NUR2058/NUR 2058 Exam 2 V3 |
Dimensions of Nursing Practice Q&A with
Rationale | Rasmussen University
1. A nurse is caring for a patient who decides to stop chemotherapy despite the potential for
life extension. The nurse supports this decision because of which ethical principle?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
medical care without being influenced by others. In this scenario, the nurse respects the
patient’s self-determination regarding their treatment plan. Supporting autonomy often
requires the nurse to advocate for the patient even when the decision conflicts with
medical advice.
2. Which of the following describes the ethical principle of beneficence?
A. Providing fair treatment to all patients
B. The duty to tell the truth
C. Taking positive actions to help others
,D. Avoiding harm to the patient
Answer: C
Rationale: Beneficence is the duty to do good and act in the best interest of the patient.
This principle guides the nurse to provide care that benefits the patient and promotes their
well-being. It is fundamental to the nursing profession and ensures that interventions are
meaningful and helpful.
3. A nurse is documenting a patient’s refusal of medication. Which action by the nurse best
demonstrates professional accountability?
A. Reporting the refusal to the next shift nurse only
B. Discarding the medication and charting it as given
C. Documenting the refusal and the patient’s stated reason
D. Asking a family member to convince the patient
Answer: C
Rationale: Professional accountability involves taking responsibility for one’s actions and
ensuring accurate communication regarding patient care. By documenting the refusal and
the reason, the nurse provides a clear legal and clinical record of the event. This practice
protects both the nurse and the patient while ensuring continuity of care.
4. What is the primary purpose of the State Nurse Practice Act?
A. To define the pay scales for registered nurses
, B. To provide scholarships for nursing students
C. To organize nursing unions
D. To protect the public from unsafe nursing practice
Answer: D
Rationale: The Nurse Practice Act is a state law that defines the scope of nursing practice
and the standards of care. Its primary goal is to ensure that individuals practicing nursing
are competent and safe, thereby protecting public health. Each state has its own specific act
that regulates licensure and disciplinary actions.
5. A nurse provides the wrong medication to a patient but no harm occurs. Which element of
negligence is missing if the patient files a lawsuit?
A. Duty
B. Breach of duty
C. Causation
D. Damages
Answer: D
Rationale: To prove negligence or malpractice, there must be actual harm or injury
(damages) resulting from the breach of duty. Even if the nurse made a mistake, the absence
of physical or emotional injury means the criteria for a successful lawsuit are not met.
However, the nurse should still report the error internally through an incident report.
Dimensions of Nursing Practice Q&A with
Rationale | Rasmussen University
1. A nurse is caring for a patient who decides to stop chemotherapy despite the potential for
life extension. The nurse supports this decision because of which ethical principle?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
medical care without being influenced by others. In this scenario, the nurse respects the
patient’s self-determination regarding their treatment plan. Supporting autonomy often
requires the nurse to advocate for the patient even when the decision conflicts with
medical advice.
2. Which of the following describes the ethical principle of beneficence?
A. Providing fair treatment to all patients
B. The duty to tell the truth
C. Taking positive actions to help others
,D. Avoiding harm to the patient
Answer: C
Rationale: Beneficence is the duty to do good and act in the best interest of the patient.
This principle guides the nurse to provide care that benefits the patient and promotes their
well-being. It is fundamental to the nursing profession and ensures that interventions are
meaningful and helpful.
3. A nurse is documenting a patient’s refusal of medication. Which action by the nurse best
demonstrates professional accountability?
A. Reporting the refusal to the next shift nurse only
B. Discarding the medication and charting it as given
C. Documenting the refusal and the patient’s stated reason
D. Asking a family member to convince the patient
Answer: C
Rationale: Professional accountability involves taking responsibility for one’s actions and
ensuring accurate communication regarding patient care. By documenting the refusal and
the reason, the nurse provides a clear legal and clinical record of the event. This practice
protects both the nurse and the patient while ensuring continuity of care.
4. What is the primary purpose of the State Nurse Practice Act?
A. To define the pay scales for registered nurses
, B. To provide scholarships for nursing students
C. To organize nursing unions
D. To protect the public from unsafe nursing practice
Answer: D
Rationale: The Nurse Practice Act is a state law that defines the scope of nursing practice
and the standards of care. Its primary goal is to ensure that individuals practicing nursing
are competent and safe, thereby protecting public health. Each state has its own specific act
that regulates licensure and disciplinary actions.
5. A nurse provides the wrong medication to a patient but no harm occurs. Which element of
negligence is missing if the patient files a lawsuit?
A. Duty
B. Breach of duty
C. Causation
D. Damages
Answer: D
Rationale: To prove negligence or malpractice, there must be actual harm or injury
(damages) resulting from the breach of duty. Even if the nurse made a mistake, the absence
of physical or emotional injury means the criteria for a successful lawsuit are not met.
However, the nurse should still report the error internally through an incident report.
