ESSENTIALS OF NURSING LEADERSHIP &
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
1)
Reference: Ch. 1 — Characteristics of a Profession
Stem: A newly graduated RN on a medical–surgical unit notices
a licensed practical nurse (LPN) performing a complex nursing
assessment that exceeds the LPN’s usual scope. As charge
nurse, the RN must decide how to respond to protect patients
and the team while preserving morale. What is the best
immediate action?
A. Praise the LPN for initiative and allow the practice to
continue.
B. Privately stop the LPN, explain scope limits, and reassign the
assessment to an RN.
C. Report the LPN immediately to the state board of nursing.
D. Ask the LPN to document the assessment as a team effort
without changing assignments.
,Correct answer: B
Rationale — Correct (3–4 sentences): Stopping the action
privately preserves patient safety and professional
accountability while minimizing public embarrassment.
Reassigning the assessment to an RN respects scope of practice
and prevents potential harm. This reflects professional self-
regulation and protection of standards described in Chapter 1.
Rationale — Incorrect:
A. Praising and allowing practice permits scope violation and
jeopardizes patient safety.
C. Immediate reporting to the board is excessive for a first
corrective action and may damage morale; internal corrective
steps are appropriate first.
D. Asking for altered documentation violates honesty and
professional ethics; it risks legal and regulatory consequences.
Teaching point (≤20 words): Intervene promptly and privately
to enforce scope of practice and protect patient safety.
Citation: Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
2)
Reference: Ch. 1 — Characteristics of a Profession
Stem: A staff nurse is preparing a presentation for orientation
about professional accountability. She wants to illustrate how
,nurses demonstrate professional autonomy at the unit level.
Which example best demonstrates autonomy?
A. Following physician orders exactly as written for every
patient.
B. Consulting evidence and adjusting nursing care plans within
scope when patient responses differ.
C. Always deferring to a senior nurse’s judgment even when
concerned.
D. Completing only tasks assigned on the electronic checklist.
Correct answer: B
Rationale — Correct (3–4 sentences): Autonomy in nursing
includes independent decision-making within professional
scope using evidence-based judgment. Consulting evidence and
adjusting care plans demonstrates professional knowledge and
responsibility to patient outcomes. This exemplifies the
chapter’s emphasis on specialized knowledge and autonomy.
Rationale — Incorrect:
A. Blindly following orders without critical thinking is not
autonomous practice.
C. Automatic deference undermines autonomous clinical
judgment.
D. Restricting practice to checklists ignores professional
discretion and critical thinking.
Teaching point: Professional autonomy requires evidence-based
judgment within scope of practice.
, 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 must decide whether to authorize a new
competency-based orientation program that requires nurses to
demonstrate psychomotor and decision-making skills before
independent practice. Which rationale best aligns with the
profession’s commitment to self-regulation and public trust?
A. Competency demonstration is unnecessary because nursing
is learned in school.
B. Competency-based orientation promotes public safety and
professional accountability.
C. Competency checks are a cost-saving measure only.
D. Competency demonstrations undermine experienced nurses’
authority.
Correct answer: B
Rationale — Correct (3–4 sentences): Competency-based
orientation protects the public and reinforces accountability—
core characteristics of a profession. It operationalizes self-
regulation and ensures nurses meet standards before
independent practice. This aligns with Chapter 1’s description of
professional standards and accountability.
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
1)
Reference: Ch. 1 — Characteristics of a Profession
Stem: A newly graduated RN on a medical–surgical unit notices
a licensed practical nurse (LPN) performing a complex nursing
assessment that exceeds the LPN’s usual scope. As charge
nurse, the RN must decide how to respond to protect patients
and the team while preserving morale. What is the best
immediate action?
A. Praise the LPN for initiative and allow the practice to
continue.
B. Privately stop the LPN, explain scope limits, and reassign the
assessment to an RN.
C. Report the LPN immediately to the state board of nursing.
D. Ask the LPN to document the assessment as a team effort
without changing assignments.
,Correct answer: B
Rationale — Correct (3–4 sentences): Stopping the action
privately preserves patient safety and professional
accountability while minimizing public embarrassment.
Reassigning the assessment to an RN respects scope of practice
and prevents potential harm. This reflects professional self-
regulation and protection of standards described in Chapter 1.
Rationale — Incorrect:
A. Praising and allowing practice permits scope violation and
jeopardizes patient safety.
C. Immediate reporting to the board is excessive for a first
corrective action and may damage morale; internal corrective
steps are appropriate first.
D. Asking for altered documentation violates honesty and
professional ethics; it risks legal and regulatory consequences.
Teaching point (≤20 words): Intervene promptly and privately
to enforce scope of practice and protect patient safety.
Citation: Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
2)
Reference: Ch. 1 — Characteristics of a Profession
Stem: A staff nurse is preparing a presentation for orientation
about professional accountability. She wants to illustrate how
,nurses demonstrate professional autonomy at the unit level.
Which example best demonstrates autonomy?
A. Following physician orders exactly as written for every
patient.
B. Consulting evidence and adjusting nursing care plans within
scope when patient responses differ.
C. Always deferring to a senior nurse’s judgment even when
concerned.
D. Completing only tasks assigned on the electronic checklist.
Correct answer: B
Rationale — Correct (3–4 sentences): Autonomy in nursing
includes independent decision-making within professional
scope using evidence-based judgment. Consulting evidence and
adjusting care plans demonstrates professional knowledge and
responsibility to patient outcomes. This exemplifies the
chapter’s emphasis on specialized knowledge and autonomy.
Rationale — Incorrect:
A. Blindly following orders without critical thinking is not
autonomous practice.
C. Automatic deference undermines autonomous clinical
judgment.
D. Restricting practice to checklists ignores professional
discretion and critical thinking.
Teaching point: Professional autonomy requires evidence-based
judgment within scope of practice.
, 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 must decide whether to authorize a new
competency-based orientation program that requires nurses to
demonstrate psychomotor and decision-making skills before
independent practice. Which rationale best aligns with the
profession’s commitment to self-regulation and public trust?
A. Competency demonstration is unnecessary because nursing
is learned in school.
B. Competency-based orientation promotes public safety and
professional accountability.
C. Competency checks are a cost-saving measure only.
D. Competency demonstrations undermine experienced nurses’
authority.
Correct answer: B
Rationale — Correct (3–4 sentences): Competency-based
orientation protects the public and reinforces accountability—
core characteristics of a profession. It operationalizes self-
regulation and ensures nurses meet standards before
independent practice. This aligns with Chapter 1’s description of
professional standards and accountability.
