| Dimensions of Nursing Practice
Q&A with Rationale | Rasmussen
University
1. A nurse is advocating for a patient who refuses a blood transfusion due to religious beliefs.
Which ethical principle is the nurse primarily supporting?
A. Justice
B. Autonomy
C. Beneficence
D. Fidelity
Correct Answer: B
Expert Explanation: Autonomy refers to the patient’s right to make their own healthcare
decisions without outside interference. The nurse’s role in this scenario is to ensure the
patient’s choice is respected even if it conflicts with medical advice. This principle is a
cornerstone of professional nursing practice and patient-centered care.
2. Which document defines the scope of nursing practice and provides the legal framework
for nursing within a specific state?
A. The Nursing Social Policy Statement
,B. The Code of Ethics for Nurses
C. The Nurse Practice Act
D. Institutional Policy and Procedure Manual
Correct Answer: C
Expert Explanation: The Nurse Practice Act is a state-level law that governs the practice of
nursing and ensures public safety. It defines the duties, responsibilities, and limitations of
what a nurse can do in that jurisdiction. Nurses must be familiar with their state’s act to
avoid practicing outside their legal boundaries.
3. A nurse accidentally administers the wrong medication to a patient. After ensuring the
patient’s safety, the nurse reports the error to the supervisor. This action demonstrates
which professional value?
A. Altruism
B. Accountability
C. Human Dignity
D. Social Justice
Correct Answer: B
Expert Explanation: Accountability involves taking responsibility for one’s own actions
and the outcomes of care provided. By reporting the error, the nurse maintains
, professional integrity and contributes to a culture of safety. This value is essential for
building trust between the nurse and the healthcare system.
4. Which of the following is considered the first step in the Evidence-Based Practice (EBP)
process?
A. Ask a clinical question in PICOT format
B. Critically appraise the evidence
C. Search for the most relevant evidence
D. Integrate evidence with clinical expertise
Correct Answer: A
Expert Explanation: The EBP process begins with identifying a clinical problem and
formulating a clear, searchable question. The PICOT format (Patient, Intervention,
Comparison, Outcome, Time) provides a structured way to define this question. Starting
with a well-defined question ensures the subsequent search for evidence is efficient and
targeted.
5. A nurse is teaching a patient about a new medication. Which nursing role is being
demonstrated?
A. Educator
B. Manager
C. Researcher