Contemporary Issues in Nursing Exam Review
Course Introduction
This course explores the complex and evolving landscape of nursing practice by examining current issues that impact the profession, healthcare systems, and patient outcomes. Topics include health policy, workforce diversity, ethical and legal considerations, cultural competence, technology integration, and evidence-based practice. Through critical analysis, students will evaluate the roles and responsibilities of nurses in addressing challenges such as health disparities, patient advocacy, interprofessional collaboration, and global health trends. This course encourages reflective practice and equips students with the knowledge and skills necessary to navigate and influence contemporary changes in nursing.
Recommended Textbook
Ethics and Issues in Contemporary Nursing 3rd Canadian Edition by Margaret Burkhardt
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19 Chapters
317 Verified Questions
317 Flashcards
Source URL: https://quizplus.com/study-set/2297
Page 2
Chapter 1: Social, Philosophical, and Other Historical Forces
Influencing the Development of Nursing
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which of the following had the greatest influence on establishing the first hospital in the New World?
A)Marie Rollet Hebert
B)Marguerite d'Youville
C)Jeanne Mance
D)Renee Descartes
Answer: C
Q2) What is the most critical factor that influences nursing practice?
A)the traditional role of healers
B)the role of women in society
C)the religious and spiritual aspects of health care
D)the introduction of male nurses into the profession
Answer: B
Q3) For which of the following is empathy a motive?
A)meeting the needs of others
B)moral reasoning and action
C)becoming a nurse
D)determining right from wrong
Answer: B
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Chapter 2: Ethical Theory
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) What kind of philosophy is a nurse engaged in when debating what is considered good or bad, right or wrong?
A)empathy
B)sympathy
C)moral
D)virtualism
Answer: C
Q2) A nurse performs CPR on a choking patient and in the process breaks the sternum, which then leads to the patient's death. Which ethical theory would say that the nurse's actions were inherently good because of the intent, regardless of the outcome?
A)deontology
B)naturalism
C)rationalism
D)utilitarianism
Answer: A
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Chapter 3: Ethical Principles
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which ethical principle implies that others are worthy of high regard?
A)beneficence
B)respect for autonomy
C)respect for persons
D)distributive justice
Answer: C
Q2) The nurse promises a patient that she will return in five minutes to sit and speak with him. What ethical principle does this situation exemplify?
A)morals
B)fidelity
C)confidentiality
D)justice
Answer: B
Q3) What does the principle of beneficence require the nurse to do?
A)to separate personal from professional life
B)to prevent harm or evil and do good
C)to make the patient an active participant in their care
D)to morally regulate the conduct of others
Answer: B
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Page 5
Chapter 4: Values Clarification
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A nurse was not happy with the outcome of a moral dilemma she witnessed, and worries constantly about the consequences for the patient. What may the nurse be experiencing?
A)moral awareness
B)moral thought
C)moral distress
D)moral values
Q2) How can values best be defined?
A)as principles of right or wrong
B)as ideals, beliefs, customs, and modes of conduct
C)as self-knowledge and the willingness to express that awareness
D)as reflections upon and evaluations of one's own experiences
Q3) What is the correct term for the attribute of maintaining and articulating consistent values and beliefs over time?
A)personal values
B)authenticity
C)moral thought
D)implicit values
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6
Chapter 5: Values Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) What is one of the stages at the post-conventional level in Kohlberg's theory of moral development?
A)prior rights and social contract
B)individual instrumental purpose and exchange
C)punishment and obedience
D)universal moral principles
Q2) A postpartum patient, living in Canada for a year, resists the nurse's health teaching regarding birth control. What is this an example of?
A)The patient is exhibiting evidence that she is in Gilligan's Phase 1.
B)There are gender differences in moral decision making.
C)There are transcultural considerations in values development.
D)Women will focus, according to Kohlberg, on relational stages.
Q3) What is the term for the moral imperative being grounded in relationship with and responsibility for one another?
A)ethic of justice
B)ethic of care
C)faith development
D)cognitive development
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Chapter 6: Ethical Decision Making
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What step in the process of ethical decision making involves the nurse examining the situation for evidence of conflicting obligations, principles, duties, rights, loyalties, values, or beliefs?
A)Identify options.
B)Determine moral perspective.
C)Gather facts in order to clarify issues.
D)Determine desired outcomes.
Q2) Which is an example of a nurse demonstrating moral resilience?
A)A neonatal nurse who believes in the sanctity of life supports the parents' decision not to discontinue feeding their newborn with congenital anomalies.
B)A home visiting nurse advocates for the palliative patient's right to die at home despite the push from other members of the team for the patient to be hospitalized and have further treatment.
