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 transformational leadership style on a new surgical
unit. Which actions are characteristic of this leadership style? (Select all that apply)
A. Providing intellectual stimulation to staff
B. Using individualized consideration for team members
C. Focusing strictly on daily task completion and maintenance
D. Inspiring a shared vision for the future of the unit
E. Relying primarily on a system of rewards and punishments
F. Demonstrating idealized influence and role modeling
Correct Answer: A, B, D, F
Explanation: Transformational leadership focuses on inspiring and motivating followers
to achieve extraordinary outcomes. Characteristics include intellectual stimulation,
individualized consideration, inspirational motivation, and idealized influence.
Transactional leadership, conversely, focuses on maintenance, rewards, and punishments.
,2. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. Which
ethical principle is the nurse upholding by supporting the patient’s right to refuse life-
sustaining treatment?
A. Beneficence
B. Autonomy
C. Non-maleficence
D. Justice
Correct Answer: B
Explanation: Autonomy refers to the right of the individual to make their own decisions
about their health care. By supporting a patient’s refusal of treatment, the nurse respects
the patient’s self-determination. This principle is foundational in nursing ethics and
patient-centered care.
3. A nursing student is learning about the role of the American Nurses Association (ANA) in
health policy. What is the primary purpose of the ANA’s involvement in the legislative
process?
A. To influence legislation that impacts the nursing profession and public health
B. To set specific salary ranges for all registered nurses
C. To provide legal defense for nurses accused of malpractice
D. To manage the daily operations of state boards of nursing
, Correct Answer: A
Explanation: The ANA advocates for policies that improve health care access, safety, and
the professional environment for nurses. They represent the interests of the nursing
profession at both state and federal levels. Their goal is to ensure nursing voices are heard
in the development of health policy.
4. A nurse manager is reviewing the budget for the upcoming fiscal year. Which type of
budget accounts for the daily expenses required to operate the unit, such as supplies and
minor equipment?
A. Capital budget
B. Operational budget
C. Personnel budget
D. Cash flow budget
Correct Answer: B
Explanation: The operational budget covers the day-to-day costs of running a department,
including salaries, supplies, and electricity. Capital budgets are used for large, long-term
investments like expensive medical machinery. Personnel budgets specifically address
staffing costs and benefits.
5. In the context of Grand Canyon University’s emphasis on Servant Leadership, which
behavior most accurately reflects this philosophy?
A. Prioritizing the needs of the leader to ensure organizational stability
and Policy in Health Care | Actual Q&A with
Rationale (NSG436 Exam 4) | Grand Canyon
University
1. A nurse manager is implementing a transformational leadership style on a new surgical
unit. Which actions are characteristic of this leadership style? (Select all that apply)
A. Providing intellectual stimulation to staff
B. Using individualized consideration for team members
C. Focusing strictly on daily task completion and maintenance
D. Inspiring a shared vision for the future of the unit
E. Relying primarily on a system of rewards and punishments
F. Demonstrating idealized influence and role modeling
Correct Answer: A, B, D, F
Explanation: Transformational leadership focuses on inspiring and motivating followers
to achieve extraordinary outcomes. Characteristics include intellectual stimulation,
individualized consideration, inspirational motivation, and idealized influence.
Transactional leadership, conversely, focuses on maintenance, rewards, and punishments.
,2. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. Which
ethical principle is the nurse upholding by supporting the patient’s right to refuse life-
sustaining treatment?
A. Beneficence
B. Autonomy
C. Non-maleficence
D. Justice
Correct Answer: B
Explanation: Autonomy refers to the right of the individual to make their own decisions
about their health care. By supporting a patient’s refusal of treatment, the nurse respects
the patient’s self-determination. This principle is foundational in nursing ethics and
patient-centered care.
3. A nursing student is learning about the role of the American Nurses Association (ANA) in
health policy. What is the primary purpose of the ANA’s involvement in the legislative
process?
A. To influence legislation that impacts the nursing profession and public health
B. To set specific salary ranges for all registered nurses
C. To provide legal defense for nurses accused of malpractice
D. To manage the daily operations of state boards of nursing
, Correct Answer: A
Explanation: The ANA advocates for policies that improve health care access, safety, and
the professional environment for nurses. They represent the interests of the nursing
profession at both state and federal levels. Their goal is to ensure nursing voices are heard
in the development of health policy.
4. A nurse manager is reviewing the budget for the upcoming fiscal year. Which type of
budget accounts for the daily expenses required to operate the unit, such as supplies and
minor equipment?
A. Capital budget
B. Operational budget
C. Personnel budget
D. Cash flow budget
Correct Answer: B
Explanation: The operational budget covers the day-to-day costs of running a department,
including salaries, supplies, and electricity. Capital budgets are used for large, long-term
investments like expensive medical machinery. Personnel budgets specifically address
staffing costs and benefits.
5. In the context of Grand Canyon University’s emphasis on Servant Leadership, which
behavior most accurately reflects this philosophy?
A. Prioritizing the needs of the leader to ensure organizational stability
