Contemporary Issues in Nursing Exam
Bank
Course Introduction
Contemporary Issues in Nursing explores the dynamic challenges and developments shaping modern nursing practice. This course examines critical topics including healthcare policy, ethical dilemmas, technological advancements, interprofessional collaboration, cultural competence, and the impact of global health trends on patient care. Through case studies, current research, and reflective discussions, students will analyze how societal changes, legislative reforms, and emerging public health concerns influence the nursing profession. The course aims to equip future nurses with informed perspectives and practical strategies for leadership and advocacy in a rapidly evolving healthcare environment.
Recommended Textbook
Conceptual Foundations The Bridge to Professional Nursing Practice 6th Edition by Elizabeth
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20 Chapters
472 Verified Questions
472 Flashcards
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E. Friberg
Chapter 1: A Brief History of Professional Nursing in the
United
States
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/20106
Sample Questions
Q1) Florence Nightingale's views about trained nurses were most influenced by her A)experiences in wartime.
B)ideas about sanitation.
C)relationships with physicians.
D)view of education.
Answer: A
Q2) Mildred Montag's major contribution to nursing is considered to be
A)encouraging minority women and men to enter nursing.
B)establishing associate degree nursing programs.
C)fighting for improved wages and recognition for nurses.
D)paving the way for the military to use trained nurses.
Answer: B
Q3) Between the years 1950 and 1967,the number of nurses and assistive personnel rose dramatically in part as a result of the influence of the
A)Children's Bureau.
B)Hill-Burton Act.
C)Nurse Training Act.
D)Social Security Act.
Answer: C
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Chapter 2: Pathways of Nursing Education
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) In evaluating the success of a clinical nurse leader (CNL)program,a nursing dean would determine that program goals had been met when graduates were able to successfully (Select all that apply. )
A)demonstrate leadership in hospital nursing departments.
B)function effectively in an advanced specialty nursing role.
C)oversee care coordination of a distinct group of patients.
D)provide direct patient care in complex situations.
E)supervise ancillary and adjunctive nursing staff members.
Answer: C,D
Q2) A hospital-based nursing administrator is responsible for the diploma nursing program affiliated with that hospital.In deciding to keep the program open,the administrator develops changes that address a major historical concern with this type of program.In doing so,the administrator would most likely
A)arrange for faculty from the local college to teach science courses.
B)limit the hours students are expected to work in the hospital.
C)lower the tuition rate and apply for increased federal student grants.
D)require nursing faculty to be doctorally prepared to remain on staff.
Answer: B
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Chapter 3: Beyond Professional Socialization
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/20108
Sample Questions
Q1) A nurse manager is evaluating staff members for the strength of their professional identity and ability to contribute to the profession into the future.Which nurse best demonstrates these qualities?
A)Consistently incorporates knowledge,judgment,and ethics into everyday situations
B)Provides information on the latest research findings related to patient populations
C)Serves as the research "champion" on the hospital unit-based council structure
D)Uses evidence-based practice consistently when working with patients
Answer: A
Q2) A nursing faculty would determine that a student was developing a strong sense of professional identity when the student takes which action?
A)Writes a paper describing nursing as being available to help patients and physicians
B)Establishes a discussion group to debate interdisciplinary care activities
C)Starts a letter writing campaign to boycott products advertised by "sexy nurses"
D)Volunteers to serve the community at a free flu shot clinic for the uninsured
Answer: C
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Chapter 4: Professional Nursing Roles
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/20109
Sample Questions
Q1) Which nursing role is most closely connected to social justice?
A)Advocate
B)Caregiver
C)Manager
D)Researcher
Q2) A chief nursing officer (CNO)wishes to ensure that the organization has a strong ethical orientation.Which actions by the CNO would be priorities? (Select all that apply. )
A)Create an ethics committee that can support organizational values.
B)Establish a corps of in-house chaplains to respond to all emergencies.
C)Model assertive communication when working with other disciplines.
D)Offer frequent onsite education on organizational ethics and values.
E)Publish procedures employees can use when they see ethical violations.
Q3) A military recruiter would point out to a potential male RN recruit that
A)approximately one third of all the nurses in the armed forces are men.
B)not all branches of the military allow men in nursing positions.
C)opportunities for men in nursing are limited and highly competitive.
D)the number of military male nurses is similar to civilian numbers.
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Page 6
Chapter 5: Theories and Frameworks for Professional
Nursing Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20110
Sample Questions
Q1) The nursing student learning about theory understands that which terms are sometimes used instead of "grand theory"? (Select all that apply. )
A)Conceptual model
B)Framework
C)Interrelated model
D)Paradigm
E)System
Q2) The nurse using Watson's theory to guide practice would put highest priority on
A)assisting patients to achieve the state of self-actualization.