C)An ICU nurse increasingly removes himself from discussions regarding ending life support treatment.
D)An obstetrical nurse supports her patient's religious based decision to not have a lifesaving blood transfusion despite the criticism from her colleagues that the patient is making the wrong choice.
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Page 8
Chapter 7: Legal Issues
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/45645
Sample Questions
Q1) A clinic reports to Public Health the numbers of cases of sexually transmitted infections in the past year. What is this an example of?
A)an exception to confidentiality
B)a PIPEDA infraction
C)a violation to the right to privacy
D)a constitutional right
Q2) A nurse refuses to give a patient their clothing or car keys. What is this an example of?
A)defamation
B)libel
C)false imprisonment
D)slander
Q3) Which of the following is characteristic when making nursing notes?
A)being nonjudgmental
B)having significant gaps
C)falsifying facts and events
D)maintaining confidentiality
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Chapter 8: Professional Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which of the following is universally accepted as one criterion of a profession that is profoundly important to nursing?
A)codes of nursing ethics
B)standards of nursing practice
C)scope of practice statutes
D)nursing theories and practice
Q2) What term best describes the knowledge necessary to provide a service that is either essential or desired by society?
A)professional education
B)professional recognition
C)professional autonomy
D)professional responsibility
Q3) Which of the following qualities relates to the ability of nurses to organize for the purpose of fulfilling the profession's promises and maintaining the relationship that nurses have with one another?
A)autonomy
B)unity
C)expertise
D)skill
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Page 10
Chapter 9: Professional Relationship Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/45647
Sample Questions
Q1) Which of the following individuals is the nurse's primary obligation to?
A)the patient
B)the employer
C)the physician
D)the profession
Q2) Which of the following would be described as "showing sympathy, care, and reciprocity to those with whom the nurse appropriately identifies, as well as working closely with others toward shared goals"?
A)self-sacrifice
B)loyalty
C)beneficence
D)leadership
Q3) Which of the following statements best defines harassment?
A)behaviour that demeans, humiliates, or embarrasses a person
B)multiple episodes of distressing behaviour with intermittent and continual threats
C)situations that make an individual feel frustrated, angry, or anxious.
D)unwelcome, abusive, and/or aggressive behaviour, including oral and written communication
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Chapter 10: Practice Issues Related to End Of Life Care
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What is the term for a situation where a competent patient is refusing food or fluid when there is a prediction of death, yet the family requests tube feeding?
A)medical futility
B)advance directives
C)technological dilemma
D)palliative care
Q2) Which of the following is synonymous with palliative care?
A)support of patients who face illness that is not responsive to curative treatment
B)aggressive treatment of chronic health problems to support symptom relief
C)short-term treatment for an episode of illness in an urgent manner
D)delivery of co-ordinated and continuous services for an acute disease or illness
Q3) What is nursing's role in death and dying?
A)facilitating the use of extraordinary measures to avoid death
B)supporting the physician's role in curing
C)working with patients and families to support a dignified death
D)helping to determine the pronouncement of death
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Chapter 11: Practice Issues Related to Patient
Self-Determination
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What should be considered when determining whether the information provided for consent was adequate?
A)a subjective standard of what a person may want or need to know
B)what the ethics board for that institution has put into policy
C)a physician's standard of what she has determined the patient should know
D)the standard that determines the potential serious outcomes of the treatment or procedure
Q2) Which of the following actions are part of the nurse's role and responsibilities in informed consent?
A)verifying that the patient is aware of options and the implications of each option
B)providing recommendations about care to the patient
C)explaining the procedure to the patient when the doctor cannot do so
D)signing as a witness attesting that the patient is unable to give consent
Q3) Which of the following elements must be included in an informed consent?
A)description of common practices of the healthcare institute
B)needs and expectations of the patient
C)description of the health concern
D)verification of understanding
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Chapter 12: Scholarship Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What are two core values basic to academic honesty and to ethical treatment of research data?
A)plagiarism and cheating
B)cheating and fidelity
C)beneficence and integrity
D)veracity and fidelity
Q2) Which of the following is an example of fraudulent research?
A)reporting studies that were never conducted
B)reporting outcomes of studies
C)reporting of a research hypothesis
D)reporting of exclusion and inclusion criteria
Q3) Whose integrity and honesty are of the utmost importance in the ethical treatment of data?
A)statistician
B)participants
C)researcher
D)data collector
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Chapter 13: The Future of Canadian Health Care: Challenges
and Priorities
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which report emphasized that the determinants of health did not simply exist within the health care system but also in other sectors?
