NURS 5350 Module 9 Quiz V2 | NURS 5350
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 9 Quiz) | The University of Texas
at Arlington
1. An Advanced Practice Registered Nurse (APRN) provides treatment to a patient against
their expressed wishes to prevent self-harm. Which ethical principle is the provider
potentially violating?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the patient’s right to make independent decisions regarding
their own healthcare. By overriding the patient’s refusal, the provider fails to respect their
self-determination. In advanced practice, balancing this principle with the duty to protect
life is a common ethical dilemma.
2. Which element of professional negligence requires the plaintiff to prove that the APRN
failed to meet the established standard of care?
A. Breach of Duty
,B. Duty
C. Proximate Cause
D. Damages
Answer: A
Rationale: Breach of duty occurs when the practitioner’s actions do not align with what a
reasonably prudent APRN would do in a similar situation. This is a critical component in
malpractice litigation that connects the legal duty to the actual harm occurred. Proving this
requires comparing the practitioner’s behavior against recognized clinical guidelines and
expert testimony.
3. A Nurse Practitioner is sued for a diagnostic error that occurred three years ago. If they
have a ‘claims-made’ insurance policy, which of the following is required for the claim to be
covered?
A. The policy must be active both when the incident occurred and when the claim is filed,
or a tail policy must be in place.
B. The claim must be filed while the NP is still employed at the same facility.
C. The incident must have happened during the policy period only.
D. The policy automatically covers any past incidents regardless of when the claim is
reported.
Answer: A
, Rationale: Claims-made policies only provide coverage if the claim is reported while the
policy is active. If the practitioner has changed jobs or retired, they often need ‘tail
coverage’ to protect against older incidents. This differs from occurrence-based coverage,
which covers any event that happened during the policy period regardless of when the
claim is made.
4. In the context of ethical decision-making, ‘Justice’ primarily refers to:
A. Telling the truth to the patient about a terminal diagnosis.
B. Avoiding the infliction of unnecessary pain.
C. Keeping promises made to the patient and family.
D. The fair and equitable distribution of healthcare resources.
Answer: D
Rationale: Justice involves ensuring that patients with similar needs receive similar care
and that resources are allocated fairly. This principle is especially relevant when managing
high-cost treatments or limited clinic slots. APRNs must consider societal impacts and
health equity when applying this principle in clinical practice.
5. What is the primary purpose of the National Practitioner Data Bank (NPDB)?
A. To provide a public list of all practicing APRNs in the United States.
B. To track continuing education credits for license renewal.
C. To prevent healthcare providers from moving between states without disclosing
previous malpractice or disciplinary actions.
Role of the Nurse in Advanced Practice |
Actual Q&A with Rationale (NURS5350
Module 9 Quiz) | The University of Texas
at Arlington
1. An Advanced Practice Registered Nurse (APRN) provides treatment to a patient against
their expressed wishes to prevent self-harm. Which ethical principle is the provider
potentially violating?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the patient’s right to make independent decisions regarding
their own healthcare. By overriding the patient’s refusal, the provider fails to respect their
self-determination. In advanced practice, balancing this principle with the duty to protect
life is a common ethical dilemma.
2. Which element of professional negligence requires the plaintiff to prove that the APRN
failed to meet the established standard of care?
A. Breach of Duty
,B. Duty
C. Proximate Cause
D. Damages
Answer: A
Rationale: Breach of duty occurs when the practitioner’s actions do not align with what a
reasonably prudent APRN would do in a similar situation. This is a critical component in
malpractice litigation that connects the legal duty to the actual harm occurred. Proving this
requires comparing the practitioner’s behavior against recognized clinical guidelines and
expert testimony.
3. A Nurse Practitioner is sued for a diagnostic error that occurred three years ago. If they
have a ‘claims-made’ insurance policy, which of the following is required for the claim to be
covered?
A. The policy must be active both when the incident occurred and when the claim is filed,
or a tail policy must be in place.
B. The claim must be filed while the NP is still employed at the same facility.
C. The incident must have happened during the policy period only.
D. The policy automatically covers any past incidents regardless of when the claim is
reported.
Answer: A
, Rationale: Claims-made policies only provide coverage if the claim is reported while the
policy is active. If the practitioner has changed jobs or retired, they often need ‘tail
coverage’ to protect against older incidents. This differs from occurrence-based coverage,
which covers any event that happened during the policy period regardless of when the
claim is made.
4. In the context of ethical decision-making, ‘Justice’ primarily refers to:
A. Telling the truth to the patient about a terminal diagnosis.
B. Avoiding the infliction of unnecessary pain.
C. Keeping promises made to the patient and family.
D. The fair and equitable distribution of healthcare resources.
Answer: D
Rationale: Justice involves ensuring that patients with similar needs receive similar care
and that resources are allocated fairly. This principle is especially relevant when managing
high-cost treatments or limited clinic slots. APRNs must consider societal impacts and
health equity when applying this principle in clinical practice.
5. What is the primary purpose of the National Practitioner Data Bank (NPDB)?
A. To provide a public list of all practicing APRNs in the United States.
B. To track continuing education credits for license renewal.
C. To prevent healthcare providers from moving between states without disclosing
previous malpractice or disciplinary actions.
