NR 446 EXAM SCRIPT 1 2026 TEST PAPER
SOLUTIONS AND STUDY GUIDE
◉ industrial age leadership. Answer: focused primarily on
traditional hierarchical management structures, skill acquisition,
competition and control.
◉ relationship age leadership. Answer: focuses primarily on the
relationship between the leader and his or her followers, on
discerning common purpose, working together cooperatively, and
seeking info rather than wealth.
◉ Five rights of delegation. Answer: Right task
right circumstance
right person
right direction/communication
right supervision/evaluation
◉ Delegation to LPN/LVN. Answer: Chronic cases
Stable clients
Routine procedures
,◉ Delegation to UAP. Answer: Routine procedures
ADLs
◉ Delegation to RN. Answer: Specialty care
Severe cases
Sterile procedures
Assessment
Teaching
Evaluation
IV medication
◉ what are ethics. Answer: system of moral principles that guide a
persons actions in regard to right and wrong in regard to oneself and
society at large.
◉ Moral/Ethical dilemma. Answer: Condition/set of circumstances
or situations
(Forces a decision to be made between 2 undesirable alternatives)
◉ how are CLINICAL nursing ethics difference than NURSING
MANAGEMENT ethics?. Answer: middle-level managers in nursing
experienced less ethical dilemmas and more distress than staff
nurses, but that administrative dilemmas still causes them
significant moral distress.
, ◉ Rights based ethical framework. Answer: Individuals have basic
inherent rights that shouldn't be interfered with
◉ Duty based ethical franework. Answer: A duty to do/refrain from
doing something
◉ Intuitionist ethical framework. Answer: Each case is weighed on a
case by case basis to determine relative goals, duties, and rights
◉ Autonomy. Answer: Freedom of choice/ self-determination
◉ Beneficence. Answer: Actions to promote good
◉ Nonmaleficence. Answer: Actions to avoid harm
◉ Paternalism. Answer: Individual assumes the right to make
decisions for someone else
◉ Utility. Answer: Good outweighs wants/needs
◉ Justice. Answer: Fairness (treat all equal)
SOLUTIONS AND STUDY GUIDE
◉ industrial age leadership. Answer: focused primarily on
traditional hierarchical management structures, skill acquisition,
competition and control.
◉ relationship age leadership. Answer: focuses primarily on the
relationship between the leader and his or her followers, on
discerning common purpose, working together cooperatively, and
seeking info rather than wealth.
◉ Five rights of delegation. Answer: Right task
right circumstance
right person
right direction/communication
right supervision/evaluation
◉ Delegation to LPN/LVN. Answer: Chronic cases
Stable clients
Routine procedures
,◉ Delegation to UAP. Answer: Routine procedures
ADLs
◉ Delegation to RN. Answer: Specialty care
Severe cases
Sterile procedures
Assessment
Teaching
Evaluation
IV medication
◉ what are ethics. Answer: system of moral principles that guide a
persons actions in regard to right and wrong in regard to oneself and
society at large.
◉ Moral/Ethical dilemma. Answer: Condition/set of circumstances
or situations
(Forces a decision to be made between 2 undesirable alternatives)
◉ how are CLINICAL nursing ethics difference than NURSING
MANAGEMENT ethics?. Answer: middle-level managers in nursing
experienced less ethical dilemmas and more distress than staff
nurses, but that administrative dilemmas still causes them
significant moral distress.
, ◉ Rights based ethical framework. Answer: Individuals have basic
inherent rights that shouldn't be interfered with
◉ Duty based ethical franework. Answer: A duty to do/refrain from
doing something
◉ Intuitionist ethical framework. Answer: Each case is weighed on a
case by case basis to determine relative goals, duties, and rights
◉ Autonomy. Answer: Freedom of choice/ self-determination
◉ Beneficence. Answer: Actions to promote good
◉ Nonmaleficence. Answer: Actions to avoid harm
◉ Paternalism. Answer: Individual assumes the right to make
decisions for someone else
◉ Utility. Answer: Good outweighs wants/needs
◉ Justice. Answer: Fairness (treat all equal)
