ESSENTIALS OF NURSING LEADERSHIP &
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1
Reference
Ch. 1 — Characteristics of a Profession
Stem
A new graduate nurse is assigned to a busy medical-surgical
unit. A senior staff nurse asks the graduate to perform an
unfamiliar procedure the graduate has never been taught. The
graduate knows the hospital policy requires documented
competency before performing the task. What should the
graduate nurse do?
Options
A. Accept the assignment to demonstrate willingness and learn
by doing.
,B. Politely decline and ask the senior nurse to perform the
procedure while observing.
C. Accept but ask a different colleague to supervise informally
after the shift.
D. Perform the procedure only if the patient is stable and no
one else is available.
Correct Answer
B
Rationale — Correct (3–4 sentences)
Politely declining and requesting that a qualified nurse perform
the procedure while observing aligns with professional
accountability and patient safety. It respects scope-of-practice
and competency requirements in the profession. Observation
under an experienced clinician supports learning while ensuring
patient protection.
Rationale — Incorrect
A. Volunteering despite lack of competency risks patient harm
and violates professional standards.
C. Informal supervision without documented competency still
breaches policy and accountability.
D. Deciding based on perceived patient stability is unsafe and
places judgment before validated competency.
Teaching Point
Always prioritize patient safety and documented competency
over eagerness to please.
,Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
2
Reference
Ch. 1 — Characteristics of a Profession
Stem
A charge nurse notices a staff member repeatedly arriving late
and leaving charting incomplete. The staff member says
personal stress is the cause. Which leadership action best
reflects professional accountability while supporting staff
development?
Options
A. Immediately write the staff member up for unsatisfactory
performance.
B. Ignore the behavior to avoid conflict and hope it improves.
C. Hold a private coaching session to identify barriers and create
a corrective plan.
D. Reassign the staff member to a less acute unit without
discussion.
Correct Answer
C
Rationale — Correct (3–4 sentences)
A private coaching session balances accountability with support
, — core professional values. It allows assessment of competency
or personal issues, promotes remediation, and documents a
plan. This reflects professional responsibility to both staff
development and patient safety.
Rationale — Incorrect
A. Immediate punitive action ignores opportunity for
remediation and may not address root causes.
B. Ignoring jeopardizes patient care and undermines
professional standards.
D. Reassignment without discussion is punitive and bypasses
supportive professional development.
Teaching Point
Address performance issues with supportive coaching and a
documented improvement plan.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3
Reference
Ch. 1 — Characteristics of a Profession
Stem
During team handoff, a nurse overhears a colleague making
unprofessional comments about a patient’s cultural beliefs. The
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1
Reference
Ch. 1 — Characteristics of a Profession
Stem
A new graduate nurse is assigned to a busy medical-surgical
unit. A senior staff nurse asks the graduate to perform an
unfamiliar procedure the graduate has never been taught. The
graduate knows the hospital policy requires documented
competency before performing the task. What should the
graduate nurse do?
Options
A. Accept the assignment to demonstrate willingness and learn
by doing.
,B. Politely decline and ask the senior nurse to perform the
procedure while observing.
C. Accept but ask a different colleague to supervise informally
after the shift.
D. Perform the procedure only if the patient is stable and no
one else is available.
Correct Answer
B
Rationale — Correct (3–4 sentences)
Politely declining and requesting that a qualified nurse perform
the procedure while observing aligns with professional
accountability and patient safety. It respects scope-of-practice
and competency requirements in the profession. Observation
under an experienced clinician supports learning while ensuring
patient protection.
Rationale — Incorrect
A. Volunteering despite lack of competency risks patient harm
and violates professional standards.
C. Informal supervision without documented competency still
breaches policy and accountability.
D. Deciding based on perceived patient stability is unsafe and
places judgment before validated competency.
Teaching Point
Always prioritize patient safety and documented competency
over eagerness to please.
,Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
2
Reference
Ch. 1 — Characteristics of a Profession
Stem
A charge nurse notices a staff member repeatedly arriving late
and leaving charting incomplete. The staff member says
personal stress is the cause. Which leadership action best
reflects professional accountability while supporting staff
development?
Options
A. Immediately write the staff member up for unsatisfactory
performance.
B. Ignore the behavior to avoid conflict and hope it improves.
C. Hold a private coaching session to identify barriers and create
a corrective plan.
D. Reassign the staff member to a less acute unit without
discussion.
Correct Answer
C
Rationale — Correct (3–4 sentences)
A private coaching session balances accountability with support
, — core professional values. It allows assessment of competency
or personal issues, promotes remediation, and documents a
plan. This reflects professional responsibility to both staff
development and patient safety.
Rationale — Incorrect
A. Immediate punitive action ignores opportunity for
remediation and may not address root causes.
B. Ignoring jeopardizes patient care and undermines
professional standards.
D. Reassignment without discussion is punitive and bypasses
supportive professional development.
Teaching Point
Address performance issues with supportive coaching and a
documented improvement plan.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3
Reference
Ch. 1 — Characteristics of a Profession
Stem
During team handoff, a nurse overhears a colleague making
unprofessional comments about a patient’s cultural beliefs. The
