ESSENTIALS OF NURSING LEADERSHIP &
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1.
Reference
Ch. 1 — Characteristics of a Profession
Stem
A newly licensed RN on the medical–surgical unit is asked by a
family to alter charted medication times to match the family's
preferred schedule. The RN knows this would obscure actual
administration times. Which action best reflects professional
characteristics described in Chapter 1?
Options
A. Alter the chart to accommodate the family and discuss
documentation policy later.
,B. Refuse and tell the family they have no right to request chart
changes.
C. Explain why charting must reflect actual care, decline to
change entries, and inform the charge nurse if pressured.
D. Ask a coworker to make the change so the family is satisfied.
Correct Answer
C
Rationale — Correct
Choosing C demonstrates accountability, integrity, and
commitment to ethical, accurate documentation — core
professional attributes. Notifying the charge nurse shows
responsible use of hierarchical support to protect patient safety
and professional standards.
Rationale — Incorrect
A: Falsifying records violates professional ethics, legal
requirements, and patient safety.
B: Curt dismissal risks poor communication and fails to use
professional channels to resolve conflict.
D: Asking another to falsify documentation involves collusion
and breaches professional integrity.
Teaching Point
Maintain accurate documentation; report undue pressure to
protect patient safety and professional standards.
,Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
2.
Reference
Ch. 1 — Characteristics of a Profession
Stem
A charge nurse notices a staff member repeatedly arriving late
and sometimes leaving early without reporting. The unit is
short-staffed that shift. Which response best models
professional self-regulation and accountability?
Options
A. Ignore it since patient care was completed that day.
B. Inform the staff member privately about expectations and
document the discussion per policy.
C. Publicly reprimand the staff member at shift change to deter
others.
D. Cover the shifts without reporting to avoid formal
disciplinary action.
Correct Answer
B
Rationale — Correct
B reflects professional accountability and self-regulation:
addressing behavior privately, aligning with professional
, standards, and documenting actions per policy for transparency
and quality improvement.
Rationale — Incorrect
A: Ignoring undermines professional standards and sets poor
precedent.
C: Public reprimand violates respect and professional conduct
principles.
D: Covering without reporting perpetuates unsafe staffing
practices and fails accountability.
Teaching Point
Address performance concerns privately, document, and follow
organizational policy for accountability.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3.
Reference
Ch. 1 — Characteristics of a Profession
Stem
A senior RN is asked to mentor a new graduate but is resistant
because mentoring is unpaid extra work. Which argument most
aligns with the professional characteristic of service to the
public and profession?
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
TEST BANK
1.
Reference
Ch. 1 — Characteristics of a Profession
Stem
A newly licensed RN on the medical–surgical unit is asked by a
family to alter charted medication times to match the family's
preferred schedule. The RN knows this would obscure actual
administration times. Which action best reflects professional
characteristics described in Chapter 1?
Options
A. Alter the chart to accommodate the family and discuss
documentation policy later.
,B. Refuse and tell the family they have no right to request chart
changes.
C. Explain why charting must reflect actual care, decline to
change entries, and inform the charge nurse if pressured.
D. Ask a coworker to make the change so the family is satisfied.
Correct Answer
C
Rationale — Correct
Choosing C demonstrates accountability, integrity, and
commitment to ethical, accurate documentation — core
professional attributes. Notifying the charge nurse shows
responsible use of hierarchical support to protect patient safety
and professional standards.
Rationale — Incorrect
A: Falsifying records violates professional ethics, legal
requirements, and patient safety.
B: Curt dismissal risks poor communication and fails to use
professional channels to resolve conflict.
D: Asking another to falsify documentation involves collusion
and breaches professional integrity.
Teaching Point
Maintain accurate documentation; report undue pressure to
protect patient safety and professional standards.
,Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
2.
Reference
Ch. 1 — Characteristics of a Profession
Stem
A charge nurse notices a staff member repeatedly arriving late
and sometimes leaving early without reporting. The unit is
short-staffed that shift. Which response best models
professional self-regulation and accountability?
Options
A. Ignore it since patient care was completed that day.
B. Inform the staff member privately about expectations and
document the discussion per policy.
C. Publicly reprimand the staff member at shift change to deter
others.
D. Cover the shifts without reporting to avoid formal
disciplinary action.
Correct Answer
B
Rationale — Correct
B reflects professional accountability and self-regulation:
addressing behavior privately, aligning with professional
, standards, and documenting actions per policy for transparency
and quality improvement.
Rationale — Incorrect
A: Ignoring undermines professional standards and sets poor
precedent.
C: Public reprimand violates respect and professional conduct
principles.
D: Covering without reporting perpetuates unsafe staffing
practices and fails accountability.
Teaching Point
Address performance concerns privately, document, and follow
organizational policy for accountability.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3.
Reference
Ch. 1 — Characteristics of a Profession
Stem
A senior RN is asked to mentor a new graduate but is resistant
because mentoring is unpaid extra work. Which argument most
aligns with the professional characteristic of service to the
public and profession?
