ESSENTIALS OF NURSING LEADERSHIP &
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1. Reference
Ch. 1 — Characteristics of a Profession
RN-Level Leadership & Management Question (Stem)
A new graduate nurse on orientation is assigned to a med-surg
unit. During report she is asked by a family member about the
nurse’s responsibility to advocate for the patient’s preferences.
As the charge nurse, you must coach the graduate about
professional responsibilities. Which explanation best reflects
the characteristic of a profession related to advocacy and
accountability?
A. Nurses are employees who follow physician orders and
should defer to family wishes when convenient.
B. Nurses hold autonomy and accountability to advocate for
,patient preferences within scope of practice.
C. Advocacy is optional and is primarily the responsibility of
patient support staff.
D. Professionalism requires that nurses avoid conflict with
physicians about patient preferences.
Correct answer: B
Rationale — Correct:
Option B correctly links autonomy and accountability with
advocacy: nurses, as professionals, are ethically and legally
accountable to represent patient preferences and act within
their scope. Coaching a new graduate to advocate supports
patient-centered care and professional role development.
Rationale — Incorrect:
A. Portrays nursing as passive employee behavior; this
undermines professional accountability and patient safety.
C. Treats advocacy as optional and delegable, which
misrepresents professional duty and risks unmet patient needs.
D. Suggests avoiding interprofessional conflict at the expense of
advocacy; this can compromise patient outcomes.
Teaching point:
Nurses must advocate within scope while accepting
professional accountability.
Citation:
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
,2. Reference
Ch. 1 — Characteristics of a Profession
Stem
As a charge nurse you notice a seasoned RN routinely performs
tasks beyond the unit’s defined scope of practice during busy
shifts. You must address this at the next staff meeting. Which
managerial action best aligns with upholding the profession’s
characteristic of specialized knowledge and scope?
A. Ignore the behavior because productivity improves when
tasks are shared.
B. Reinforce scope-of-practice standards, provide resources for
skill validation, and discuss safe delegation.
C. Tell staff to continue as long as outcomes appear acceptable.
D. Publicly reprimand the RN during the meeting to deter
others.
Correct answer: B
Rationale — Correct:
Option B applies leadership principles: reinforce professional
standards, offer competence validation, and clarify delegation
to protect patients and maintain professional integrity.
Rationale — Incorrect:
A. Ignoring scope breaches compromises legal/ethical
accountability and patient safety.
C. Judging by outcomes alone neglects process and regulatory
, requirements; latent harm may exist.
D. Public reprimand harms morale and is unprofessional;
corrective action should be private and constructive.
Teaching point:
Address scope breaches through education, validation, and
clear delegation policies.
Citation:
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3. Reference
Ch. 1 — Characteristics of a Profession
Stem
A unit manager is designing onboarding content to promote
professional socialization. Which activity best fosters
professional identity consistent with characteristics of the
nursing profession?
A. Emphasizing only technical tasks and time-management tips
in orientation.
B. Integrating discussions of the nursing code of ethics,
professional values, and role expectations.
C. Encouraging new hires to avoid professional organizations
during their first year.
D. Advising new nurses to prioritize speed over reflective
practice.
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1. Reference
Ch. 1 — Characteristics of a Profession
RN-Level Leadership & Management Question (Stem)
A new graduate nurse on orientation is assigned to a med-surg
unit. During report she is asked by a family member about the
nurse’s responsibility to advocate for the patient’s preferences.
As the charge nurse, you must coach the graduate about
professional responsibilities. Which explanation best reflects
the characteristic of a profession related to advocacy and
accountability?
A. Nurses are employees who follow physician orders and
should defer to family wishes when convenient.
B. Nurses hold autonomy and accountability to advocate for
,patient preferences within scope of practice.
C. Advocacy is optional and is primarily the responsibility of
patient support staff.
D. Professionalism requires that nurses avoid conflict with
physicians about patient preferences.
Correct answer: B
Rationale — Correct:
Option B correctly links autonomy and accountability with
advocacy: nurses, as professionals, are ethically and legally
accountable to represent patient preferences and act within
their scope. Coaching a new graduate to advocate supports
patient-centered care and professional role development.
Rationale — Incorrect:
A. Portrays nursing as passive employee behavior; this
undermines professional accountability and patient safety.
C. Treats advocacy as optional and delegable, which
misrepresents professional duty and risks unmet patient needs.
D. Suggests avoiding interprofessional conflict at the expense of
advocacy; this can compromise patient outcomes.
Teaching point:
Nurses must advocate within scope while accepting
professional accountability.
Citation:
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
,2. Reference
Ch. 1 — Characteristics of a Profession
Stem
As a charge nurse you notice a seasoned RN routinely performs
tasks beyond the unit’s defined scope of practice during busy
shifts. You must address this at the next staff meeting. Which
managerial action best aligns with upholding the profession’s
characteristic of specialized knowledge and scope?
A. Ignore the behavior because productivity improves when
tasks are shared.
B. Reinforce scope-of-practice standards, provide resources for
skill validation, and discuss safe delegation.
C. Tell staff to continue as long as outcomes appear acceptable.
D. Publicly reprimand the RN during the meeting to deter
others.
Correct answer: B
Rationale — Correct:
Option B applies leadership principles: reinforce professional
standards, offer competence validation, and clarify delegation
to protect patients and maintain professional integrity.
Rationale — Incorrect:
A. Ignoring scope breaches compromises legal/ethical
accountability and patient safety.
C. Judging by outcomes alone neglects process and regulatory
, requirements; latent harm may exist.
D. Public reprimand harms morale and is unprofessional;
corrective action should be private and constructive.
Teaching point:
Address scope breaches through education, validation, and
clear delegation policies.
Citation:
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3. Reference
Ch. 1 — Characteristics of a Profession
Stem
A unit manager is designing onboarding content to promote
professional socialization. Which activity best fosters
professional identity consistent with characteristics of the
nursing profession?
A. Emphasizing only technical tasks and time-management tips
in orientation.
B. Integrating discussions of the nursing code of ethics,
professional values, and role expectations.
C. Encouraging new hires to avoid professional organizations
during their first year.
D. Advising new nurses to prioritize speed over reflective
practice.
