ESSENTIALS OF NURSING LEADERSHIP &
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
Q1
Reference: Ch. 1 — Characteristics of a Profession
Stem: A newly licensed RN notices that a senior nurse
documents vital signs that were not actually measured because
the telemetry technician was late. The RN is concerned about
patient safety and professional integrity. Which action by the
RN best demonstrates professional accountability as described
in the chapter?
A. Ignore the incident to avoid conflict with the senior nurse.
B. Document the omission as observed, notify the charge nurse,
and initiate a focused assessment of the patient.
C. Tell the telemetry technician to be on time next shift and
close the chart.
D. Re-measure the vital signs later and add them to the senior
nurse’s original documentation to correct the record.
Correct Answer: B
Rationales:
, • Correct (B): This option demonstrates accountability by
accurately documenting observed practice, escalating to
the appropriate leader, and taking immediate patient-
centered action. It aligns with the profession’s obligation to
ensure safety and accurate records.
• Incorrect (A): Ignoring the incident fails the professional
duty to protect patients and permits unsafe practice to
continue.
• Incorrect (C): Addressing the technician’s punctuality does
not resolve the immediate patient safety issue nor does it
address documentation integrity.
• Incorrect (D): Adding later measurements to another
clinician’s original documentation falsifies the record and
breaches legal/ethical responsibilities.
Teaching Point: Accurately report, document, and escalate
unsafe practice immediately.
Citation: Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
Q2
Reference: Ch. 1 — Characteristics of a Profession
Stem: A charge nurse must assign duties on a medical–surgical
unit that is short-staffed. A nursing assistant requests a task that
,is beyond their training. Which assignment reflects appropriate
application of professional scope and delegation principles?
A. Assign the assistant to administer oral medications because
the RN is busy.
B. Delegate the assistant to perform toileting and bed transfers
but assign medication administration to an RN.
C. Ask the assistant to perform wound dressing changes
unsupervised because there is no one else.
D. Tell the assistant to learn the medication routine tonight and
implement it tomorrow.
Correct Answer: B
Rationales:
• Correct (B): Assigning tasks that match the assistant’s
competency and reserving medication administration for
the RN reflects appropriate delegation within professional
scope and ensures patient safety.
• Incorrect (A): Delegating medication administration to an
unlicensed assistant violates scope-of-practice and safety
standards.
• Incorrect (C): Wound dressing changes may require RN
assessment and cannot be delegated unsupervised if
beyond the assistant’s training.
• Incorrect (D): Expecting immediate competence without
formal training is unsafe and unprofessional.
, Teaching Point: Delegate tasks based on competence and
licensure; protect safety and scope of practice.
Citation: Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Characteristics of a Profession
Stem: During an interdisciplinary meeting, a nurse is asked to
advocate for a patient whose discharge plan may be premature.
Which action best reflects the professional value of advocacy
described in the chapter?
A. Agree with the team to expedite discharge to meet
throughput targets.
B. Withhold concerns to avoid appearing combative to
physicians.
C. Present objective clinical data supporting continued inpatient
care and propose alternatives to meet system goals.
D. Tell the patient’s family to accept discharge; system pressures
are unavoidable.
Correct Answer: C
Rationales:
• Correct (C): Using objective data to advocate balances
patient welfare with system needs, demonstrating
MANAGEMENT
8TH EDITION
• AUTHOR(S)SALLY WEISS
Q1
Reference: Ch. 1 — Characteristics of a Profession
Stem: A newly licensed RN notices that a senior nurse
documents vital signs that were not actually measured because
the telemetry technician was late. The RN is concerned about
patient safety and professional integrity. Which action by the
RN best demonstrates professional accountability as described
in the chapter?
A. Ignore the incident to avoid conflict with the senior nurse.
B. Document the omission as observed, notify the charge nurse,
and initiate a focused assessment of the patient.
C. Tell the telemetry technician to be on time next shift and
close the chart.
D. Re-measure the vital signs later and add them to the senior
nurse’s original documentation to correct the record.
Correct Answer: B
Rationales:
, • Correct (B): This option demonstrates accountability by
accurately documenting observed practice, escalating to
the appropriate leader, and taking immediate patient-
centered action. It aligns with the profession’s obligation to
ensure safety and accurate records.
• Incorrect (A): Ignoring the incident fails the professional
duty to protect patients and permits unsafe practice to
continue.
• Incorrect (C): Addressing the technician’s punctuality does
not resolve the immediate patient safety issue nor does it
address documentation integrity.
• Incorrect (D): Adding later measurements to another
clinician’s original documentation falsifies the record and
breaches legal/ethical responsibilities.
Teaching Point: Accurately report, document, and escalate
unsafe practice immediately.
Citation: Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
Q2
Reference: Ch. 1 — Characteristics of a Profession
Stem: A charge nurse must assign duties on a medical–surgical
unit that is short-staffed. A nursing assistant requests a task that
,is beyond their training. Which assignment reflects appropriate
application of professional scope and delegation principles?
A. Assign the assistant to administer oral medications because
the RN is busy.
B. Delegate the assistant to perform toileting and bed transfers
but assign medication administration to an RN.
C. Ask the assistant to perform wound dressing changes
unsupervised because there is no one else.
D. Tell the assistant to learn the medication routine tonight and
implement it tomorrow.
Correct Answer: B
Rationales:
• Correct (B): Assigning tasks that match the assistant’s
competency and reserving medication administration for
the RN reflects appropriate delegation within professional
scope and ensures patient safety.
• Incorrect (A): Delegating medication administration to an
unlicensed assistant violates scope-of-practice and safety
standards.
• Incorrect (C): Wound dressing changes may require RN
assessment and cannot be delegated unsupervised if
beyond the assistant’s training.
• Incorrect (D): Expecting immediate competence without
formal training is unsafe and unprofessional.
, Teaching Point: Delegate tasks based on competence and
licensure; protect safety and scope of practice.
Citation: Weiss, S. (2024). Essentials of Nursing Leadership &
Management (8th ed.). Ch. 1.
Q3
Reference: Ch. 1 — Characteristics of a Profession
Stem: During an interdisciplinary meeting, a nurse is asked to
advocate for a patient whose discharge plan may be premature.
Which action best reflects the professional value of advocacy
described in the chapter?
A. Agree with the team to expedite discharge to meet
throughput targets.
B. Withhold concerns to avoid appearing combative to
physicians.
C. Present objective clinical data supporting continued inpatient
care and propose alternatives to meet system goals.
D. Tell the patient’s family to accept discharge; system pressures
are unavoidable.
Correct Answer: C
Rationales:
• Correct (C): Using objective data to advocate balances
patient welfare with system needs, demonstrating
