Contemporary Issues in Nursing Practice
Questions
Course Introduction
This course explores current and emerging issues shaping the field of nursing today, including healthcare policy, ethical and legal considerations, cultural competence, advances in technology, and the evolving roles of nurses in diverse clinical settings. Emphasis is placed on critical analysis of trends affecting patient care, interdisciplinary collaboration, leadership, and advocacy within the healthcare system. Students will engage in discussions and case studies that enhance their understanding of how contemporary issues impact nursing practice and the delivery of safe, effective patient-centered care.
Recommended Textbook
Advancing Your Career Concepts in Professional Nursing 6th Edition by Rose Kearney Nunnery
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19 Chapters
286 Verified Questions
286 Flashcards
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Page 2
Chapter 1: Your Professional Identity
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Sample Questions
Q1) Informal groups exist within each formal group,providing further professional collegial inclusiveness.
A)True
B)False
Answer: True
Q2) Which of the following is NOT one of the five competencies for a healthcare professional?
A) Evidence-based practice
B) Continuing education
C) Patient-centered care
D) Informatics
Answer: B
Q3) Which of the following does the code of ethics for nurses not address?
A) Behavior with patients
B) Behavior with colleagues
C) Behavior as patient advocates
D) Behavior with healthcare professionals
Answer: C
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Chapter 2: Theory As the Basis for Practice
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Sample Questions
Q1) The classification of grand,middle range,or limited applies to:
A) Phenomena
B) Quantum theory
C) Statistical probabilities
D) Theories
Answer: D
Q2) Propositions in a theory are the descriptions and relationship among the constructs that:
A) Develop a theory that includes factor-isolating
B) Propose how the concepts are linked and relate to each other
C) Describe the significance, consistency, and scope of the theory
D) All of the above
Answer: B
Q3) Barnum (1990)described early nursing theories: "A high number of [boundary] overlaps occur in the discipline of nursing because it often attempts to deal holistically with a phenomenon (man)that has previously been dealt with in compartmentalized ways by other disciplines."
A)True
B)False
Answer: True
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Chapter 3: Evolution and Use of Formal Nursing Knowledge
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Sample Questions
Q1) Trophicognosis is a formulation of nursing care judgment arrived at by the deductive reasoning process.
A)True
B)False
Answer: False
Q2) Which of the following is NOT an element of a subsystem?
A) Choice
B) Action
C) Drive or goal
D) Diagnostic plan
Answer: D
Q3) According to Johnson's conceptual model of nursing which of the following does a nurse examine to determine the existence of a problem?
A) Information to the degree the behavior is purposeful, orderly, and predictable
B) Past and present family and patient behavioral system histories
C) Information on structural components of a subsystem
D) All of the above
Answer: C
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Chapter 4: Health, illness, and Holism
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Sample Questions
Q1) Who was the author who defined high-level wellness for an individual as "an integrated method of functioning which is oriented toward maximizing the potential of which the individual is capable [and] requires that the individual maintain a continuum of balance and purposeful direction within the environment where he is functioning"?
A) Pender
B) Gordon
C) Becker
D) Dunn
Q2) A nurse's role is guided by the theoretical framework on which it is based.
A)True
B)False
Q3) Which of the following is not one of the five theories of health that Benner and Wrubel have put forth about health?
A) Fulfilling social roles
B) An ideal
C) A community
D) A sense of coherence
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6
Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) The correct order of the first three steps in the scientific method is:
A) Statement of hypothesis, selection of research design, and review of literature
B) Description of theoretical framework, full disclosure, and statement of purpose
C) Statement of purpose, identification of the problem, and statement of hypotheses
D) Identification of the problem, statement of purpose, and review of the literature
Q2) Observations are a form of research measurements.
A)True
B)False
Q3) Reliability relates to measuring the variable of interest in the proper manner.
A)True
B)False
Q4) Inferential statistics are used to make inferences about the population of interest. A)True
B)False
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Chapter 6: Effective Communication
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Sample Questions
Q1) Potter and Perry include denotative as:
A) One of the five important factors in nonverbal communication
B) A factor in one of the six aspects of verbal communication
C) Meaning the intonation of a person's voice
D) Meaning the clarity and brevity of verbal communication
Q2) Which of the following concepts are the basic components in communication?
Select all that apply.
