NUR2058/NUR 2058 Exam 2 V2 |
Dimensions of Nursing Practice Q&A with
Rationale | Rasmussen University
1. A nurse is caring for a patient who refuses a scheduled blood transfusion for religious
reasons. The nurse respects the patient’s decision. Which ethical principle is being
demonstrated?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of patients to make their own healthcare decisions
without interference. By respecting the refusal of treatment, the nurse acknowledges the
patient’s self-determination and legal rights. This principle is fundamental to the nurse-
patient relationship and patient-centered care.
2. Which leadership style is characterized by a leader who maintains strong control, makes
decisions independently, and gives orders to the team?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic leadership involves centralized decision-making and strict control
over subordinates. This style can be effective in emergency situations where quick
decisions are required to ensure patient safety. However, it often results in low staff
satisfaction and limited creativity within the team.
3. The nurse is unsure about the legal scope of practice regarding a specific task. Which
resource should the nurse consult to find the legal definitions of nursing practice in their
state?
A. The American Nurses Association (ANA)
B. The Nurse Practice Act
C. The Hospital Policy Manual
D. The National League for Nursing
Answer: B
Rationale: The Nurse Practice Act is a state-specific law that defines the legal boundaries
and scope of nursing practice. It serves to protect the public by ensuring that nurses are
competent and qualified to perform their duties. Consulting this act is the most
authoritative way for a nurse to verify legal requirements for practice.
, 4. A nurse administers the wrong dose of medication to a patient, leading to a prolonged
hospital stay. Which legal concept applies to this situation?
A. Battery
B. Assault
C. Malpractice
D. Slander
Answer: C
Rationale: Malpractice is a type of negligence that occurs when a professional fails to
provide the standard of care, resulting in harm to a patient. For malpractice to be proven,
there must be a duty, a breach of duty, causation, and actual damages. In this case, the
medication error directly caused a negative outcome for the patient.
5. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate?
A. Teaching a patient how to use an incentive spirometer
B. Assessing a patient’s pain level
C. Measuring and recording vital signs on a stable patient
D. Administering oral medications
Answer: C
Dimensions of Nursing Practice Q&A with
Rationale | Rasmussen University
1. A nurse is caring for a patient who refuses a scheduled blood transfusion for religious
reasons. The nurse respects the patient’s decision. Which ethical principle is being
demonstrated?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of patients to make their own healthcare decisions
without interference. By respecting the refusal of treatment, the nurse acknowledges the
patient’s self-determination and legal rights. This principle is fundamental to the nurse-
patient relationship and patient-centered care.
2. Which leadership style is characterized by a leader who maintains strong control, makes
decisions independently, and gives orders to the team?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic leadership involves centralized decision-making and strict control
over subordinates. This style can be effective in emergency situations where quick
decisions are required to ensure patient safety. However, it often results in low staff
satisfaction and limited creativity within the team.
3. The nurse is unsure about the legal scope of practice regarding a specific task. Which
resource should the nurse consult to find the legal definitions of nursing practice in their
state?
A. The American Nurses Association (ANA)
B. The Nurse Practice Act
C. The Hospital Policy Manual
D. The National League for Nursing
Answer: B
Rationale: The Nurse Practice Act is a state-specific law that defines the legal boundaries
and scope of nursing practice. It serves to protect the public by ensuring that nurses are
competent and qualified to perform their duties. Consulting this act is the most
authoritative way for a nurse to verify legal requirements for practice.
, 4. A nurse administers the wrong dose of medication to a patient, leading to a prolonged
hospital stay. Which legal concept applies to this situation?
A. Battery
B. Assault
C. Malpractice
D. Slander
Answer: C
Rationale: Malpractice is a type of negligence that occurs when a professional fails to
provide the standard of care, resulting in harm to a patient. For malpractice to be proven,
there must be a duty, a breach of duty, causation, and actual damages. In this case, the
medication error directly caused a negative outcome for the patient.
5. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate?
A. Teaching a patient how to use an incentive spirometer
B. Assessing a patient’s pain level
C. Measuring and recording vital signs on a stable patient
D. Administering oral medications
Answer: C
