike transactional leaders, they look beyond
immediate tasks to long-term organizational growth.
5. Which of the following are considered ‘Rights of Delegation’ that a Registered Nurse must
verify? (Select all that apply)
A. Right Task
B. Right Circumstance
