Test Bank For Essentials of Nursing Leadership and
Management, 7th Edition (Weiss, 2020), 9780803669536
Chapter 1-16 / All Chapters with Answers and Rationals
Nursing has its origins with:
1- Florence Nightingale
2- The Knights of Columbus
3- Religious orders
4- wars and battles - ANSWER: 3- religious orders
Who stated that the "function of the nurse is to assist the individual, sick or well, in the performance
of those activities contributing to health or its recovery (or to peaceful death)"?
1- Henderson
2- Rogers
3- Robb
4-Nightingale - ANSWER: 4- Nightingale
You are participating in a clinical care coordination conference for a patient with terminal cancer. You
talk with your colleagues about using the nursing code of ethics for professional registered nurses to
guide care decisions. A nonnursing colleague asks about this code. Which of the following statements
best describes this code?
A. Improves communication between the nurse and pt
B. Protects the patient's autonomy
C. Ensures identical care to all patients
D. Acts as a guide for professional behaviors in giving pt care - ANSWER: D
The NCLEX for nurses is exactly the same in every state in the US. The exam:
1- guarantees safe nursing care for all pt
2- ensures standard nursing care for all pts
3- ensures that honest & ethical care is provided
4- provides a minimal knowledge for a RN in practice - ANSWER: 4
APRNs generally: [SATA]
1. Function independently
2. Function as unit directors
3. Work in acute care settings
4. Work in the university setting
5. Hold advanced degrees - ANSWER: 1, 5
Nurses at a community hospital are in an education program to learn how to use a new pressure-
relieving device for patients at risk for pressure ulcers. This is which type of education?
A. Continuing education
B. Graduate education
C. In-service education
D. Professional Registered Nurse Education - ANSWER: C
Which of the following is unique to a professional standard of decision making? [SATA]
1- weighs benefits and risks when making a decision
2- analyzes and examines choices more independently
3- concrete thinking
4- anticipates when to make choices without others' assistance - ANSWER: 1, 2
,nursing practice in the 21st century is an art and science that focuses on:
1- the pt
2- nursing process
3- cultural diversity
4-the health-care facility - ANSWER: 1
which of the following represent the knowledge & skills expected of the professional nurse? [SATA]
1- accountability
2- advocacy
3- autonomy
4- social networking
5- participation in nursing blogs - ANSWER: 1 2 3
professional accountability serves the following purpose [SATA]
1- to provide a basis for ethical decision making
2- to respect the decision of the client
3- to maintain standards of health
4- to eval new professional practices and reassess existing ones
5- to belong to a professional organization - ANSWER: 1 2 3 4
several studies have shown that although care planning and advance directives are available to pts,
only a minority actually complete them. Which of the following has been shown to be r/t completing
an advance directive? [SATA]
1- african american race
2- younger age
3- history of chronic illness
4- lower SES
5- higher education - ANSWER: 5
The ANA code of ethics with interpretive statements guides nurses in ethical behaviors. Provision 3 of
the ANA code of ethics says: "The nurse promotes, advocates for, and strives to protect the health,
safety, and rights of the pt." which of the following best describes an example of this provision?
1- respecting the pts privacy and confidentiality when caring for him
2- serving on a committee that will improve the environment
3-maintaining professional boundaries when working with a pt
4- caring for oneself before trying to care for another person - ANSWER: 1
HIPAA regulations guard confidentiality. In several situations, confidentiality can be breached and
information can be reported to other entities. Which of the following meet these criteria? [SATA]
1- the pt is from a correctional institution
2- the situation involves child abuse
3- an injury occurred from a firearm
4-the pt is a physician
5- the breach of information was unintentional - ANSWER: 2 3
a pt asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the pt
about his concerns. Which ethical principle is the nurse applying in this situation? [SATA]
1- beneficence
2-autonomy
3- veracity
4- justice - ANSWER: 2
which best describes the difference between pt privacy and pt confidentiality?
1- confidentiality occurs between persons who are close, whereas privacy can affect anyone
2- Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is
protection from sharing a person's info
, 3- confidentiality involves the use of technology for protection, whereas privacy uses physical
components of protection
4- privacy involves protection from being watched, whereas confidentiality involves protection from
verbal exchanges - ANSWER: 2
a nurse is working on an ethics committee to determine the best course of action for a pt who is
dying. The nurse considers the positive and negative outcomes of the decision to assist with choices.
Which best describes the distinction of using a list when making an ethical decision?
