NURSING NOW
TODAY'S ISSUES, TOMORROW'S
TRENDS
9TH EDITION
• AUTHOR(S)JOSEPH CATALANO
TEST BANK
1. Reference
Ch. 1 — The Development of a Profession
Scenario-Based Stem
A nurse manager notices that medication-delay incidents are
being handled inconsistently across shifts. Some staff members
report errors informally to the charge nurse, while others do
not report them at all. The manager wants to strengthen
,nursing’s professional self-regulation on the unit. Which action
best supports that goal?
A. Require staff to ask the provider for permission before
documenting any error
B. Establish a unit-based peer review and incident-tracking
process
C. Limit discussion of errors to avoid harming the unit’s
reputation
D. Delegate error follow-up entirely to the pharmacy
department
Correct Answer: B
Rationale
Correct Answer (B): Peer review and incident tracking
support self-regulation, accountability, and quality
improvement. A profession is expected to monitor its own
practice, identify patterns, and improve standards through
structured review.
A: Providers do not control nursing documentation
decisions; asking permission undermines professional
accountability.
C: Concealing errors conflicts with transparency, safety, and
professional responsibility.
D: Pharmacy may be involved in root-cause analysis, but
nursing cannot transfer responsibility for nursing practice
outcomes.
,Teaching Point:
Self-regulation is a defining feature of a profession.
Citation:
Catalano, J. (2024). Nursing Now: Today’s Issues, Tomorrow’s
Trends (9th ed.). Ch. 1.
2. Reference
Ch. 1 — The Development of a Profession
Scenario-Based Stem
A newly licensed nurse tells the preceptor, “I can work however
I want as long as the patient gets cared for.” The preceptor uses
the moment to explain professional nursing accountability.
Which statement by the preceptor is best?
A. “Nursing practice is guided primarily by unit preference.”
B. “A nurse is responsible for actions that meet professional
standards of care.”
C. “Once licensed, a nurse is free to use personal judgment
without oversight.”
D. “Accountability belongs mainly to the employer, not the
individual nurse.”
Correct Answer: B
Rationale
Correct Answer (B): Professional accountability means the
nurse is answerable for actions, omissions, and standards of
, care. Licensure grants authority to practice, but it also creates
legal and ethical responsibility.
A: Unit preference cannot override professional standards.
C: Licensure does not eliminate supervision, evaluation, or
standards.
D: Employers have responsibilities, but the individual nurse
remains accountable for personal practice.
Teaching Point:
Licensure brings both authority and personal accountability.
Citation:
Catalano, J. (2024). Nursing Now: Today’s Issues, Tomorrow’s
Trends (9th ed.). Ch. 1.
3. Reference
Ch. 1 — The Development of a Profession
Scenario-Based Stem
A hospital introduces a clinical ladder that rewards nurses for
evidence-based projects, mentoring, and committee work.
Leadership wants to support the development of nursing as a
profession, not just a job. Which outcome best reflects that
goal?
A. Nurses focus only on task completion and speed
B. Nurses expand their role in knowledge development and
decision-making
TODAY'S ISSUES, TOMORROW'S
TRENDS
9TH EDITION
• AUTHOR(S)JOSEPH CATALANO
TEST BANK
1. Reference
Ch. 1 — The Development of a Profession
Scenario-Based Stem
A nurse manager notices that medication-delay incidents are
being handled inconsistently across shifts. Some staff members
report errors informally to the charge nurse, while others do
not report them at all. The manager wants to strengthen
,nursing’s professional self-regulation on the unit. Which action
best supports that goal?
A. Require staff to ask the provider for permission before
documenting any error
B. Establish a unit-based peer review and incident-tracking
process
C. Limit discussion of errors to avoid harming the unit’s
reputation
D. Delegate error follow-up entirely to the pharmacy
department
Correct Answer: B
Rationale
Correct Answer (B): Peer review and incident tracking
support self-regulation, accountability, and quality
improvement. A profession is expected to monitor its own
practice, identify patterns, and improve standards through
structured review.
A: Providers do not control nursing documentation
decisions; asking permission undermines professional
accountability.
C: Concealing errors conflicts with transparency, safety, and
professional responsibility.
D: Pharmacy may be involved in root-cause analysis, but
nursing cannot transfer responsibility for nursing practice
outcomes.
,Teaching Point:
Self-regulation is a defining feature of a profession.
Citation:
Catalano, J. (2024). Nursing Now: Today’s Issues, Tomorrow’s
Trends (9th ed.). Ch. 1.
2. Reference
Ch. 1 — The Development of a Profession
Scenario-Based Stem
A newly licensed nurse tells the preceptor, “I can work however
I want as long as the patient gets cared for.” The preceptor uses
the moment to explain professional nursing accountability.
Which statement by the preceptor is best?
A. “Nursing practice is guided primarily by unit preference.”
B. “A nurse is responsible for actions that meet professional
standards of care.”
C. “Once licensed, a nurse is free to use personal judgment
without oversight.”
D. “Accountability belongs mainly to the employer, not the
individual nurse.”
Correct Answer: B
Rationale
Correct Answer (B): Professional accountability means the
nurse is answerable for actions, omissions, and standards of
, care. Licensure grants authority to practice, but it also creates
legal and ethical responsibility.
A: Unit preference cannot override professional standards.
C: Licensure does not eliminate supervision, evaluation, or
standards.
D: Employers have responsibilities, but the individual nurse
remains accountable for personal practice.
Teaching Point:
Licensure brings both authority and personal accountability.
Citation:
Catalano, J. (2024). Nursing Now: Today’s Issues, Tomorrow’s
Trends (9th ed.). Ch. 1.
3. Reference
Ch. 1 — The Development of a Profession
Scenario-Based Stem
A hospital introduces a clinical ladder that rewards nurses for
evidence-based projects, mentoring, and committee work.
Leadership wants to support the development of nursing as a
profession, not just a job. Which outcome best reflects that
goal?
A. Nurses focus only on task completion and speed
B. Nurses expand their role in knowledge development and
decision-making
