NUR2058/NUR 2058 Exam 3 V2 |
Dimensions of Nursing Practice Q&A with
Rationale | Rasmussen University
1. A nurse is caring for a patient who decides to stop chemotherapy treatment despite the
medical team’s recommendation. By supporting the patient’s decision, the nurse is upholding
which ethical principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy is the principle that recognizes the right of individuals to self-
determination and to make decisions about their own lives and health care. In this
scenario, the nurse respects the patient’s right to refuse treatment even when it contradicts
medical advice. This support ensures the patient’s personal values and choices are honored
in the clinical setting.
2. Which of the following elements is required to prove a case of nursing malpractice?
A. An unintentional error that resulted in no harm
B. A personal disagreement with a colleague
,C. A breach of duty that caused injury
D. The nurse’s failure to document a minor vital sign
Answer: C
Rationale: Malpractice requires four specific elements: duty, breach of duty, causation, and
damages or injury. The breach of duty occurs when the nurse fails to meet the standard of
care expected in a similar situation. Without a direct link between the nurse’s action and a
physical or psychological injury, a malpractice claim cannot be successfully established.
3. A nurse manager involves the staff in decision-making and encourages feedback during
monthly meetings. Which leadership style is being demonstrated?
A. Autocratic
B. Bureaucratic
C. Laissez-faire
D. Democratic
Answer: D
Rationale: The democratic leadership style is characterized by shared decision-making
and collaborative communication between the leader and the staff. This approach fosters a
sense of ownership and accountability among team members while improving morale and
job satisfaction. It is highly effective in professional environments where expert input is
valued for problem-solving.
, 4. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Evaluating the effectiveness of pain medication
B. Assessing a patient’s surgical incision
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Delegation to UAPs should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Assisting a stable patient with ambulation is a standard task
that falls within the scope of practice for a UAP. The nurse remains responsible for
assessing the patient’s overall status and ensuring the task is completed safely.
5. Which ethical principle is defined as ‘doing good’ and acting in the best interest of the
patient?
A. Fidelity
B. Veracity
C. Beneficence
D. Justice
Answer: C
Dimensions of Nursing Practice Q&A with
Rationale | Rasmussen University
1. A nurse is caring for a patient who decides to stop chemotherapy treatment despite the
medical team’s recommendation. By supporting the patient’s decision, the nurse is upholding
which ethical principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy is the principle that recognizes the right of individuals to self-
determination and to make decisions about their own lives and health care. In this
scenario, the nurse respects the patient’s right to refuse treatment even when it contradicts
medical advice. This support ensures the patient’s personal values and choices are honored
in the clinical setting.
2. Which of the following elements is required to prove a case of nursing malpractice?
A. An unintentional error that resulted in no harm
B. A personal disagreement with a colleague
,C. A breach of duty that caused injury
D. The nurse’s failure to document a minor vital sign
Answer: C
Rationale: Malpractice requires four specific elements: duty, breach of duty, causation, and
damages or injury. The breach of duty occurs when the nurse fails to meet the standard of
care expected in a similar situation. Without a direct link between the nurse’s action and a
physical or psychological injury, a malpractice claim cannot be successfully established.
3. A nurse manager involves the staff in decision-making and encourages feedback during
monthly meetings. Which leadership style is being demonstrated?
A. Autocratic
B. Bureaucratic
C. Laissez-faire
D. Democratic
Answer: D
Rationale: The democratic leadership style is characterized by shared decision-making
and collaborative communication between the leader and the staff. This approach fosters a
sense of ownership and accountability among team members while improving morale and
job satisfaction. It is highly effective in professional environments where expert input is
valued for problem-solving.
, 4. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Evaluating the effectiveness of pain medication
B. Assessing a patient’s surgical incision
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Delegation to UAPs should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Assisting a stable patient with ambulation is a standard task
that falls within the scope of practice for a UAP. The nurse remains responsible for
assessing the patient’s overall status and ensuring the task is completed safely.
5. Which ethical principle is defined as ‘doing good’ and acting in the best interest of the
patient?
A. Fidelity
B. Veracity
C. Beneficence
D. Justice
Answer: C
