Introduction to Nursing Practice
Final Test Solutions
Course Introduction
Introduction to Nursing Practice provides students with a foundational understanding of the nursing profession, emphasizing the essential principles, roles, and responsibilities of nurses in diverse healthcare settings. The course explores core concepts such as patient-centered care, professional ethics, communication, safety, and evidence-based practice. Through interactive lectures, practical labs, and simulation exercises, students develop basic clinical skills, learn critical thinking approaches to problem-solving, and gain insight into the collaborative nature of healthcare delivery, preparing them for hands-on clinical experiences and future roles as competent, compassionate nursing professionals.
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
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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) After the First and Second World Wars, the Canadian Red Cross Society and nursing groups noted an important trend in health care that is still articulated in the Lalonde and Romanow report. What is that trend?
A)the formation of nursing groups such as the CNA and professional organizations
B)the political and economic action taken to correct the wrongs suffered by the military
C)the establishment of governments' social and political responsibility in health care
D)the need for strong, well-established public health programs, health education, and care of those living in poverty
Answer: D
Q2) Which of the following statements best describes Florence Nightingale?
A)She believed in traditional expectations for women.
B)She was a nurse and increased soldiers' mortality rates.
C)She believed in nurses restricting their careers.
D)She was a social reformer and statistician.
Answer: D
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Chapter 2: Ethical Theory
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which concept was first noted in the writings of Socrates?
A)virtue ethics
B)utilitarianism
C)deontology
D)rationalism
Answer: A
Q2) What is the strength of using virtue ethics theory in ethical decision making?
A)It is consistent with both deontological and utilitarianism approaches, making it easy to utilize.
B)It recognizes that good decision making is strengthened by habit and is developed over time.
C)It supports making decisions based on rules, which maximizes the overall good.
D)It recognizes the dignity and autonomy of persons and that all people should have equal consideration.
Answer: B
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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 principle of the Canada Health Act requires that residents moving from one province or territory to another must continue to be covered for insured health care services?
A)comprehensiveness
B)portability
C)accessibility
D)public administration
Answer: B
Q2) Which ethical principle requires nurses to uphold the profession's code of ethics, to practise within the established scope of practice, and to remain competent?
A)beneficence
B)autonomy
C)fidelity
D)non-maleficence
Answer: C
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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) 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
Q3) To practice ethically, what must a nurse first understand?
A)social justice
B)the client's values and beliefs
C)the nurse's own values and beliefs
D)theoretical framing
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Chapter 5: Values Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) What does Phase 3 of Gilligan's study of the psychological development of women include?
A)a focus on what is best for the self, including selfishness and dependence on others
B)responsibility to self being taken into account, along with responding to needs of others
C)mutual interpersonal expectations, relationships, and conformity to authority
D)responsibility to self and others as moral equals, and a clear imperative to harm no one
Q2) What are the key factors associated with Gilligan's theory?
A)relationships and caring
B)responsibility and logic
C)personal liberty and rights
D)reciprocity and equality
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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) When does moral uncertainty occur?
A)when we sense that there is a moral problem, but are not sure of the morally correct action
B)when someone else in the health care setting performs an act the nurse believes to be immoral
C)when two or more mutually exclusive moral claims clearly apply to the situation
D)when participants disagree on the appropriate course of action for the moral problem
Q2) The nurse and other members of the healthcare team participate with the patient in making a particularly difficult moral decision. If the CNO Practice Standard for Ethics is properly implemented, which of the following may occur?
A)The nurse disagrees with the decision.
B)Emotions are active and determine the decision.
C)The patient's feelings are devalued, as they are too emotional.
D)Support is provided to the healthcare team and the patient.
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Chapter 7: Legal Issues
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) How are the majority of lawsuits against nurses and other health care professionals classified?
A)as accidental claims
B)as unintentional tort
C)as civil law
D)as indictable offences
Q2) Which of the following terms would apply to an employer placing the label "Unwanted Persons" at the top of a hospital bulletin board and placing a photograph of a nurse on the bulletin board under the label?
A)fraud
B)defamation
C)libel
D)slander
Q3) In Canada, what federal privacy law imposes obligations on how federal government departments collect, manage, use, and share personal information?
A)the Personal Information Protection and Electronic Documents Act
B)the Health Information Act
C)the Privacy Act
D)the Health Information Protection Act
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Page 9
Chapter 8: Professional Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which documents, developed within the profession as a guide for providing nursing care, can also be used as a consistent baseline to measure the practice of individual nurses?
A)external standards of nursing practice
B)internal standards of nursing practice
C)codes of nursing ethics
D)scope of practice statutes
Q2) 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
Q3) Which of the following terms is synonymous with "self-governing"?
A)expertise
B)authority
C)autonomy
D)accountability
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Chapter 9: Professional Relationship Issues
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse chooses to go without lunch so that a patient can be taken outside to get a newspaper and a strong cup of coffee. Which of the following terms best applies to this situation?
A)self-sacrifice
B)beneficence
C)non-maleficence
D)obligation
Q2) When delegating patient care activities, what does the nurse have a responsibility to do?
