ESSENTIALS OF NURSING LEADERSHIP &
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
1.
Reference
Ch. 1 — Characteristics of a Profession
Question Stem
A newly licensed nurse is asked by an experienced coworker to
perform a technical procedure that the new nurse learned in
school but has not yet performed independently in the clinical
setting. The new nurse is unsure whether to accept. Which
action best reflects professional accountability?
Options
A. Agree to perform the procedure to demonstrate competence
and avoid disappointing the coworker.
B. Decline politely and inform the coworker that the procedure
is outside the nurse’s current competence, requesting
supervision.
C. Ask a different coworker who is also new to the unit to
,perform the procedure with you so you're not alone.
D. Perform the procedure but document that the coworker
supervised and provided most of the care.
Correct Answer
B
Rationale — Correct
Declining and requesting supervision demonstrates professional
accountability and honesty about competence. It protects
patient safety, follows standards of practice, and aligns with the
profession’s obligation to provide care only within one's scope
and competence. This action also facilitates appropriate
delegation and supervision.
Rationale — Incorrect
A. Agreeing risks patient safety and violates responsibility to
practice within competence.
C. Asking another inexperienced coworker increases risk and
avoids appropriate supervision from qualified staff.
D. Performing the procedure and misrepresenting supervision is
unethical and compromises legal/professional accountability.
Teaching Point
Always practice within competence; request supervision when
needed to protect patient safety.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
, 2.
Reference
Ch. 1 — Characteristics of a Profession
Question Stem
A charge nurse notices a staff member repeatedly arriving late
and documenting medication administration before giving the
medications. Which professional behavior should the charge
nurse prioritize to uphold the profession’s values?
Options
A. Ignore the behavior to avoid workplace conflict.
B. Document the occurrences and report the pattern to the
nurse manager and unit-based peer review.
C. Reprimand the staff member in front of the team to set an
example.
D. Replace the staff member’s assignment with lighter tasks
without discussing the documentation errors.
Correct Answer
B
Rationale — Correct
Documenting and reporting through appropriate channels
demonstrates commitment to professional standards,
accountability, and patient safety. It initiates formal processes
for investigation, support, and remediation consistent with self-
regulation and professional oversight.
, Rationale — Incorrect
A. Ignoring breaches of professional behavior endangers
patients and erodes public trust.
C. Public reprimand is unprofessional and undermines a
constructive corrective process.
D. Reassigning without addressing documentation errors fails to
correct unsafe practice or ensure accountability.
Teaching Point
Report and document unsafe or unethical practice through
proper professional channels.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3.
Reference
Ch. 1 — Characteristics of a Profession
Question Stem
During orientation, a preceptor emphasizes the importance of
joining professional organizations and attending conferences.
Which rationale best aligns with the profession’s characteristics
and the nurse’s professional development?
Options
A. Membership guarantees immediate promotion and higher
pay.
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
1.
Reference
Ch. 1 — Characteristics of a Profession
Question Stem
A newly licensed nurse is asked by an experienced coworker to
perform a technical procedure that the new nurse learned in
school but has not yet performed independently in the clinical
setting. The new nurse is unsure whether to accept. Which
action best reflects professional accountability?
Options
A. Agree to perform the procedure to demonstrate competence
and avoid disappointing the coworker.
B. Decline politely and inform the coworker that the procedure
is outside the nurse’s current competence, requesting
supervision.
C. Ask a different coworker who is also new to the unit to
,perform the procedure with you so you're not alone.
D. Perform the procedure but document that the coworker
supervised and provided most of the care.
Correct Answer
B
Rationale — Correct
Declining and requesting supervision demonstrates professional
accountability and honesty about competence. It protects
patient safety, follows standards of practice, and aligns with the
profession’s obligation to provide care only within one's scope
and competence. This action also facilitates appropriate
delegation and supervision.
Rationale — Incorrect
A. Agreeing risks patient safety and violates responsibility to
practice within competence.
C. Asking another inexperienced coworker increases risk and
avoids appropriate supervision from qualified staff.
D. Performing the procedure and misrepresenting supervision is
unethical and compromises legal/professional accountability.
Teaching Point
Always practice within competence; request supervision when
needed to protect patient safety.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
, 2.
Reference
Ch. 1 — Characteristics of a Profession
Question Stem
A charge nurse notices a staff member repeatedly arriving late
and documenting medication administration before giving the
medications. Which professional behavior should the charge
nurse prioritize to uphold the profession’s values?
Options
A. Ignore the behavior to avoid workplace conflict.
B. Document the occurrences and report the pattern to the
nurse manager and unit-based peer review.
C. Reprimand the staff member in front of the team to set an
example.
D. Replace the staff member’s assignment with lighter tasks
without discussing the documentation errors.
Correct Answer
B
Rationale — Correct
Documenting and reporting through appropriate channels
demonstrates commitment to professional standards,
accountability, and patient safety. It initiates formal processes
for investigation, support, and remediation consistent with self-
regulation and professional oversight.
, Rationale — Incorrect
A. Ignoring breaches of professional behavior endangers
patients and erodes public trust.
C. Public reprimand is unprofessional and undermines a
constructive corrective process.
D. Reassigning without addressing documentation errors fails to
correct unsafe practice or ensure accountability.
Teaching Point
Report and document unsafe or unethical practice through
proper professional channels.
Citation
Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
3.
Reference
Ch. 1 — Characteristics of a Profession
Question Stem
During orientation, a preceptor emphasizes the importance of
joining professional organizations and attending conferences.
Which rationale best aligns with the profession’s characteristics
and the nurse’s professional development?
Options
A. Membership guarantees immediate promotion and higher
pay.