B)creating a caring relationship with the patient.
C)helping the patient understand the role of stress on illness.
D)negotiating health care in a culturally congruent manner.
Q3) Using Maslow's hierarchy of needs,which patient should the nurse assess first?
A)Complains of pain of 6 on a scale of 1 to 10
B)Crying after receiving a terminal diagnosis
C)Disoriented and agitated
D)Waiting for discharge teaching
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Page 7
Chapter 6: Health Policy and Planning and the Nursing
Practice Environment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/20111
Sample Questions
Q1) Bills that include funding requests are known as __________ bills.
A)authorization
B)finalized
C)funded
D)supplemental
Q2) A nurse studying the intersection of politics and health care describes the relationship best by saying that
A)hiring lobbyists is the most effective way to communicate ideas.
B)only national organizations really have a voice in health care.
C)politics provides a means for differing voices to be heard.
D)voting in elections is the primary way to influence policy.
Q3) A nursing manager is concerned about staffing levels and their impact on patient safety.What action by the nurse would have the best chance of influencing this issue?
A)Call senators from the state,explaining the need for staffing laws.
B)Donate money to the American Nurses Association for lobbying.
C)Organize a petition drive calling for a city ordinance on staffing.
D)Work with the state nurses association on related state legislation.
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Page 8
Chapter 7: Economic Issues in Nursing and Health Care
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/20112
Sample Questions
Q1) A nurse working in a retail clinic correctly describes the practice environment as (Select all that apply. )
A)incorporating retail items.
B)limited to wealthier patients.
C)located in retail facilities.
D)providing limited services.
E)staffed by physicians.
Q2) A nursing manager wants to be involved in activities that would systematically improve quality care.The manager would best accomplish this by
A)ensuring that temporary agency nurses fill open positions.
B)hiring only baccalaureate-prepared nurses on that unit.
C)preparing cost estimates for a new telemetry system.
D)teaching nurses on the unit to use positive conflict-resolution skills.
Q3) A nurse economist is explaining to a class that the health care market exists in a state of "market failure" because
A)complex variables prevent a consensus on health care "production."
B)health care fails to meet the needs of its customers and consumers.
C)more health care practices are failing economically in this market.
D)practices suffer as their investments in the stock market fail to grow.
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Page 9
Chapter 8: Effective Communication
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20113
Sample Questions
Q1) A patient has just made some statements that seem vague and ambiguous to the nurse.The best statement by the nurse after the patient finishes speaking would be,
A)"Are you afraid these tests will bring results that will upset you?"
B)"I'd like to understand more about what happened earlier today."
C)"Why do you think this happened to you today instead of earlier?"
D)"You said earlier that you were upset by the physician on rounds."
Q2) An experienced nurse is telling a recent graduate nurse that engaging in active listening with patients can be very tiring because
A)developing the skills needed for active listening takes time and effort.
B)it is difficult to stay quiet and let the patients do all the talking.
C)it requires actively examining the content of what the patient says.
D)more time is required to engage in active listening with patients.
Q3) A nurse explains to a preceptor student that values clarification helps with intrapersonal communication because
A)communication is enhanced when it occurs between people with similar values.
B)it allows the nurse to separate his or her values from those of the patient.
C)it helps the nurse avoid saying things that might offend or anger others.
D)understanding values will help prevent communication misunderstandings.
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Chapter 9: Think Like a Nurse: Essential Thinking Skills for Professional Nurses
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20114
Sample Questions
Q1) A nurse readily admits errors when they occur and is aware of the limits of his knowledge in practice.The nurse's manager would evaluate that this nurse demonstrates which traits of mind of a critical thinker? (Select all that apply. )
A)Confidence in reason
B)Fair-mindedness
C)Intellectual courage
D)Intellectual humility
E)Intellectual integrity
Q2) When applying the nursing process to patients,the nurse knows that the goal of data analysis is
A)to decide when new assessments should occur.
B)to ensure that enough data have been collected.
C)the creation of appropriate nursing diagnoses.
D)to discovery disparities in the collected data.
Q3) When the nurse is assessing a patient,the best action by the nurse is to
A)focus on assessment data collected with the five senses.
B)not rely on information from friends,who may be wrong.
C)use both primary and secondary sources of information.
D)use secondary sources to determine assessment priorities.
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Chapter 10: Teaching and Learning in the 21st Century
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/20115
Sample Questions
Q1) A clinical faculty member stresses "see one-do one-teach one" as a teaching methodology.When asked about this technique,the instructor explains that
A)doing all three things covers several learning styles.
B)it gives the students a feeling of mastery of the topic.
C)people retain a high percentage of what they teach.
D)teaching others helps develop leadership in students.