1- the nurse can back up her reasons for why she has decided to provide a certain type of care
2- the nurse can compare the benefits of one choice over another
3- the nurse can communicate the best choice of action to the interdisciplinary team
4- the nurse can provide care based on developed policies and standards - ANSWER: 2
a nurse is caring for a pt who feels that life should not be prolonged when hope is gone. she has
decided that she doesnt want extraordinary measures taken when her life is at its end. She has
discussed her feelings with her family and HCP. The nurse realizes that this is an example of:
1- affirming a value
2- choosing a value
3- prizing a value
4- reflecting a value - ANSWER: 3
which of the following demonstrates a nurse as advocating for a pt? The nurse:
1- calls a nursing supervisor in conflicting situations
2- reviews and understands the law as it applies to the clients clinical condition
3- documents all clinical changes in the medical record in a timely manner
4- assesses the pt POV & prepares to articulate this POV - ANSWER: 4
A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an
employee. Which practice is most appropriate?
1. The nurse is an employee; therefore, access to the chart is permissible.
2. Access to the chart requires a signed release form.
3. The relationship with the client provides the nurse special access to the chart.
4. The nurse can ask the surgeon to discuss the outcome of the surgery. - ANSWER: 2
A nurse is providing care to a patient whose family has previously brought suit against another
hospital and 2 physicians. Under which principle should the nurse practice?
1- justice
2- veracity
3- autonomy
4- nonmaleficence - ANSWER: 1
which common practice puts the nurse at liability for invasion of pt privacy?
1- during care, the nurse reveals info about the pt to those in the room
2- the nurse releases info about the pt to nursing students who will be caring for the pt the next day
3- the nurse conducts a pt care session about a pt whose care is difficult and challenging
4- confidential info regarding an admitted pt is released to 3rd party payers - ANSWER: 1
the health care facility has sponsored a continuing education offering on emergency management of
pandemic influenza. at lunch a nurse is overheard saying "i'm not going to take care of anyone that
might have the flu. i have kids to think about". whats true of this statement? [SATA]
1- the nurse has a greater obligation that a layperson to care for the sick or injured in an emergency
2-this statement reflects defamation and may result in legal action against the nurse
3- this statement is a breech of the Code of Ethics for Nurses
4- the nurse has this right as no nurse-pt contract has been established - ANSWER: 1 3
Management, 7th Edition (Weiss, 2020), 9780803669536
Chapter 1-16 / All Chapters with Answers and Rationals
Nursing has its origins with:
1- Florence Nightingale
2- The Knights of Columbus
3- Religious orders
4- wars and battles - ANSWER: 3- religious orders
Who stated that the "function of the nurse is to assist the individual, sick or well, in the performance
of those activities contributing to health or its recovery (or to peaceful death)"?
1- Henderson
2- Rogers
3- Robb
4-Nightingale - ANSWER: 4- Nightingale
You are participating in a clinical care coordination conference for a patient with terminal cancer. You
talk with your colleagues about using the nursing code of ethics for professional registered nurses to
guide care decisions. A nonnursing colleague asks about this code. Which of the following statements
best describes this code?
A. Improves communication between the nurse and pt
B. Protects the patient's autonomy
C. Ensures identical care to all patients
D. Acts as a guide for professional behaviors in giving pt care - ANSWER: D
The NCLEX for nurses is exactly the same in every state in the US. The exam:
1- guarantees safe nursing care for all pt
2- ensures standard nursing care for all pts
3- ensures that honest & ethical care is provided
4- provides a minimal knowledge for a RN in practice - ANSWER: 4
APRNs generally: [SATA]
1. Function independently
2. Function as unit directors
3. Work in acute care settings
4. Work in the university setting
5. Hold advanced degrees - ANSWER: 1, 5
Nurses at a community hospital are in an education program to learn how to use a new pressure-
relieving device for patients at risk for pressure ulcers. This is which type of education?
