Contemporary Issues in Nursing
Test Preparation
Course Introduction
This course explores current trends and challenges affecting the nursing profession in diverse healthcare settings. Students will examine topics such as healthcare policy, technological advancements, ethical and legal considerations, workforce diversity, and patient-centered care. Emphasis is placed on analyzing the impact of these issues on nursing practice, interprofessional collaboration, and healthcare outcomes. Through case studies and critical discussions, students will develop strategies to address contemporary challenges and advocate for innovation and quality improvement in nursing care.
Recommended Textbook
Ethics and Issues in Contemporary Nursing 2nd Canadian Edition by Margaret A. Burkhardt
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19 Chapters
286 Verified Questions
286 Flashcards
Source URL: https://quizplus.com/study-set/1101
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 nursing traditions in Canada?
A) Britain
B) Aboriginal persons
C) France
D) Germany
Answer: C
Q2) What is the term that relates to knowledge gained through observation and experience?
A) empirical
B) Cartesian philosophy
C) values
D) moral thought
Answer: A
Q3) Why does the social status of women affect the status of the nursing profession?
A) Nursing has traditionally been a profession of women.
B) Throughout history, nurses have been afforded higher social status.
C) Women of higher social status rarely become nurses.
D) Women are more skilled than men at nurturing others.
Answer: A
Page 3
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Chapter 2: Ethical Theory
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21675
Sample Questions
Q1) Which moral perspective propounds the belief that people can figure out absolute moral rules which derive from the universe and that these truths are superior to the information received from the senses?
A) moral belief
B) rationalism
C) deontology
D) naturalism
Answer: B
Q2) What is the Kantian maxim requiring that one treat others always as ends and never as a means?
A) the categorical imperative
B) the practical imperative
C) deontology
D) utilitarianism
Answer: B
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Chapter 3: Ethical Principles
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The emergency room staff decide how quickly patients will be triaged through the emergency room department. The emergency room team decides that the most critically ill patient will be treated first. Which of the following ethical principles is illustrated by the decision-making process in this case?
A) respect for persons
B) justice
C) beneficence
D) autonomy
Answer: B
Q2) Which of the following statements best summarizes the Privacy Act, amended April 2011?
A) Individuals have the right to access their own information without constraints.
B) The provincial government sets out rules on how personal information is managed.
C) Each province protects the private information of Canadian citizens.
D) The Act sets out rules for how personal information should be managed by private-sector organizations.
Answer: A
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Chapter 4: Values Clarification
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21677
Sample Questions
Q1) When the values of the nurse and those of the institution are different, which of the following will the nurse likely experience?
A) incongruencies with personal values
B) judgment of values being imposed
C) divergence of moral beliefs and restraints
D) commitment to develop more awareness
Q2) What is the correct terminology for the process of becoming more conscious of and expressing what we value or consider worthy?
A) journalling
B) values clarification
C) overt values
D) values conflict
Q3) What does the axiology branch of philosophy study?
A) ethics
B) mathematics
C) awareness
D) values
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6
Chapter 5: Values Development
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) From whose frameworks do the discussions of moral development found in current literature primarily flow?
A) Kohlberg and Gilligan
B) Piaget and Fowler
C) Thomas
D) Colby and Kohlberg
Q2) According to Kohlberg and Gilligan, which of the following is the final stage in an adult's values development?
A) universal consideration
B) renewed perspective
C) perceived authority
D) general consensus
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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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) According to Thomas and Waluchow, which of the following is an example of a pre-reflective statement in response to a moral question?
A) "Abortion should never happen because it is murder."
B) "Abortion is a difficult concept to accept for many because of the social values we place on life."
C) "I disagree with abortion because it will directly cause death. My spiritual beliefs prohibit this on the basis of protecting sanctity of life."
D) "Abortion is morally permissible because the rights of the pregnant woman take priority over the right of the fetus."
Q2) When do moral dilemmas occur?
A) when the nurse is unsure of the morally correct action
B) when there are conflicting moral claims
C) when moral claims conflict with practical claims
D) when participants disagree on the appropriate course of action
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Chapter 7: Legal Issues
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which of the following is an example of administrative law?
