ESSENTIALS OF NURSING LEADERSHIP &
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1
Reference
Ch. 1 — Characteristics of a Profession
Stem
A newly licensed nurse on a medical–surgical unit notices the
unit’s policy permits experienced RNs to adjust catheter care
frequency based on clinical judgment. The nurse is unsure
whether exercising judgment without explicit physician orders is
appropriate. As the charge nurse, what is the most
professionally appropriate action to take?
Options
A. Tell the new nurse to follow the written policy exactly as
written and avoid any independent judgment until oriented.
,B. Explain the professional standard and the nurse’s scope of
practice, review relevant evidence and institutional policy, and
coach the nurse to document assessments and rationale for
clinical decisions.
C. Advise the nurse to always ask the physician for a specific
order before changing any aspect of catheter care.
D. Recommend the nurse defer to the senior staff nurse on duty
for all clinical judgments until competency is demonstrated.
Correct Answer
B
Rationales
Correct (B): This response models professional autonomy
within scope of practice: it supports use of clinical judgment
grounded in evidence and policy, emphasizes documentation
and coaching—key elements of professional accountability and
socialization.
Incorrect (A): Rigid compliance without teaching prevents
development of professional judgment and does not address
the need for informed decision-making.
Incorrect (C): Requiring a physician order for routine nursing
interventions undermines nursing autonomy and is not
consistent with professional standards when nursing judgment
and policy allow independent action.
Incorrect (D): Always deferring to seniors delays professional
growth and fails to promote accountability and competence
development.
,Teaching Point
Support informed clinical judgment with policy review,
evidence, and documentation.
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 is preparing a preceptor plan for a new
graduate. Which element most directly fosters professional
socialization and internalization of nursing values?
Options
A. Assigning the new graduate only technical tasks to build
psychomotor skills.
B. Scheduling short lectures on hospital policy during
orientation.
C. Modeling professional behavior, ethical decision-making, and
reflective debriefing after clinical events.
D. Providing a written checklist of procedures without verbal
feedback.
Correct Answer
C
, Rationales
Correct (C): Professional socialization occurs through role-
modeling, reflection, and guided ethical reasoning; these
activities internalize professional values and accountability.
Incorrect (A): Exclusive focus on technical tasks neglects
professional identity, critical thinking, and ethical development.
Incorrect (B): Lectures on policy are helpful but insufficient
alone to develop professional values without experiential
learning.
Incorrect (D): A checklist without feedback fails to engage
reflective practice and mentorship central to professional
growth.
Teaching Point
Role-modeling and reflective debriefing accelerate professional
identity formation.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3
Reference
Ch. 1 — Characteristics of a Profession
Stem
During a staff meeting, a nurse raises concern that a colleague
frequently documents late and minimal assessments. As the
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1
Reference
Ch. 1 — Characteristics of a Profession
Stem
A newly licensed nurse on a medical–surgical unit notices the
unit’s policy permits experienced RNs to adjust catheter care
frequency based on clinical judgment. The nurse is unsure
whether exercising judgment without explicit physician orders is
appropriate. As the charge nurse, what is the most
professionally appropriate action to take?
Options
A. Tell the new nurse to follow the written policy exactly as
written and avoid any independent judgment until oriented.
,B. Explain the professional standard and the nurse’s scope of
practice, review relevant evidence and institutional policy, and
coach the nurse to document assessments and rationale for
clinical decisions.
C. Advise the nurse to always ask the physician for a specific
order before changing any aspect of catheter care.
D. Recommend the nurse defer to the senior staff nurse on duty
for all clinical judgments until competency is demonstrated.
Correct Answer
B
Rationales
Correct (B): This response models professional autonomy
within scope of practice: it supports use of clinical judgment
grounded in evidence and policy, emphasizes documentation
and coaching—key elements of professional accountability and
socialization.
Incorrect (A): Rigid compliance without teaching prevents
development of professional judgment and does not address
the need for informed decision-making.
Incorrect (C): Requiring a physician order for routine nursing
interventions undermines nursing autonomy and is not
consistent with professional standards when nursing judgment
and policy allow independent action.
Incorrect (D): Always deferring to seniors delays professional
growth and fails to promote accountability and competence
development.
,Teaching Point
Support informed clinical judgment with policy review,
evidence, and documentation.
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 is preparing a preceptor plan for a new
graduate. Which element most directly fosters professional
socialization and internalization of nursing values?
Options
A. Assigning the new graduate only technical tasks to build
psychomotor skills.
B. Scheduling short lectures on hospital policy during
orientation.
C. Modeling professional behavior, ethical decision-making, and
reflective debriefing after clinical events.
D. Providing a written checklist of procedures without verbal
feedback.
Correct Answer
C
, Rationales
Correct (C): Professional socialization occurs through role-
modeling, reflection, and guided ethical reasoning; these
activities internalize professional values and accountability.
Incorrect (A): Exclusive focus on technical tasks neglects
professional identity, critical thinking, and ethical development.
Incorrect (B): Lectures on policy are helpful but insufficient
alone to develop professional values without experiential
learning.
Incorrect (D): A checklist without feedback fails to engage
reflective practice and mentorship central to professional
growth.
Teaching Point
Role-modeling and reflective debriefing accelerate professional
identity formation.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3
Reference
Ch. 1 — Characteristics of a Profession
Stem
During a staff meeting, a nurse raises concern that a colleague
frequently documents late and minimal assessments. As the