A. Continuing education
B. Graduate education
C. In-service education
D. Professional Registered Nurse Education - ANSWER: C
Which of the following is unique to a professional standard of decision making? [SATA]
1- weighs benefits and risks when making a decision
2- analyzes and examines choices more independently
3- concrete thinking
4- anticipates when to make choices without others' assistance - ANSWER: 1, 2
,nursing practice in the 21st century is an art and science that focuses on:
1- the pt
2- nursing process
3- cultural diversity
4-the health-care facility - ANSWER: 1
which of the following represent the knowledge & skills expected of the professional nurse? [SATA]
1- accountability
2- advocacy
3- autonomy
4- social networking
5- participation in nursing blogs - ANSWER: 1 2 3
professional accountability serves the following purpose [SATA]
1- to provide a basis for ethical decision making
2- to respect the decision of the client
3- to maintain standards of health
4- to eval new professional practices and reassess existing ones
5- to belong to a professional organization - ANSWER: 1 2 3 4
several studies have shown that although care planning and advance directives are available to pts,
only a minority actually complete them. Which of the following has been shown to be r/t completing
an advance directive? [SATA]
1- african american race
2- younger age
3- history of chronic illness
4- lower SES
5- higher education - ANSWER: 5
The ANA code of ethics with interpretive statements guides nurses in ethical behaviors. Provision 3 of
the ANA code of ethics says: "The nurse promotes, advocates for, and strives to protect the health,
safety, and rights of the pt." which of the following best describes an example of this provision?
1- respecting the pts privacy and confidentiality when caring for him
2- serving on a committee that will improve the environment
3-maintaining professional boundaries when working with a pt
4- caring for oneself before trying to care for another person - ANSWER: 1
HIPAA regulations guard confidentiality. In several situations, confidentiality can be breached and
information can be reported to other entities. Which of the following meet these criteria? [SATA]
1- the pt is from a correctional institution
2- the situation involves child abuse
3- an injury occurred from a firearm
4-the pt is a physician
5- the breach of information was unintentional - ANSWER: 2 3
a pt asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the pt
about his concerns. Which ethical principle is the nurse applying in this situation? [SATA]
1- beneficence
2-autonomy
3- veracity
4- justice - ANSWER: 2
which best describes the difference between pt privacy and pt confidentiality?
1- confidentiality occurs between persons who are close, whereas privacy can affect anyone
2- Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is
protection from sharing a person's info
, 3- confidentiality involves the use of technology for protection, whereas privacy uses physical
components of protection
4- privacy involves protection from being watched, whereas confidentiality involves protection from
verbal exchanges - ANSWER: 2
a nurse is working on an ethics committee to determine the best course of action for a pt who is
dying. The nurse considers the positive and negative outcomes of the decision to assist with choices.
Which best describes the distinction of using a list when making an ethical decision?
1- the nurse can back up her reasons for why she has decided to provide a certain type of care
2- the nurse can compare the benefits of one choice over another
3- the nurse can communicate the best choice of action to the interdisciplinary team
4- the nurse can provide care based on developed policies and standards - ANSWER: 2
a nurse is caring for a pt who feels that life should not be prolonged when hope is gone. she has
decided that she doesnt want extraordinary measures taken when her life is at its end. She has
discussed her feelings with her family and HCP. The nurse realizes that this is an example of:
1- affirming a value
2- choosing a value
3- prizing a value
4- reflecting a value - ANSWER: 3
which of the following demonstrates a nurse as advocating for a pt? The nurse:
1- calls a nursing supervisor in conflicting situations
2- reviews and understands the law as it applies to the clients clinical condition
3- documents all clinical changes in the medical record in a timely manner
4- assesses the pt POV & prepares to articulate this POV - ANSWER: 4
A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an
employee. Which practice is most appropriate?
1. The nurse is an employee; therefore, access to the chart is permissible.
2. Access to the chart requires a signed release form.
3. The relationship with the client provides the nurse special access to the chart.
4. The nurse can ask the surgeon to discuss the outcome of the surgery. - ANSWER: 2
A nurse is providing care to a patient whose family has previously brought suit against another
hospital and 2 physicians. Under which principle should the nurse practice?
1- justice
2- veracity
3- autonomy
4- nonmaleficence - ANSWER: 1
which common practice puts the nurse at liability for invasion of pt privacy?
1- during care, the nurse reveals info about the pt to those in the room
2- the nurse releases info about the pt to nursing students who will be caring for the pt the next day
3- the nurse conducts a pt care session about a pt whose care is difficult and challenging
4- confidential info regarding an admitted pt is released to 3rd party payers - ANSWER: 1
the health care facility has sponsored a continuing education offering on emergency management of
pandemic influenza. at lunch a nurse is overheard saying "i'm not going to take care of anyone that
might have the flu. i have kids to think about". whats true of this statement? [SATA]
1- the nurse has a greater obligation that a layperson to care for the sick or injured in an emergency
2-this statement reflects defamation and may result in legal action against the nurse
3- this statement is a breech of the Code of Ethics for Nurses
4- the nurse has this right as no nurse-pt contract has been established - ANSWER: 1 3
