NUR 3805 EXAM 1 | Questions and
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 homeless
patient to receive the same quality of care as a privately insured patient?
) Autonomy
A
B) Altruism
C) Social Justice
D) Human Dignity
**Answer: C) Social Justice** **[CORRECT]**
* *Rationale:** Social Justice is defined as fair treatment regardless of economic status, race,
citizenship, or other factors. While Human Dignity (D) involves respect for inherent worth, Social
Justice specifically addresses the equitable distribution of resources and fair treatment across
different socioeconomic groups. Autonomy (A) refers to self-determination, and Altruism (B) is
concern for the welfare of others in general.
---
## Question 2
#
A nurse respects a patient's decision to refuse chemotherapy despite the family's disagreement.
Which professional value is being demonstrated?
) Altruism
A
B) Autonomy
C) Integrity
,D) Social Justice
**Answer: B) Autonomy** **[CORRECT]**
* *Rationale:** Autonomy is the right to self-determination. The nurse respects the patient's right
to make their own healthcare decisions, even when others disagree. This aligns with the ANA
Code of Ethics Provision 1, which emphasizes respect for the unique attributes of every person.
---
## Question 3
#
Which of the following best demonstrates the professional value of Altruism in nursing?
) Following hospital policies without question
A
B) Working overtime to ensure adequate staffing for patient safety
C) Documenting care accurately and completely
D) Attending mandatory continuing education courses
**Answer: B) Working overtime to ensure adequate staffing for patient safety** **[CORRECT]**
* *Rationale:** Altruism is defined as concern for the welfare and wellbeing of others. Working
overtime to protect patients demonstrates putting others' needs before one's own. While options
C and D demonstrate professionalism and integrity, they don't specifically show the selfless
concern for others that defines altruism.
---
## Question 4
#
A nurse provides care to a patient with a history of violent crime without judgment or prejudice.
Which professional value is displayed?
) Integrity
A
B) Human Dignity
C) Social Justice
D) Autonomy
**Answer: B) Human Dignity** **[CORRECT]**
* *Rationale:** Human Dignity involves respect for the inherent worth of every individual,
regardless of their background or actions. The nurse values and respects all persons equally.
This aligns with ANA Code of Ethics Provision 1 regarding respect for inherent dignity and
worth.
---
, ## Question 5
#
Which scenario best demonstrates the QSEN competency of Patient-Centered Care?
) A nurse implements the latest evidence-based protocol for wound care
A
B) A nurse involves the patient and family in developing the care plan
C) A nurse collaborates with the interdisciplinary team during rounds
D) A nurse uses the electronic health record to document vital signs
* *Answer: B) A nurse involves the patient and family in developing the care plan**
**[CORRECT]**
* *Rationale:** Patient-Centered Care focuses on recognizing the patient as the source of control
and full partner in providing compassionate and coordinated care. Option A demonstrates
Evidence-Based Practice, C demonstrates Teamwork and Collaboration, and D demonstrates
Informatics.
---
## Question 6
#
According to the ANA Code of Ethics, what is the nurse's primary commitment?
) To the employing institution
A
B) To the physician's orders
C) To the patient
D) To the nursing profession
**Answer: C) To the patient** **[CORRECT]**
* *Rationale:** ANA Code of Ethics Provision 2 states: "The nurse's primary commitment is to the
patient." This takes precedence over institutional loyalty, physician directives, or professional
interests when conflicts arise.
---
## Question 7
#
Which QSEN competency is demonstrated when a nurse questions a medication order that
seems inappropriate for the patient's condition?
) Evidence-Based Practice
A
B) Safety
C) Quality Improvement
D) Teamwork and Collaboration
, **Answer: B) Safety** **[CORRECT]**
* *Rationale:** Questioning potentially harmful orders is a critical Safety competency. It involves
minimizing risk of harm to patients through both system effectiveness and individual
performance. While it involves collaboration (D), the primary competency being demonstrated is
Safety.
---
## Question 8
#
A nurse uses data from the hospital's infection control department to improve hand hygiene
compliance on their unit. Which QSEN competency is this?
) Informatics
A
B) Quality Improvement
C) Evidence-Based Practice
D) Patient-Centered Care
**Answer: B) Quality Improvement** **[CORRECT]**
* *Rationale:** Quality Improvement involves using data to monitor outcomes of care processes
and using improvement methods to design and test changes. The nurse is using existing data to
improve unit performance, which is the essence of QI.
---
## Question 9
#
Which ethical principle is violated when a nurse administers a placebo without the patient's
knowledge?
) Beneficence
A
B) Non-maleficence
C) Veracity
D) Justice
**Answer: C) Veracity** **[CORRECT]**
* *Rationale:** Veracity means truthfulness. Administering a placebo while representing it as
active treatment is deception, which violates the principle of truthfulness. While this could also
raise concerns about Autonomy, Veracity is the primary principle violated through dishonesty.
