NSG 436 Exam 4 V2 | 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 utilizing a leadership style that focuses on the development of staff
members, provides a vision for the future, and inspires the team to achieve high goals. Which
leadership style is being demonstrated?
A. Transactional Leadership
B. Autocratic Leadership
C. Transformational Leadership
D. Laissez-faire Leadership
Correct Answer: C
Explanation: Transformational leadership is characterized by a leader who motivates
followers by appealing to higher ideals and moral values. This style focuses on creating a
vision and fostering an environment of change and innovation. It differs from transactional
leadership, which relies on rewards and punishments to achieve compliance.
2. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. Which
ethical principle emphasizes the patient’s right to make their own decisions about their
healthcare?
A. Autonomy
,B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A
Explanation: Autonomy refers to the right of self-determination and the ability to make
choices about one’s own life and healthcare. In a clinical setting, this is often manifested
through informed consent and the honoring of advance directives. Upholding autonomy
requires that the nurse respects the patient’s decisions even if they conflict with the nurse’s
personal values.
3. Which of the following are considered core provisions within the ANA Code of Ethics for
Nurses? (Select All That Apply)
A. The nurse’s primary commitment is to the patient.
B. The nurse promotes, advocates for, and protects the rights, health, and safety of the
patient.
C. The nurse must prioritize hospital profitability over individual patient needs.
D. The nurse has authority, accountability, and responsibility for nursing practice.
E. The nurse owes the same duties to self as to others, including the responsibility to
promote health and safety.
,F. The nurse collaborates with other health professionals and the public to protect human
rights.
Correct Answer: A, B, D, E, F
Explanation: The ANA Code of Ethics serves as the definitive framework for ethical
nursing practice in the United States. Provisions 1 through 9 cover responsibilities to
patients, self, the profession, and the global community. Profitability is never prioritized
over the ethical obligations to patient safety and advocacy in this code.
4. A nurse leader is managing a conflict between two staff members regarding scheduling.
The leader encourages both parties to voice their concerns and works toward a ‘win-win’
solution. Which conflict resolution strategy is this?
A. Collaborating
B. Avoiding
C. Accommodating
D. Competing
Correct Answer: A
Explanation: Collaboration is an assertive and cooperative approach where both parties
work together to find a mutually satisfying solution. It focuses on integrating the concerns
of both individuals rather than one person winning at the expense of the other. This
strategy is often the most effective for long-term resolution and maintaining healthy
professional relationships.
, 5. In the context of healthcare policy, what is the primary purpose of the ‘Lobbying’ process?
A. To provide direct clinical care to underserved populations.
B. To audit hospital financial records for compliance with federal law.
C. To influence legislators and policy makers to support specific legislation or interests.
D. To certify nurses in specialized areas of clinical practice.
Correct Answer: C
Explanation: Lobbying involves activities aimed at influencing the decisions made by
government officials, specifically legislators or members of regulatory agencies. Nurses
engage in lobbying to advocate for policies that improve patient care and nursing working
conditions. This process is essential for translating clinical needs into legislative action.
6. When delegating tasks to an Unlicensed Assistive Personnel (UAP), the nurse must adhere
to the ‘Five Rights of Delegation.’ These include which of the following? (Select All That
Apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Financial Compensation
E. Right Directions and Communication
F. Right Supervision and Evaluation
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 4) | Grand Canyon
University
1. A nurse manager is utilizing a leadership style that focuses on the development of staff
members, provides a vision for the future, and inspires the team to achieve high goals. Which
leadership style is being demonstrated?
A. Transactional Leadership
B. Autocratic Leadership
C. Transformational Leadership
D. Laissez-faire Leadership
Correct Answer: C
Explanation: Transformational leadership is characterized by a leader who motivates
followers by appealing to higher ideals and moral values. This style focuses on creating a
vision and fostering an environment of change and innovation. It differs from transactional
leadership, which relies on rewards and punishments to achieve compliance.
2. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. Which
ethical principle emphasizes the patient’s right to make their own decisions about their
healthcare?
A. Autonomy
,B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A
Explanation: Autonomy refers to the right of self-determination and the ability to make
choices about one’s own life and healthcare. In a clinical setting, this is often manifested
through informed consent and the honoring of advance directives. Upholding autonomy
requires that the nurse respects the patient’s decisions even if they conflict with the nurse’s
personal values.
3. Which of the following are considered core provisions within the ANA Code of Ethics for
Nurses? (Select All That Apply)
A. The nurse’s primary commitment is to the patient.
B. The nurse promotes, advocates for, and protects the rights, health, and safety of the
patient.
C. The nurse must prioritize hospital profitability over individual patient needs.
D. The nurse has authority, accountability, and responsibility for nursing practice.
E. The nurse owes the same duties to self as to others, including the responsibility to
promote health and safety.
,F. The nurse collaborates with other health professionals and the public to protect human
rights.
Correct Answer: A, B, D, E, F
Explanation: The ANA Code of Ethics serves as the definitive framework for ethical
nursing practice in the United States. Provisions 1 through 9 cover responsibilities to
patients, self, the profession, and the global community. Profitability is never prioritized
over the ethical obligations to patient safety and advocacy in this code.
4. A nurse leader is managing a conflict between two staff members regarding scheduling.
The leader encourages both parties to voice their concerns and works toward a ‘win-win’
solution. Which conflict resolution strategy is this?
A. Collaborating
B. Avoiding
C. Accommodating
D. Competing
Correct Answer: A
Explanation: Collaboration is an assertive and cooperative approach where both parties
work together to find a mutually satisfying solution. It focuses on integrating the concerns
of both individuals rather than one person winning at the expense of the other. This
strategy is often the most effective for long-term resolution and maintaining healthy
professional relationships.
, 5. In the context of healthcare policy, what is the primary purpose of the ‘Lobbying’ process?
A. To provide direct clinical care to underserved populations.
B. To audit hospital financial records for compliance with federal law.
C. To influence legislators and policy makers to support specific legislation or interests.
D. To certify nurses in specialized areas of clinical practice.
Correct Answer: C
Explanation: Lobbying involves activities aimed at influencing the decisions made by
government officials, specifically legislators or members of regulatory agencies. Nurses
engage in lobbying to advocate for policies that improve patient care and nursing working
conditions. This process is essential for translating clinical needs into legislative action.
6. When delegating tasks to an Unlicensed Assistive Personnel (UAP), the nurse must adhere
to the ‘Five Rights of Delegation.’ These include which of the following? (Select All That
Apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Financial Compensation
E. Right Directions and Communication
F. Right Supervision and Evaluation
