Wilkes University NSG 340 Advanced Care Concepts Midterm Exam
(pdf) | 2026/2027 | Midterm Q&A | Nursing
1. Which of the following best describes the primary focus of NSG 340 -
Advanced Care Concepts?
A) Basic nursing skills and fundamental patient care
B) The nursing process in assisting adults and families to resolve complex
health problems
C) Nursing informatics and technology integration
D) Population health and community assessment
Correct Answer: The nursing process in assisting adults and families to
resolve complex health problems
Rationale: The course description for NSG 340 states that "the nursing
process is used in assisting adults and their families, within their
communities, to achieve optimum health and to resolve complex health
problems". This distinguishes it from basic skills, informatics, or population
health courses.
2. What is the primary role of a follower in the nursing leadership context, as
defined in nursing?
A) Making all final decisions regarding patient care
B) Direct care provider
C) Managing the unit budget and staffing
D) Developing hospital policy
Correct Answer: Direct care provider
,Rationale: In the nursing leadership context, the primary role of followers on
a unit is that of the direct care provider. Followers are essential to the
healthcare team and influence outcomes through their direct patient care.
3. A nurse manager is implementing a change on the unit. According to
complexity principles, what is the best approach to make implementation of
this change?
A) Mandate the change from the top down without input
B) Engage involved staff at all levels in the decision-making processes
C) Implement the change slowly over several years
D) Hire an outside consultant to make all decisions
Correct Answer: Engage involved staff at all levels in the decision-making
processes
Rationale: Using complexity principles, the best approach to implementing
change is to engage involved staff at all levels in the decision-making
processes. This promotes buy-in, utilizes the collective knowledge of the
team, and acknowledges the complex, adaptive nature of healthcare
systems.
4. Which of the following represents an outcome of transformational
leadership?
A) Deadlines are met
B) Work is completed according to the rules
C) Increased job satisfaction
D) Pay tends to be higher
Correct Answer: Increased job satisfaction
,Rationale: People tend to have higher satisfaction when they are motivated
and intellectually stimulated, which are hallmarks of the transformational
leader. Regimented, deadline-oriented leadership does not tend to promote
higher job satisfaction.
5. A patient's right to privacy of health records is an example of which legal
concept?
A) Confidentiality
B) Malpractice
C) Negligence
D) Assault
Correct Answer: Confidentiality
Rationale: The right to privacy of health records is an example of
confidentiality. Confidentiality is the ethical and legal duty to protect a
patient's private health information from unauthorized disclosure.
6. Which law protects one's right to be left alone?
A) Confidentiality
B) Privacy
C) HIPAA
D) HITECH
Correct Answer: Privacy
Rationale: Privacy law protects one's right to be left alone. While
confidentiality protects the information shared, privacy protects the
individual's personal space and autonomy.
, 7. The basic obligation to assist others and promote good is known as:
A) Non-maleficence
B) Justice
C) Beneficence
D) Fidelity
Correct Answer: Beneficence
Rationale: Beneficence is the basic obligation to assist others and promote
good. It is one of the core ethical principles in healthcare, requiring nurses to
act in the best interest of their patients.
8. Non-maleficence means which of the following?
A) Do good
B) Do no harm
C) Be fair
D) Be truthful
Correct Answer: Do no harm
Rationale: Non-maleficence means "do no harm". This ethical principle
requires healthcare providers to avoid causing harm to patients, whether
through action or inaction.
9. Which of the following is a purpose of the code of ethics for nurses?
A) To outline major ethical considerations
B) To establish legal penalties for misconduct
(pdf) | 2026/2027 | Midterm Q&A | Nursing
1. Which of the following best describes the primary focus of NSG 340 -
Advanced Care Concepts?
A) Basic nursing skills and fundamental patient care
B) The nursing process in assisting adults and families to resolve complex
health problems
C) Nursing informatics and technology integration
D) Population health and community assessment
Correct Answer: The nursing process in assisting adults and families to
resolve complex health problems
Rationale: The course description for NSG 340 states that "the nursing
process is used in assisting adults and their families, within their
communities, to achieve optimum health and to resolve complex health
problems". This distinguishes it from basic skills, informatics, or population
health courses.
2. What is the primary role of a follower in the nursing leadership context, as
defined in nursing?
A) Making all final decisions regarding patient care
B) Direct care provider
C) Managing the unit budget and staffing
D) Developing hospital policy
Correct Answer: Direct care provider
,Rationale: In the nursing leadership context, the primary role of followers on
a unit is that of the direct care provider. Followers are essential to the
healthcare team and influence outcomes through their direct patient care.
3. A nurse manager is implementing a change on the unit. According to
complexity principles, what is the best approach to make implementation of
this change?
A) Mandate the change from the top down without input
B) Engage involved staff at all levels in the decision-making processes
C) Implement the change slowly over several years
D) Hire an outside consultant to make all decisions
Correct Answer: Engage involved staff at all levels in the decision-making
processes
Rationale: Using complexity principles, the best approach to implementing
change is to engage involved staff at all levels in the decision-making
processes. This promotes buy-in, utilizes the collective knowledge of the
team, and acknowledges the complex, adaptive nature of healthcare
systems.
4. Which of the following represents an outcome of transformational
leadership?
A) Deadlines are met
B) Work is completed according to the rules
C) Increased job satisfaction
D) Pay tends to be higher
Correct Answer: Increased job satisfaction
,Rationale: People tend to have higher satisfaction when they are motivated
and intellectually stimulated, which are hallmarks of the transformational
leader. Regimented, deadline-oriented leadership does not tend to promote
higher job satisfaction.
5. A patient's right to privacy of health records is an example of which legal
concept?
A) Confidentiality
B) Malpractice
C) Negligence
D) Assault
Correct Answer: Confidentiality
Rationale: The right to privacy of health records is an example of
confidentiality. Confidentiality is the ethical and legal duty to protect a
patient's private health information from unauthorized disclosure.
6. Which law protects one's right to be left alone?
A) Confidentiality
B) Privacy
C) HIPAA
D) HITECH
Correct Answer: Privacy
Rationale: Privacy law protects one's right to be left alone. While
confidentiality protects the information shared, privacy protects the
individual's personal space and autonomy.
, 7. The basic obligation to assist others and promote good is known as:
A) Non-maleficence
B) Justice
C) Beneficence
D) Fidelity
Correct Answer: Beneficence
Rationale: Beneficence is the basic obligation to assist others and promote
good. It is one of the core ethical principles in healthcare, requiring nurses to
act in the best interest of their patients.
8. Non-maleficence means which of the following?
A) Do good
B) Do no harm
C) Be fair
D) Be truthful
Correct Answer: Do no harm
Rationale: Non-maleficence means "do no harm". This ethical principle
requires healthcare providers to avoid causing harm to patients, whether
through action or inaction.
9. Which of the following is a purpose of the code of ethics for nurses?
A) To outline major ethical considerations
B) To establish legal penalties for misconduct
