Answers | Complete Solution |
Transition to Professional Nursing |
RN to BSN | Pass Guaranteed - A+
Graded
## [DOMAIN 1: PROFESSIONAL NURSING CONCEPTS & ETHICS - 35 Questions]
* *Question 1:** Which professional nursing value is demonstrated when a nurse advocates for a
patient's right to refuse treatment based on personal beliefs?
) Altruism
A
B) Autonomy **[CORRECT]**
C) Human Dignity
D) Social Justice
* *Rationale:** Autonomy refers to the right to self-determination. When a nurse respects and
supports a patient's decision to refuse treatment, they are upholding the patient's autonomy.
This aligns with ANA Code of Ethics Provision 1 (respect for inherent dignity and unique
attributes) and is a core QSEN competency for patient-centered care.
---
* *Question 2:** A nurse consistently places patient needs above personal convenience, working
overtime to ensure adequate staffing. This exemplifies:
) Integrity
A
B) Fidelity
C) Altruism **[CORRECT]**
D) Beneficence
,* *Rationale:** Altruism is defined as concern for the welfare and wellbeing of others. The
nurse's willingness to sacrifice personal time for patient welfare and colleague support
demonstrates altruistic behavior, a fundamental professional value in nursing.
---
**Question 3:** Which ethical principle requires nurses to "do no harm"?
) Beneficence
A
B) Non-maleficence **[CORRECT]**
C) Justice
D) Veracity
* *Rationale:** Non-maleficence is the ethical principle of avoiding harm. While beneficence
requires doing good, non-maleficence specifically prohibits actions that would cause harm to
patients. This principle underlies safe nursing practice and medication administration protocols.
---
* *Question 4:** The QSEN competency that focuses on integrating best current evidence with
clinical expertise is:
) Patient-Centered Care
A
B) Teamwork and Collaboration
C) Evidence-Based Practice **[CORRECT]**
D) Informatics
* *Rationale:** Evidence-Based Practice (EBP) is one of the six QSEN competencies specifically
defined as integrating best current evidence with clinical expertise and patient/family
preferences and values for optimal care delivery.
---
**Question 5:** According to the ANA Code of Ethics, what is the nurse's primary commitment?
) To the employing institution
A
B) To the physician
C) To the patient **[CORRECT]**
D) To the nursing profession
* *Rationale:** ANA Code of Ethics Provision 2 states: "The nurse's primary commitment is to the
patient." This commitment takes precedence over institutional loyalty, physician orders (when
unsafe), or professional interests when conflicts arise.
,---
* *Question 6:** A nurse ensures fair distribution of limited resources among all patients
regardless of their ability to pay. This demonstrates:
) Fidelity
A
B) Justice **[CORRECT]**
C) Veracity
D) Autonomy
* *Rationale:** Justice is the ethical principle of fair distribution of resources and care. The
nurse's equitable treatment of all patients regardless of economic status exemplifies social
justice, a core professional nursing value.
---
**Question 7:** Which statement best describes integrity in professional nursing?
) Always agreeing with patient decisions
A
B) Acting in accordance with code of ethics and standards **[CORRECT]**
C) Maintaining patient confidentiality
D) Advocating for policy changes
* *Rationale:** Integrity involves acting in accordance with the code of ethics and standards of
practice, being honest, and providing care based on an ethical framework. It requires
consistency between values, words, and actions.
---
* *Question 8:** A nurse keeps a promise to return to check on a patient at a specific time. This
demonstrates:
) Beneficence
A
B) Fidelity **[CORRECT]**
C) Justice
D) Altruism
* *Rationale:** Fidelity is the ethical principle of keeping promises and commitments. By
honoring the commitment to return, the nurse builds trust and demonstrates reliability, essential
components of the therapeutic relationship.
---
, * *Question 9:** Which QSEN competency involves using data to monitor outcomes of care
processes?
) Safety
A
B) Quality Improvement **[CORRECT]**
C) Informatics
D) Evidence-Based Practice
* *Rationale:** Quality Improvement is the QSEN competency that specifically involves using
data to monitor outcomes of care processes and using improvement methods to design and test
changes for continuous quality improvement.
---
**Question 10:** Truthfulness in all professional interactions is defined as:
) Integrity
A
B) Veracity **[CORRECT]**
C) Fidelity
D) Autonomy
* *Rationale:** Veracity is the ethical principle of truthfulness. Nurses must provide accurate
information to patients, families, and healthcare team members, even when delivering difficult
news.
---
* *Question 11:** A nurse respects the inherent worth of a homeless patient equally with that of a
wealthy patient. This demonstrates:
) Altruism
A
B) Human Dignity **[CORRECT]**
C) Social Justice
D) Autonomy
* *Rationale:** Human Dignity involves respect for the inherent worth of every individual
regardless of circumstances. The nurse values and respects all persons equally, recognizing
each person's intrinsic worth.
---
* *Question 12:** Which professional value is demonstrated when a nurse advocates for
healthcare access for undocumented immigrants?