Q2) A patient has been readmitted to the hospital,and the admitting nurse discovers that the patient did not follow through with previous discharge instructions.The nurse also discovers that the patient understood the directions and had all the necessary supplies.The nurse would gain the most valuable information by asking the patient about (Select all that apply. )
A)how important the patient thought the self-care was.
B)whether the patient felt capable of actually performing self-care.
C)whether the patient realizes the consequences of noncompliance.
D)whom the patient can call when he or she has questions about care.
E)why the patient was unwilling to perform self-care measures.
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Chapter 11: Legal Aspects of Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/20116
Sample Questions
Q1) A staff development nurse is orienting several new employees to the facility.The nurse explains that any good compliance program (Select all that apply. )
A)functions to identify and correct potential concerns.
B)ensures a confidential way for staff to report violations.
C)promotes conformity to the facility's legal requirements.
D)protects staff from retaliation for good-faith reports.
E)works to ensure that union negotiations become public knowledge.
Q2) A nurse has delegated some tasks to the unlicensed nursing assistant.At the end of the shift,the nurse discovers that most of the tasks have not been done.Which action by the nurse would be best?
A)Devise a plan ensuring delegated tasks are completed and evaluated.
B)Remind the assistant that he or she carries the responsibility for these tasks.
C)Report the situation to the manager and request an assignment change.
D)Stop delegating and perform all the nursing actions him- or herself.
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Chapter 12: Ethical Dimensions of Nursing and Health Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/20117
Sample Questions
Q1) What areas does the nurse explore with the patient when using patient-level ethics?
(Select all that apply. )
A)External factors
B)Medical indications
C)Previous health history
D)Patient preferences
E)Quality of life
Q2) A nurse has volunteered to practice in a disaster area in a developing country where supplies are extremely scarce.Despite bringing large amounts of supplies to the area,the volunteer group members find they are still very limited.The volunteer group decides to focus on providing care according to the ethical concept of utilitarianism.Which action by the group would best fit under this philosophy?
A)Choosing to treat children and pregnant women as priorities
B)Converting vehicles into ambulances for transport to hospitals
C)Establishing a mobile ventilator unit for critically ill patients
D)Providing clean water,food,shelter,and basic health care
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Chapter 13: Information Management
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20118
Sample Questions
Q1) A new nurse is confused by the terminology used by the electronic health record (EHR).When the nurse complains to the precepting nurse,the best explanation by the preceptor is that this occurs because
A)many systems interact with each other and need a standardized language.
B)nursing is not the only discipline to use the EHR,so wording reflects this.
C)terminology used by the EHR is driven by financial reimbursement needs.
D)the system was designed by people in computer and information sciences.
Q2) A patient has researched a medical condition on the Internet.The nurse's best response to the patient's questions and concerns is
A)"Have you verified this information with your doctor?"
B)"Quality health information is not available on the web."
C)"What websites did you visit to get this information?"
D)"You can't really trust what you find on the Internet."
Q3) A student explains to a classmate using an electronic database that the scope note describes
A)best searching strategies for this topic.
B)how far back in time the topic is covered.
C)the breadth of scope of the topic searched.
D)the definition of the term being searched.
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Page 15
Chapter 14: Diversity in Health and Illness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20119
Sample Questions
Q1) A nurse is caring for a patient in the hospital who is from an unfamiliar culture.Which question by the nurse would provide the most beneficial information?
A)"How can I assist you to learn self-care?"
B)"What do you expect out of health care?"
C)"What role does your family play in illness?"
D)"Why do you think you have gotten sick?"
Q2) A patient has a serious illness but does not seem to be responding as the nurse expects.Which action by the nurse would most likely lead to a better understanding of this situation?
A)Ask the patient to describe what is wrong with him or her.
B)Determine whether any factors are interfering with learning.
C)Find out why the patient thinks the illness is not serious.
D)Inquire about cultural beliefs regarding health and illness.
Q3) A nurse works with a diverse population.This nurse can conclude that care planning has been successful when
A)all patients meet the objectives set forth.
B)high levels of compliance are demonstrated.
C)patient care plans are culturally relevant.
D)patients understand what is expected of them.
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Page 16
Chapter 15: Health and Health Promotion
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/20120
Sample Questions
Q1) A nurse is explaining a behavioral contract with the patient.Which statement by the nurse is most accurate? "A behavioral contract
A)lets me decide what rewards I will give you when you meet certain objectives."
B)does not have a specific time frame and continues until I terminate it."
C)eliminates the need to keep records of the behavior we are working on."
D)is planned and evaluated by both of us and concerns a specific goal."
Q2) The faculty member explains to students that the Healthy People documents (Select all that apply. )
A)focus on health disparities among Americans.
B)guide the planning of public health programs.
C)have specific,measurable health-related objectives.