A)Canadian Health Report
B)Tommy Douglas Health Report
C)Quinquennial Report
D)Lalonde Report
Q2) Large immigrant populations may live in overcrowded situations and, in some cases, may be unable to access health care. In addition to financial constraints, what is another issue that immigrant populations might face regarding access to health care?
A)burdening the health care system with longer wait times
B)language and cultural barriers to health care
C)burdening primary health care, and spending more on prescription drugs
D)lack of health care providers and facilities
Q3) Which of the following is an example of the federal responsibility for health care?
A)evaluating physician and hospital care
B)delivering direct health care services to incarcerated persons
C)delivering and managing insured health services
D)managing some public health and prescription care
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Chapter 14: Health Policy Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurses in the local hospital emergency room are becoming frustrated by the longer and longer wait times experienced by the patients. They have spoken to the unit manager, who tells them that unfortunately because of budget constraints there can be no movement to increase staffing. The nurses feel defeated and accept the situation. What is one possible contributing factor to the nurses' inability to move this issue forward?
A)They are overworked and therefore have no time or energy to take this issue further.
B)They feel powerless to move this issue forward in their institution.
C)Their education may not have properly provided them with the tools to become politically active.
D)There is no support higher in the institution willing to help the nurses.
Q2) Which of the following is a health policy issue of concern to the profession of nursing?
A)setting up quarantine stations
B)changing the age of consent
C)availability of gluten-free foods
D)monitoring entry to practice
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Page 16
Chapter 15: Economic Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following health care financing systems has a strong focus on the principle of autonomy?
A)fee for service
B)managed care
C)universal health insurance
D)single payer systems
Q2) Which of the following can recent trends in Canadian health policy in areas concerning reform be related to?
A)changing values and stronger trade relationships with the United States
B)increased efficiency based on private market entrepreneurialism
C)not enough accountability on the part of the government
D)reduced transfer payments to the provinces and territories
Q3) According to the Romanow Commission Report, which of the following is a challenge to the health care system?
A)guaranteed reasonable access to care
B)resources not being used optimally
C)decisions being made by physicians
D)considerations of how rationing should occur
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Chapter 16: Social Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which of the following challenges is an important structural issue in health care?
A)abortion
B)research
C)pandemics
D)poverty
Q2) Which of the following social determinants is extremely important for nurses to consider in the holistic care of any patient?
A)healthy relationships
B)chronic medical conditions
C)unhealthy diet
D)level of education
Q3) Which ethical principle would lead to working with an abused woman to develop a strong sense of identity and to help her see various options?
A)non-maleficence
B)justice
C)beneficence
D)autonomy
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Chapter 17: Issues of Gender and Culture
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Through informal dress and communications, what type of powerful messages may nurses be sending?
A)positive messages
B)negative messages
C)successful messages
D)friendly messages
Q2) Which of the following is a major limiting factor for men still entering the profession of nursing?
A)collective bargaining
B)pay gap
C)societal stereotyping
D)caring behaviours
Q3) Which forms of discrimination are clearly prohibited by Canada's Charter of Rights and Freedoms?
A)any form of practised inequality
B)unwelcome conduct that detrimentally affects the work environment
C)nurses' functioning subordinate to multiple layers of authority
D)disparity in earnings existing between men and women
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Chapter 18: Rural, Remote, and Indigenous Nursing in Canada
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse works in a small outpost hospital in Inuvik. The nurse attends a local hockey game at the arena and is asked the following question by a resident of the town: "When I saw you last week about the pain in my stomach and was given the medication, it helped for a bit. Today it's the same but different, what do you think I should do?" What concept is this scenario an example of?
A)being professional
B)meeting obligations
C)avoiding boundaries
D)being enmeshed
Q2) What health issue is more likely to be found in rural communities?
A)higher rates of infectious diseases
B)lower rates of "healthy heart" practices
C)overall poor nutrition
D)higher levels of stress
Q3) What is a professional practice challenge for nurses working in rural areas?
A)continuous nursing education workshops
B)overlapping personal and professional roles
C)documentation
D)maintaining practice standards
Page 20
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Chapter 19: Empowerment for Nurses
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What nursing focus does patient empowerment evolve from?
A)advocacy
B)patient care
C)paternalism
D)locus of control
Q2) A patient tells you that he cannot lose weight because his job keeps him on the road so he cannot exercise, and his wife fixes too many high-calorie meals. What is he demonstrating?
A)internal locus of control
B)external locus of control
C)negative locus of control
D)positive locus of control
Q3) What skills does nursing knowledge foster to enable empowerment?
A)decision making based on intuition
B)values development and their impact on choices
C)application of scientific principles and evidence-based practice
D)imposing personal values on others
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