A) Decoder
B) Operator
C) Receiver
D) Message
E) Instigator
Q3) Metacommunication:
A) Includes the role of the communicator
B) Covers all the factors that influence how the message is sent
C) Conveys messages about how to interpret both verbal and nonverbal communication
D) A and C only
E) All of the above
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Page 8
Chapter 7: Critical Thinking
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13 Flashcards
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Sample Questions
Q1) Concept formation:
A) Is similar to the nursing process
B) Draws tentative conclusions
C) Differentiates between pieces of information
D) All of the above
Q2) Which of the following is true?
A) Critical thinking is necessary when taking a patient's history.
B) Critical thinking is necessary in determining a healthcare plan.
C) A nurse's daily actions are generally complex, ambiguous, and particular.
D) All of the above
Q3) What type of reasoning includes problem identification,data collection,and hypothesis testing?
A) Reactive reasoning
B) Scientific reasoning
C) Evaluative reasoning
D) All of the above
Q4) Interpretation of feelings,attitudes,and values requires the intrapersonal skills of problem-solving and differentiation of values.
A)True
B)False
Page 9
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Chapter 8: Working With Groups
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Sample Questions
Q1) When establishing a group,it is important to:
A) Determine its goals
B) Make sure members have common roles
C) Identify members who will be proactive
D) All of the above
Q2) Every member of a group must equally participate to secure successful communication.
A)True
B)False
Q3) A family is considered a group because:
A) Everyone is born within a generation of one another.
B) It gathers everyone together at family events.
C) Everyone is related to one another.
D) All of the above
Q4) Groups can be classified according to their focus,group roles,and composition. A)True
B)False
Q5) Group process is described as the orderly interplay with other groups. A)True
B)False
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Chapter 9: The Teaching-Learning Process
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Sample Questions
Q1) After the nurse demonstrates how to take medication,self-administration by the patient would be an example of which of the following learning theories?
A) Humanism
B) Social cognitive
C) Perception stimulation
D) Transformative learning
Q2) Which of the following is not a characteristic of learning?
A) Ability to repeat the information
B) Rejection or acceptance of information
C) Application of knowledge in a new situation
D) Attitudes toward one's understanding of the information
Q3) Which of the following is a learning theory?
A) Andragogy
B) Behaviorism
C) Multiple intelligences
D) All of the above
Q4) Behavioral objectives relate to the teacher's goals.
A)True
B)False
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Chapter 10: Managing and Leading in the Organization
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Sample Questions
Q1) Effective conflict resolution requires negotiation or coming to a win-lose solution.
A)True
B)False
Q2) Organizational function includes:
A) Leadership style
B) Structure
C) Goals
D) All of the above
Q3) Maslow,McGregor,Herzberg,and Ouchi developed theories of:
A) Structure
B) Management
C) Effectiveness
D) All of the above
Q4) Tasks to be accomplished and roles and responsibilities relate to:
A) Organic management
B) Organizational leadership
C) Organizational structure
D) Bureaucratic management
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Chapter 11: Change and Innovation
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Sample Questions
Q1) The components of Rogers's five-stage model of change includes
A) Persuasion
B) Knowledge
C) Confirmation
D) All of the above
Q2) Which of the following is NOT one of the skills of a change agent?
A) Creativity
B) Management
C) Perseverance
D) Vision for the future
Q3) Who developed the model that has a five-stage view of change: knowledge,persuasion,decision,implementation,and confirmation?
A) Havelock
B) Lippitt
C) Rogers
D) None of the above
Q4) To view organizational change,look at internal and external forces within a singular-system approach.
A)True
B)False
Page 13
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Chapter 12: Professional Ethics
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Sample Questions
Q1) A living will or advanced directives is an example of which basic right?
A) Autonomy
B) Nonmaleficence
C) Informed consent
D) All of the above
Q2) The absolute rules as the means to reach a decision are related to:
A) Justice for the patient
B) Deontology based on unchanging principles
C) Accepted practice that is reasonable in relationship to the circumstances
D) All of the above
Q3) To make a decision about a course of treatment,a patient needs which right from the doctor?
A) Justice
B) Privacy
C) Full disclosure
D) Informed consent
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14
Chapter 13: Quality and Safety in Health Care
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Sample Questions
Q1) Systemic issues are questioned and targeted for improvement in a:
A) Healthcare plan
B) Culture of blame
C) Planning process
D) Culture of safety
Q2) The traditional quality assurance model:
A) Is no longer sufficient
B) Occurs in the culture of safety
C) Meets the needs of evolving healthcare
D) All of the above
Q3) Which of the following is true about a special-cause variation chart? Select all that apply.