D)rate hospitals and physicians based on patient satisfaction.
E)routinely assess peoples' willingness to make healthy changes.
Q3) The nursing faculty member explains that dissatisfaction with the power imbalance in health care in part led to
A)new ethical and professional standards.
B)requirements for patient education.
C)strict regulations on patient consent.
D)the consumer wellness movement.
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Page 17
Chapter 16: Genetics and Genomics in Professional Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20121
Sample Questions
Q1) A nurse is explaining to a student that the benefits of genomic health care include (Select all that apply. )
A)health care tailored to each person's unique needs.
B)insurance discounts for those with few genetic risks.
C)mandated coverage for any genetic screening done.
D)treatments that are maximally effective for patients.
E)understanding how disease affected past generations.
Q2) The nurse studying genomics explains to another nurse that the era between the 1950s and 1980s was notable for
A)creation of medications tailored to genetics.
B)developing tests for some genetic conditions.
C)passage of a genetic nondiscrimination act.
D)the complete mapping of the human genome.
Q3) A genetics nurse explains to a patient that pharmacogenetics is the study of A)how individuals respond uniquely to medications.
B)the effects of drug therapy on developing fetuses.
C)the way drugs interact with reproductive ability.
D)using genetic material to create new pharmaceuticals.
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Chapter 17: Global Rural Nursing Practice
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20122
Sample Questions
Q1) A nurse who is conducting research on treatment outcomes with patients diagnosed with depression sees a trend toward improved quality of life and satisfaction.Understanding rural health care conditions and needs,this nurse might conclude
A)fewer people are diagnosed with depression and medications are better.
B)more psychiatrists and psychologists are coming to the area to treat patients.
C)primary care providers are receiving education on mental health issues.
D)transportation to larger communities has been arranged with grant funds.
Q2) A rural nurse is explaining to a friend who works in an urban area that the most important ethical issue for rural patients is probably A)beneficence.
B)confidentiality.
C)justice.
D)veracity.
Q3) The nursing instructor explains that defining "rural" is often difficult because A)agencies use multiple different definitions.
B)everyone's ideas of "rural" are different.
C)there has been no need to define this population.
D)there is no interest in defining this population.
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Page 19
Chapter 18: Violence Against Women: An Epidemic and a Health Issue
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/20123
Sample Questions
Q1) The nurse taking a continuing education course in intimate partner violence (IPV)learns what information about the roots of this violence? (Select all that apply. )
A)Female subservience
B)Male dominance
C)Money imbalances
D)Societal gender attitudes
E)Unequal social power balance
Q2) The nurse assessing women for their risks of becoming victims of intimate partner violence (IPV)knows that which factors increase this risk? (Select all that apply. )
A)Exposure to abuse as a child
B)Harmful use of alcohol
C)Lower educational levels
D)Single-parent family
E)Witnessing IPV between parents
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Chapter 19: Telehealth
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20124
Sample Questions
Q1) The nursing instructor explains different modes of telehealth technology to nursing students,including (Select all that apply. )
A)computer transmission.
B)interactive live videoconferencing.
C)store-and-forward images.
D)voice-only via telephone.
E)voice-over images.
Q2) The nursing faculty explains to a class of nursing students that one difference between telemedicine and telehealth is that
A)electronic medical records are required by law.
B)medical ethics are more ingrained in telemedicine.
C)telehealth is used by many health care specialties.
D)telemedicine is not covered by health insurance.
Q3) The nurse who works in telehealth best evaluates that overarching goals for the program have been met with which information?
A)Decreased mortality rate
B)Fewer exacerbations of chronic illness
C)Improved health status and quality of life
D)Lowered costs for provision of health care
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Page 21
Chapter 20: Patient Safety
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/20125
Sample Questions
Q1) The nursing manager understands that the phrase "active failure" in regard to patient safety means a(n)
A)system process is actively injuring patients and needs modification.
B)workplace practice is actively contributing to poor patient outcomes.
C)error has actively caused a patient to have a negative consequence.
D)unsafe act was committed by someone in direct contact with patients.
Q2) A chief nursing officer (CNO)has been hired to develop a healthy work environment and culture of safety in a hospital with a long record of safety problems and poor patient outcomes.The best initial action by the CNO would be to
A)create a policy where any nurse can stop procedures for a safety check.
B)design team-building events and basic communications in-services.
C)have all nurses in the facility reapply and interview for their jobs.
D)inform nurses that it is their job to report potential safety problems.
Q3) The nurse executive explains to a group of newly hired nurses that the major responsibility for preventing errors in patient care lies with the A)individual because of legal obligations for safety.
B)individual,because that is who makes the error.
C)system,because it is responsible for employee acts.
D)system,because process designs can lead to errors.
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