---
### Question 10
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 homeless
patient to receive the same quality of care as a privately insured patient?
) Autonomy
A
B) Altruism
C) Social Justice
D) Human Dignity
**Answer: C) Social Justice** **[CORRECT]**
* *Rationale:** Social Justice is defined as fair treatment regardless of economic status, race,
citizenship, or other factors. While Human Dignity (D) involves respect for inherent worth, Social
Justice specifically addresses the equitable distribution of resources and fair treatment across
different socioeconomic groups. Autonomy (A) refers to self-determination, and Altruism (B) is
concern for the welfare of others in general.
---
## Question 2
#
A nurse respects a patient's decision to refuse chemotherapy despite the family's disagreement.
Which professional value is being demonstrated?
) Altruism
A
B) Autonomy
C) Integrity
,D) Social Justice
**Answer: B) Autonomy** **[CORRECT]**
* *Rationale:** Autonomy is the right to self-determination. The nurse respects the patient's right
to make their own healthcare decisions, even when others disagree. This aligns with the ANA
Code of Ethics Provision 1, which emphasizes respect for the unique attributes of every person.
---
## Question 3
#
Which of the following best demonstrates the professional value of Altruism in nursing?
) Following hospital policies without question
A
B) Working overtime to ensure adequate staffing for patient safety
C) Documenting care accurately and completely
D) Attending mandatory continuing education courses
**Answer: B) Working overtime to ensure adequate staffing for patient safety** **[CORRECT]**
* *Rationale:** Altruism is defined as concern for the welfare and wellbeing of others. Working
overtime to protect patients demonstrates putting others' needs before one's own. While options
C and D demonstrate professionalism and integrity, they don't specifically show the selfless
concern for others that defines altruism.
---
## Question 4
#
A nurse provides care to a patient with a history of violent crime without judgment or prejudice.
Which professional value is displayed?
) Integrity
A
B) Human Dignity
C) Social Justice
D) Autonomy
**Answer: B) Human Dignity** **[CORRECT]**
* *Rationale:** Human Dignity involves respect for the inherent worth of every individual,
regardless of their background or actions. The nurse values and respects all persons equally.
This aligns with ANA Code of Ethics Provision 1 regarding respect for inherent dignity and
worth.
---
, ## Question 5
#
Which scenario best demonstrates the QSEN competency of Patient-Centered Care?
) A nurse implements the latest evidence-based protocol for wound care
A
B) A nurse involves the patient and family in developing the care plan
C) A nurse collaborates with the interdisciplinary team during rounds
D) A nurse uses the electronic health record to document vital signs
* *Answer: B) A nurse involves the patient and family in developing the care plan**
**[CORRECT]**
* *Rationale:** Patient-Centered Care focuses on recognizing the patient as the source of control
and full partner in providing compassionate and coordinated care. Option A demonstrates
Evidence-Based Practice, C demonstrates Teamwork and Collaboration, and D demonstrates
Informatics.
---
## Question 6
#
According to the ANA Code of Ethics, what is the nurse's primary commitment?
) To the employing institution
A
B) To the physician's orders
C) To the patient
D) To the nursing profession
**Answer: C) To the patient** **[CORRECT]**
* *Rationale:** ANA Code of Ethics Provision 2 states: "The nurse's primary commitment is to the
patient." This takes precedence over institutional loyalty, physician directives, or professional
interests when conflicts arise.
---
## Question 7
#
Which QSEN competency is demonstrated when a nurse questions a medication order that
seems inappropriate for the patient's condition?
) Evidence-Based Practice
A
B) Safety
C) Quality Improvement
D) Teamwork and Collaboration
, **Answer: B) Safety** **[CORRECT]**
* *Rationale:** Questioning potentially harmful orders is a critical Safety competency. It involves
minimizing risk of harm to patients through both system effectiveness and individual
performance. While it involves collaboration (D), the primary competency being demonstrated is
Safety.
---
## Question 8
#
A nurse uses data from the hospital's infection control department to improve hand hygiene
compliance on their unit. Which QSEN competency is this?
) Informatics
A
B) Quality Improvement
C) Evidence-Based Practice
D) Patient-Centered Care
**Answer: B) Quality Improvement** **[CORRECT]**
* *Rationale:** Quality Improvement involves using data to monitor outcomes of care processes
and using improvement methods to design and test changes. The nurse is using existing data to
improve unit performance, which is the essence of QI.
---
## Question 9
#
Which ethical principle is violated when a nurse administers a placebo without the patient's
knowledge?
) Beneficence
A
B) Non-maleficence
C) Veracity
D) Justice
**Answer: C) Veracity** **[CORRECT]**
* *Rationale:** Veracity means truthfulness. Administering a placebo while representing it as
active treatment is deception, which violates the principle of truthfulness. While this could also
raise concerns about Autonomy, Veracity is the primary principle violated through dishonesty.
---
### Question 10