A) It tracks emerging overtime patterns.
B) The normal pattern appears as concentric circles.
C) It monitors processes with run and control charts.
D) It demonstrates minute variations that are part of nature.
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15
Chapter 14: Population Health
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Sample Questions
Q1) In Healthy People 2020,four foundational health measures were specified to monitor the health of the nation for both progress and in terms of quality of life issues.
A)True
B)False
Q2) Low rates of tuberculosis are found in Hispanic,Asian,and Pacific Islander populations.
A)True B)False
Q3) Healthy People 2020 builds on the work on the 2010 initiative but is guided by a vision,mission,and four goals to address the health of the nation.
A)True
B)False
Q4) Psychosocial is one of the types of risk factors aging adults face. A)True
B)False
Q5) Chronicity is related to duration or recurrence of a condition.
A)True B)False
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Chapter 15: Informatics and Documenting Outcomes
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Sample Questions
Q1) Which of the following long-standing taxonomies was originally developed for home care but is now applicable to a wide range of settings with comparable data and language?
A) NOC
B) Omaha
C) NANDA-I
D) SNOMED CT
Q2) The primary interest of nursing informatics (NI)is to:
A) Become a specialty in nursing practice
B) Become accredited at numerous institutions
C) Be represented in the American Medical Association
D) Expand how data, information, and knowledge are used within nursing practice
Q3) The American Nurses Association (ANA)currently recognizes how many terminologies or taxonomies that support nursing practice?
A) 1
B) 3
C) 6
D) 12
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Chapter 16: Economics and Healthcare Policy
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Sample Questions
Q1) Which of the following statements accurately describe the ICD-10 codes? Select all that apply.
A) Focus on the causes of death
B) Focus on causes of morbidity
C) Contain nearly 5,000 classification codes
D) Affect diagnosis and inpatient coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA)
Q2) Benefits of the Affordable Care Act (ACA)have been categorized in all of the following areas EXCEPT:
A) Care and access
B) Coverage and costs
C) Consumer protections
D) State-specific provisions
Q3) Prior approval is not typically necessary for which of these systems?
A) Fee-for-service (FFS)
B) Consumer-driven system
C) Point-of-service plan (POS)
D) Retrospective payment plan
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18
Chapter
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Sample Questions
Q1) In the changing legislative environment,special interest groups have become:
A) More politically savvy at influencing the creation of public policy
B) Better able to enact rules and state regulations
C) Less adept at accomplishing their agenda
D) None of the above
Q2) External political advocacy is:
A) The ability to make the system respond to the citizenry
B) Statutory law with associated administrative regulations developed by each state to protect public health, safety, and welfare
C) A strong and authentic voice talking about what you do as a nurse and being more visible and vocal as individuals and as members of organizations
D) All of the above
Q3) Common law is created by judicial decisions that:
A) Set a precedent upon which future decisions are based
B) Were passed by the House or Senate
C) Had gone to committee
D) All of the above
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19
Chapter 18: Healthcare Reform and Global Issues
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Sample Questions
Q1) Competence in health policy is within the reach of each nurse and student of nursing.
A)True
B)False
Q2) Reasons for the current nursing shortage are:
A) Increased pressure from the business community
B) Increased recruitment throughout the United States
C) Unimproved retention and recruitment efforts
D) All of the above
Q3) The Children's Health Insurance Program (CHIP)is:
A) Designed by legislation
B) Helps uninsured adults with dependent children
C) A federal health insurance program
D) None of the above
Q4) Medicaid provides coverage for:
A) Pregnant women
B) Adults in families with dependent children
C) Poor elderly
D) All of the above
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Chapter 19: Expanding the Vision
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Sample Questions
Q1) Which of the following is NOT a focus identified by the Health Professions Education Summit?
A) Utilize informatics
B) Apply quality improvement
C) Work in interdisciplinary teams
D) Provide physician-centered care
Q2) The Pew Health Professions Commission described:
A) Emerging healthcare markets
B) Themes for the emerging healthcare system
C) Recommendations to the board of directors
D) Competencies for all healthcare professionals
Q3) Continued competence is of great concern to:
A) Patients
B) Regulatory bodies
C) Healthcare professionals
D) All of the above
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