A) the Regulated Health Professions Act, which defines the role of the nurse
B) the roles of colleges of nursing, which enforce rules
C) the way nurses collect and use personal health information
D) the way to identify the difference between negligence and incompetence
Q2) In a jurisdiction where there is no specific legislation regarding consent, what elements are usually noted when defining a valid consent?
A) There must be urgency in the decision-making process.
B) There must be efficiency in the decision-making process.
C) The patient must have capacity to consent.
D) The patient must articulate a moral agency.
Q3) Which of the following is an example of a summary offence?
A) a nurse giving an injection without consent
B) a nurse who unintentionally causes the death of a patient
C) a nurse failing to provide competent care
D) a nurse signing an employment contract
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Chapter 8: Professional Issues
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/21681
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) According to the Canadian Nurses Association, which of the following is one of the four principles that must be included in any practice statement?
A) to engage in interdisciplinary collaboration
B) to conduct ongoing competency reviews
C) to review ethical implications for institutions that allow nurses to practice
D) to acknowledge that nursing is a diversified group of professionals
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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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/21682
Sample Questions
Q1) Which of the following is characteristic of workplace incivility?
A) acknowledgement of diverse opinions
B) recognizing adversity
C) maintaining moral integrity
D) demeaning treatment of patients
Q2) A physician writes an order that the registered nurse believes will harm the patient. The nurse believes the physician to be incompetent. What is the most appropriate action for the nurse?
A) The nurse should follow the order since the physician's education is superior.
B) The nurse should pursue the chain of authority. If the supervisor and others support the physician, the nurse should follow the order.
C) After pursuing the issue with the physician and supervisors, the nurse should disobey all orders that are believed to be illegal, immoral, or incompetent.
D) If the nurse is forced to follow the order, the nurse should file a formal complaint against the physician.
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11
Chapter 10: Practice Issues Related to End-Of-Life Care
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/21683
Sample Questions
Q1) To appropriately utilize health care technology, what must health care providers, patients, and families understand?
A) its purpose, benefits, and limitations
B) its cost, availability, and usefulness
C) its outcomes, benefits, and cost
D) its risks, availability, and purpose
Q2) What is the legal indication associated with a do not resuscitate (DNR) order?
A) Medical therapies and interventions are to be avoided.
B) Life-sustaining interventions are to be discontinued.
C) Cardiopulmonary resuscitation (CPR) is to be avoided.
D) Palliative care is to be discontinued or avoided.
Q3) What does the nurse need to understand about assessing a patient's quality of life (QOL)?
A) It is an objective measure of comfort and factors that make life worth living.
B) It is considered good only if the patient feels fulfilled and can be independent.
C) It generally means the same thing to most patients, families, and nurses.
D) It includes subjective ideas about conditions of life and functional ability.
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Page 12
Chapter 11: Practice Issues Related to Patient
Self-Determination
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21684
Sample Questions
Q1) Which of the following elements must be present when evaluating a patient's decision-making capacity?
A) the ability to determine a positive outcome
B) the ability to communicate understanding
C) the ability to behave in an ethical manner
D) the ability to understand medical terminology
Q2) Which law states that active euthanasia and assisted suicide are both illegal and that taking part in them is against the law, even if carried out for merciful intentions or relieve suffering?
A) the Criminal Code of Canada
B) the Code of Ethics
C) the Advance Directives Act
D) the Lifestyle Choices Policy
Q3) 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
Page 13
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Chapter 12: Scholarship Issues
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse researcher decides to discontinue a research project because the findings indicate that the risks of the study outweigh the benefits. Which principle is the nurse researcher applying?
A) beneficence
B) justice
C) trustworthiness
D) confidentiality
Q2) Which of the following issues affect academic integrity?
A) plagiarism and cheating
B) cheating and editing
C) editing and fidelity
D) forgery and consulting
Q3) What is recruiting participants for a study by offering them a sizeable amount of money, travel expense allowances, and reimbursement of medical fees considered a form of?
