NSG 436 Exam 3 V2 | NSG 436 Leadership, Ethics,
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 3) | Grand Canyon
University
1. A nurse manager is preparing a presentation on ethical principles. Which of the following
should be included as primary ethical principles in nursing? (Select all that apply.)
A. Autonomy
B. Beneficence
C. Non-maleficence
D. Justice
E. Veracity
F. Fidelity
Correct Answer: A, B, C, D, E, F
Explanation: Ethical principles serve as the foundation for nursing practice and decision-
making in complex clinical scenarios. These principles ensure that the nurse respects the
patient’s right to self-determination while acting in the patient’s best interest. Mastery of
these concepts is essential for identifying and resolving ethical dilemmas in professional
healthcare environments.
,2. A nurse is faced with a situation where a patient refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s decision even though they disagree.
Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Explanation: Autonomy refers to the patient’s right to make their own healthcare
decisions without interference from others. Even when a decision may lead to harm, the
professional nurse must respect the individual’s choice. This principle is a cornerstone of
patient-centered care and legal informed consent processes.
3. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. Which stage involves creating the motivation for change by helping the staff
let go of old patterns?
A. Moving
B. Refreezing
C. Assessing
D. Unfreezing
,Correct Answer: D
Explanation: Unfreezing is the first stage of Lewin’s model where the status quo is
challenged and the need for change is communicated. During this phase, the leader works
to reduce resistance by highlighting the limitations of current practices. Successful
unfreezing is necessary to prepare the team for the transition to new behaviors.
4. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which of the following
actions are considered part of the ‘Five Rights of Delegation’? (Select all that apply.)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
E. Right Supervision/Evaluation
F. Right Financial Incentive
Correct Answer: A, B, C, D, E
Explanation: The Five Rights of Delegation provide a framework for safe and effective
delegation to ensure patient safety and quality care. The RN remains accountable for the
overall outcome of the task even after it has been delegated to a UAP or LPN. Clear
communication and appropriate supervision are critical components of the delegation
process.
, 5. A nurse leader is characterized by being visionary, inspiring others, and fostering a sense of
shared purpose to achieve organizational goals. This represents which leadership style?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Transformational Leadership
D. Autocratic Leadership
Correct Answer: C
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision and high level of engagement. This style is often
associated with higher staff satisfaction and better patient outcomes in Magnet-designated
hospitals. It differs from transactional leadership, which relies on rewards and
punishments to manage performance.
6. A healthcare facility is conducting a Root Cause Analysis (RCA) following a sentinel event.
What is the primary purpose of performing an RCA?
A. To assign blame to the individual responsible for the error
B. To provide documentation for legal defense in malpractice suits
C. To identify system-wide failures and prevent future occurrences
D. To meet minimum regulatory requirements for accreditation
Correct Answer: C
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 3) | Grand Canyon
University
1. A nurse manager is preparing a presentation on ethical principles. Which of the following
should be included as primary ethical principles in nursing? (Select all that apply.)
A. Autonomy
B. Beneficence
C. Non-maleficence
D. Justice
E. Veracity
F. Fidelity
Correct Answer: A, B, C, D, E, F
Explanation: Ethical principles serve as the foundation for nursing practice and decision-
making in complex clinical scenarios. These principles ensure that the nurse respects the
patient’s right to self-determination while acting in the patient’s best interest. Mastery of
these concepts is essential for identifying and resolving ethical dilemmas in professional
healthcare environments.
,2. A nurse is faced with a situation where a patient refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s decision even though they disagree.
Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Explanation: Autonomy refers to the patient’s right to make their own healthcare
decisions without interference from others. Even when a decision may lead to harm, the
professional nurse must respect the individual’s choice. This principle is a cornerstone of
patient-centered care and legal informed consent processes.
3. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. Which stage involves creating the motivation for change by helping the staff
let go of old patterns?
A. Moving
B. Refreezing
C. Assessing
D. Unfreezing
,Correct Answer: D
Explanation: Unfreezing is the first stage of Lewin’s model where the status quo is
challenged and the need for change is communicated. During this phase, the leader works
to reduce resistance by highlighting the limitations of current practices. Successful
unfreezing is necessary to prepare the team for the transition to new behaviors.
4. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which of the following
actions are considered part of the ‘Five Rights of Delegation’? (Select all that apply.)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
E. Right Supervision/Evaluation
F. Right Financial Incentive
Correct Answer: A, B, C, D, E
Explanation: The Five Rights of Delegation provide a framework for safe and effective
delegation to ensure patient safety and quality care. The RN remains accountable for the
overall outcome of the task even after it has been delegated to a UAP or LPN. Clear
communication and appropriate supervision are critical components of the delegation
process.
, 5. A nurse leader is characterized by being visionary, inspiring others, and fostering a sense of
shared purpose to achieve organizational goals. This represents which leadership style?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Transformational Leadership
D. Autocratic Leadership
Correct Answer: C
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision and high level of engagement. This style is often
associated with higher staff satisfaction and better patient outcomes in Magnet-designated
hospitals. It differs from transactional leadership, which relies on rewards and
punishments to manage performance.
6. A healthcare facility is conducting a Root Cause Analysis (RCA) following a sentinel event.
What is the primary purpose of performing an RCA?
A. To assign blame to the individual responsible for the error
B. To provide documentation for legal defense in malpractice suits
C. To identify system-wide failures and prevent future occurrences
D. To meet minimum regulatory requirements for accreditation
Correct Answer: C