A)to assess competency when assigning nursing care activities to other health care workers
B)to divide the activities fairly between other health care workers
C)to teach subordinate health care workers proper techniques and procedures
D)to observe other health care workers as they perform delegated activities
Q3) Which of the following prohibits harassment related to race?
A)Workplace Code of Ethics
B)ICN Code of Harassment for Nurses
C)Canada's Labour Code
D)Canadian Human Rights Act
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Page 11
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) According to the textbook, what does the term "medical futility" mean?
A)a physician alone defining overall treatment and the value of medically indicated care
B)causing the painless death of the person in order to end suffering
C)treatment beneficial to both physical and overall well-being
D)treatment valued by the patient but not medically indicated
Q2) How can withholding or removing treatments where the burden or harm to the person is determined to outweigh the benefits be viewed?
A)as allowing the person to die as a result of the natural progression of the disease process
B)as causing the painless death of the person in order to end or prevent more suffering
C)as providing the person the means to end his or her own life when he or she is ready to die
D)as following the directives to avoid suffering included in do not resuscitate orders
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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) A nurse is caring for a patient with cancer who describes using meditation, guided imagery, and mega intravenous doses of vitamin C as part of her treatment. Which of the following nursing actions would take into consideration the patient's ability for self-determination?
A)Honour the patient's right to use therapies other than conventional medicine to address their health care needs.
B)Tell the patient that she should stop these therapies because the research does not support them.
C)Inform the patient that she has a right to do what she wants, but that it is unwise to mix different modalities of therapy.
D)Encourage the patient to share the alternative therapies with other patients to see if they might help them as well.
Q2) What is the legal protection of a patient's right to personal autonomy called?
A)paternalism
B)advanced directives
C)informed consent
D)competence
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Page 13
Chapter 12: Scholarship Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Whose integrity and honesty are of the utmost importance in the ethical treatment of data?
A)statistician
B)participants
C)researcher
D)data collector
Q2) Which of the following examples would be considered a vulnerable population needing special consideration in research protocols?
A)17-year-old male high school students
B)21-year-old female university students
C)65-year-old males with heart disease
D)41-year-old incarcerated females
Q3) 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
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Page 14
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 of the following is an example of provincial or territorial responsibility for health care?
A)deciding upon the principles for health care
B)delivering direct health care services to veterans
C)providing health-related functions such as health protection programs
D)evaluating physician and hospital care
Q2) Accessibility is one of the five key features of the Canada Health Act. Which of the following is NOT directly addressed in the Act?
A)reasonable access for citizens without financial barriers
B)extra billing and user fees for citizens
C)geographical accessibility
D)providing equitable care for all citizens
Q3) The main goal of primary health care is health for all in a community, and the involvement of individuals and groups in communities. What is another key element of primary health care?
A)illness prevention
B)problem-based care
C)universal health care
D)intersectoral collaboration
Page 15
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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 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
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Chapter 15: Economic Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) In Canada, almost all people are insured against the cost of hospital and physician expenses through a government health insurance program. What is this type of health care financing commonly called?
A)fee for service
B)out-of-pocket expenses
C)universal health insurance
D)voluntary or private insurance
Q2) What is a natural consequence of utilitarian forms of health care financing?
A)Resources and services will be distributed equally.
B)Some people will not receive resources and services.
C)The people with the greatest need will receive the bulk of resources and services.
D)People who have greater personal resources will receive greater benefit.
Q3) Which ethical theories of justice are based on the concept that it is good to maximize the greatest good for the greatest number of people?
A)libertarian theories
B)utilitarian theories
C)deontological theories
D)communitarian theories
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Chapter 16: Social Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Compared to Murphy's original estimate of the number of homeless people in Canada in 2000, how much higher is the estimated number now?
A)5 times
B)10 times
C)20 times
D)30 times
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 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
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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) What does Achterberg cite in her article Woman as Healer as one of the many issues that challenge nurses?
A)nursing gaining professional status
B)the masculinisation of medicine
C)maligning the caring role in society
D)oppression of women
Q2) A nurse's Indigenous 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
Q3) Which term refers to a disparity in earnings?
A)sameness salary
B)pay gap
C)feminist fee
D)comparable worth
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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) Which of the following statements applies to Canadians living in a rural environment?
A)More new immigrants and visible minorities live in rural areas.
B)People are more ethnically diverse.
C)People have a wider variety of opportunities.
D)Families tend to have lower incomes.
Q2) Which of the following individuals would self-identify as being a part of at least one Indigenous group?
A)Amish
B)Acadian
C)Québécois
D)Inuit
Q3) Who typically employs the nurses who provide care on First Nations reserves in most provinces in Canada?
A)Health Canada
B)First Nations band council
C)Indigenous community
D)Aboriginal Nurses Association of Canada
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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) A student nurse shares at a meeting following clinical that he feels that the nurse he was working with that day was very critical and he felt "shut down" and bullied. What is this an example of?
A)the rite of passage all new nurses must go through to obtain respect from the senior nurses
B)the process during nursing school that helps to toughen new nurses up to the realities of nursing
C)how the world, regardless of profession, socializes the young into the work world
D)an environment that is not doing enough to create safe, supportive, and empowering work environments
Q2) 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
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