A) full disclosure
B) coercion
C) right to fair treatment
D) compensation
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Page 14
Chapter 13: The Future of Canadian Health Care: Challenges and Priorities
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) 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 with regard 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
Q2) Which of the following contribute to the challenge of providing health care for populations across the globe?
A) infant mortality and globalization
B) ecology and traditional healing systems
C) war and national crises
D) relationships and curative measures
Q3) What health care changes evolved in the latter part of nineteenth century in Canada ?
A) public health
B) interprofessional care
C) immigrant health
D) curative programs
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Chapter 14: Health Policy Issues
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/21687
Sample Questions
Q1) A nurses' organization decides to work toward legislation that would limit mandatory overtime in the workplace. The group mobilizes large numbers of nurses and community volunteers to write letters and make personal contact with legislators. What is the term for this form of political activism?
A) en masse lobbying
B) partisan lobbying
C) grassroots lobbying
D) political lobbying
Q2) Which of the following is an example of a federal regulatory act in Canada?
A) Assisted Human Reproductive Act
B) Future of Health Care Act
C) Canadian Policy Research Act
D) Canada Health Act
Q3) 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) trusting and sustainable relationships
D) monitoring entry to practice
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Page 16
Chapter 15: Economic Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21688
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, what is one of the challenges 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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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/21689
Sample Questions
Q1) Which factor contributes to a domestic violence victim returning to their abusive partner several times before permanently terminating the relationship?
A) poor support from the criminal justice system
B) poor health
C) health care system minimizing the abuse
D) victims being uninformed about violence
Q2) Which of the following go beyond delivering health care that is grounded in the sexism, classism, and racism that often dominate health care delivery?
A) empathy; exploration
B) autonomy; perception
C) vigilance; justice
D) advocacy; caring
Q3) 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
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18
Chapter 17: Issues of Gender and Culture
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What is the term for knowing about the values, beliefs, behaviours, norms, and customs of a patient who comes from a culture other than your own?
A) cultural awareness
B) cultural sensitivity
C) ethnocentrism
D) cultural competence
Q2) Which of the following governs employment equity and equal pay for equal work as a right protected in provinces across Canada?
A) Elimination of All Forms of Discrimination Against Women
B) Equal Wages Guidelines
C) Pay Gap Act
D) Fair-Labour Legislation
Q3) A nurse's Aboriginal patient tells her that his health problem was caused by the Manitou and that he needs some blue beads for protection and healing. What does cultural sensitivity direct the nurse to do?
A) caringly inform the patient that the Manitou is an old belief and is not real
B) make a mental health referral to a local Aboriginal therapist
C) listen respectfully to the patient's story and go on with the treatment
D) explore more about the blue beads and try to get some for the patient
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Page 19
Chapter 18: Rural and Aboriginal Nursing in Canada
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) What is the percent of Canadians defined as living in a rural environment?
A) between 10 and 20 percent
B) between 20 and 30 percent
C) between 30 and 40 percent
D) between 40 and 50 percent
Q2) Which of the following is an objective of the Canadian Association for Rural and Remote Nursing?
A) to reduce inequities between groups and populations
B) to facilitate communication and networking
C) to regulate remote health care teamwork and interdisciplinary approaches
D) to highlight the professional and practice challenges of rural nursing
Q3) 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
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Chapter 19: Empowerment for Nurses
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21692
Sample Questions
Q1) Which of the following nursing attitudes enables patient empowerment?
A) surrendering the need for control
B) directing patients toward decisions that support good health outcomes
C) encouraging patients to value nursing trust
D) providing services for patients
Q2) For the past few months Matthew has complained about inadequate staffing on all shifts to the administrator of the nursing home where he works as a nurse. He documented poor patient care, which included patients not being fed appropriately and several patients who developed serious bedsores after being left for hours on wet linens without being turned. When the administrator repeatedly refused to make any changes, citing economic reasons, Matthew spoke to a reporter at the local paper about the situation. How would this action of Matthew's be viewed?
A) as unethical
B) as making trouble
C) as whistle-blowing
D) as unprofessional
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