Dimensions of Nursing Practice
Q&A with Rationale | Rasmussen
University
1. When a nurse ensures that a patient has all the information needed to make a decision
about their care, which ethical principle is being upheld?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Expert Explanation: Autonomy refers to the right of patients to make their own decisions
about their healthcare. By providing all necessary information, the nurse supports the
patient’s self-determination and independent choice. This process is essential for obtaining
valid informed consent in a clinical setting.
2. A nurse delegates a task to a Unlicensed Assistive Personnel (UAP) that is outside their
scope of practice. Which of the ‘Five Rights of Delegation’ has been violated?
A. Right Circumstance
,B. Right Task
C. Right Person
D. Right Supervision
Correct Answer: B
Expert Explanation: The ‘Right Task’ ensures that the activity is appropriate for the
specific patient and falls within the delegatee’s job description. Delegating a task that a UAP
is not legally allowed to perform violates this specific right. Nurses must always verify the
competency and legal scope of those to whom they delegate.
3. Which nursing leadership style is characterized by a leader who makes all decisions without
seeking input from staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Expert Explanation: Autocratic leadership involves a high level of control where the
leader dictates tasks and decisions. This style is often effective in emergency situations
where quick, decisive action is required. However, it can lead to low staff morale if used
exclusively in non-emergency settings.
, 4. According to Benner’s stages of nursing proficiency, a nurse who has been on the same unit
for 2 to 3 years and can coordinate multiple complex care demands is at what level?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Correct Answer: B
Expert Explanation: The competent nurse has usually been in the same clinical position
for 2 to 3 years and understands the organization and specific care required. They are able
to plan and perform tasks efficiently while managing multiple demands. This stage is a
pivotal point where the nurse begins to prioritize based on conscious planning.
5. What is the primary purpose of the Nurse Practice Act (NPA)?
A. To protect the public from unsafe practitioners
B. To provide a union for nursing professionals
C. To set the salary scales for registered nurses
D. To define the curriculum for nursing schools
Correct Answer: A
Expert Explanation: The Nurse Practice Act is a set of laws in each state that regulates the
practice of nursing. Its main goal is to ensure that nurses provide safe and competent care