NSG 436 Exam 1 V3 | NSG 436 Leadership, Ethics,
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 1) | Grand Canyon
University
1. A nurse manager is utilizing a leadership style that focuses on the relationship between the
leader and the followers, emphasizing the importance of a shared vision and motivation.
Which leadership style is being demonstrated?
A. Transactional Leadership
B. Transformational Leadership
C. Laissez-faire Leadership
D. Bureaucratic Leadership
Correct Answer: B
Explanation: Transformational leadership focuses on building relationships and
motivating followers through a shared vision. This style encourages staff to perform
beyond expectations by inspiring them toward a common goal. It is widely considered the
most effective style for improving patient outcomes and staff satisfaction.
2. An elderly patient refuses a life-saving blood transfusion due to religious beliefs. The nurse
supports the patient’s right to make this decision even though the medical team disagrees.
Which ethical principle is the nurse upholding?
A. Beneficence
,B. Justice
C. Non-maleficence
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their healthcare. The nurse’s role is to ensure the patient is fully informed and
that their choices are respected, regardless of personal or provider opinions. This principle
is a cornerstone of patient-centered care and legal rights in healthcare.
3. A nurse leader is demonstrating behaviors consistent with a servant leadership style.
Which characteristics are associated with this leadership philosophy? Select all that apply.
A. Listening
B. Empathy
C. Coercion
D. Healing
E. Awareness
F. Stewardship
Correct Answer: ABDEF
Explanation: Servant leadership is characterized by the leader’s desire to serve others
first. Key traits include active listening, empathy, promoting healing, self-awareness, and
,stewardship of the organization’s resources. Coercion is not a characteristic of servant
leadership, as it relies on influence and persuasion rather than force.
4. When a nurse leader focuses on daily operations and uses a system of rewards and
punishments to manage staff performance, which leadership style is being applied?
A. Transformational
B. Servant
C. Transactional
D. Authentic
Correct Answer: C
Explanation: Transactional leadership is based on an exchange process where followers
are rewarded for good performance and punished for poor performance. This style focuses
on the maintenance of the status quo and the completion of task-oriented goals. It is
effective in crisis situations but may not foster long-term professional growth.
5. A nurse is caring for a patient who has been diagnosed with a terminal illness. The nurse
provides comfort measures and ensures the patient’s pain is managed, acting in the patient’s
best interest. Which ethical principle is primarily being applied?
A. Veracity
B. Fidelity
C. Beneficence
, D. Non-maleficence
Correct Answer: C
Explanation: Beneficence is the duty to do good and act in the best interest of the patient.
In terminal care, this involves providing comfort and managing symptoms to improve
quality of life. The nurse prioritizes the patient’s well-being and positive outcomes through
compassionate care.
6. A nurse is involved in the policy-making process at a local level. What is the first step the
nurse should take in this process?
A. Identify the problem or issue
B. Implement the policy changes
C. Evaluate the impact of the policy
D. Formulate a plan for advocacy
Correct Answer: A
Explanation: The first step in policy development is identifying the specific problem or
issue that needs to be addressed. Without a clear definition of the problem, subsequent
steps like planning and implementation will lack focus. This stage involves gathering data
and assessing the need for change.
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 1) | Grand Canyon
University
1. A nurse manager is utilizing a leadership style that focuses on the relationship between the
leader and the followers, emphasizing the importance of a shared vision and motivation.
Which leadership style is being demonstrated?
A. Transactional Leadership
B. Transformational Leadership
C. Laissez-faire Leadership
D. Bureaucratic Leadership
Correct Answer: B
Explanation: Transformational leadership focuses on building relationships and
motivating followers through a shared vision. This style encourages staff to perform
beyond expectations by inspiring them toward a common goal. It is widely considered the
most effective style for improving patient outcomes and staff satisfaction.
2. An elderly patient refuses a life-saving blood transfusion due to religious beliefs. The nurse
supports the patient’s right to make this decision even though the medical team disagrees.
Which ethical principle is the nurse upholding?
A. Beneficence
,B. Justice
C. Non-maleficence
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of patients to make their own decisions
regarding their healthcare. The nurse’s role is to ensure the patient is fully informed and
that their choices are respected, regardless of personal or provider opinions. This principle
is a cornerstone of patient-centered care and legal rights in healthcare.
3. A nurse leader is demonstrating behaviors consistent with a servant leadership style.
Which characteristics are associated with this leadership philosophy? Select all that apply.
A. Listening
B. Empathy
C. Coercion
D. Healing
E. Awareness
F. Stewardship
Correct Answer: ABDEF
Explanation: Servant leadership is characterized by the leader’s desire to serve others
first. Key traits include active listening, empathy, promoting healing, self-awareness, and
,stewardship of the organization’s resources. Coercion is not a characteristic of servant
leadership, as it relies on influence and persuasion rather than force.
4. When a nurse leader focuses on daily operations and uses a system of rewards and
punishments to manage staff performance, which leadership style is being applied?
A. Transformational
B. Servant
C. Transactional
D. Authentic
Correct Answer: C
Explanation: Transactional leadership is based on an exchange process where followers
are rewarded for good performance and punished for poor performance. This style focuses
on the maintenance of the status quo and the completion of task-oriented goals. It is
effective in crisis situations but may not foster long-term professional growth.
5. A nurse is caring for a patient who has been diagnosed with a terminal illness. The nurse
provides comfort measures and ensures the patient’s pain is managed, acting in the patient’s
best interest. Which ethical principle is primarily being applied?
A. Veracity
B. Fidelity
C. Beneficence
, D. Non-maleficence
Correct Answer: C
Explanation: Beneficence is the duty to do good and act in the best interest of the patient.
In terminal care, this involves providing comfort and managing symptoms to improve
quality of life. The nurse prioritizes the patient’s well-being and positive outcomes through
compassionate care.
6. A nurse is involved in the policy-making process at a local level. What is the first step the
nurse should take in this process?
A. Identify the problem or issue
B. Implement the policy changes
C. Evaluate the impact of the policy
D. Formulate a plan for advocacy
Correct Answer: A
Explanation: The first step in policy development is identifying the specific problem or
issue that needs to be addressed. Without a clear definition of the problem, subsequent
steps like planning and implementation will lack focus. This stage involves gathering data
and assessing the need for change.
