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Nursing Ethics and Policy explores the moral principles, values, and legal frameworks that guide nursing practice in diverse healthcare settings. The course examines ethical theories, professional codes of conduct, and contemporary issues such as patient autonomy, confidentiality, informed consent, end-of-life care, and allocation of resources. Students analyze the impact of health policy on nursing roles and patient outcomes, and develop skills in ethical decision-making, advocacy, and leadership. Emphasis is placed on critical thinking, cultural competence, and the nurses responsibility to influence policy and uphold ethical standards in the delivery of quality care.
Recommended Textbook
Contemporary Nursing Issues Trends and Management 7th Edition by Cherry
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28 Chapters
610 Verified Questions
610 Flashcards
Source URL: https://quizplus.com/study-set/162 Page 2

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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1942
Sample Questions
Q1) World War I contributed to the advancement of health care by:
A) increasing the number of private care hospitals and decreasing the role of public health services.
B) employing a large number of civilians to provide care to returning soldiers through the Red Cross.
C) introducing specialists in nursing such as nurse anesthetists.
D) increasing the number of community health nurses.
Answer: C
Q2) A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the:
A) American Nurses Association.
B) Commission on Collegiate Nursing Education.
C) National Institutes of Health.
D) National Nursing Council.
Answer: B
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1943
Sample Questions
Q1) Charles Dickens' character Sairy Gamp:
A) portrayed nurses as trained professional individuals who put others before themselves.
B) chose nursing because she had no other avenue for employment.
C) was a prostitute who took advantage of sick old men.
D) characterized nurses as being at the forefront of technology and autonomy.
Answer: B
Q2) What is the best way for the individual nurse to maintain the most effective professional image?
A) Change out of their work attire before running errands.
B) Renew membership in a nursing organization.
C) Earning an advanced nursing degree.
D) Developing effective nurse-physician relationships.
Answer: B
Q3) Which nurse best portrays nursing as a "knowledge worker"?
A) Nurse in matched scrubs with lab coat, hair back, small stud earrings
B) Nurse in mismatched scrubs, no lab coat, large hoop earrings
C) Nurse in white uniform with apron with no jewelry/hair back
D) Nurse with nose ring and eyebrow piercing with starched white uniform and cap
Answer: A

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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1944
Sample Questions
Q1) The number of reported medical errors demonstrates a need for what priority intervention?
A) Simulation experiences
B) Performance competency exercises
C) Comprehensive instructor-constructed examinations
D) Detailed care planning exercises
Answer: B
Q2) Although the use of technology and the Internet provides nursing faculty and students with unlimited resources and current information, an outcome associated with this trend is that:
A) users of electronic resources spend a disproportionate amount of time looking for pertinent content.
B) additional time is available to study and revise curricula because special skills are not needed to access information via the Internet.
C) immediate results and outcomes are expected from students and faculty, thus enhancing time management.
D) skills that require problem solving and reflective abilities are developed.
Answer: A
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1945
Sample Questions
Q1) A nurse holds a license in one state but wishes to practice in a second state that is not participating in a nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not retake the licensure examination. The nurse obtains licensure in the second state:
A) by licensure and by endorsement.
B) through mandatory continuing education.
C) by the statutory process known as being grandfathered.
D) through sunset legislation.
Q2) Who establishes the "rules" for nursing practice?
A) Individual state boards of nursing
B) Employer, based on area of practice
C) United States Department of Health and Human Services
D) Local health officials
Q3) Nurse practice acts:
A) are written and passed by legislators.
B) cannot be influenced by special interest groups.
C) reflect only the concerns of RNs.
D) are affected by the practice of dentists.
Q4) The primary purpose of licensure is protection of the ___________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1946
Sample Questions
Q1) Einstein's theory of relativity laid the groundwork for theories of mathematics, and Freud and Jung provided the basis for a philosophy of man. Which nursing theory served as the foundation for nursing science?
A) Rogers' science of unitary human beings
B) Nightingale's theory of practice
C) Watson's theory of human caring
D) King's theory of goal attainment
Q2) What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?
A) Theories
B) Constructs
C) Systems
D) Propositions
Q3) The statement, "Nursing is a caring profession that focuses on helping people be as healthy as possible," is an example of a:
A) concept.
B) construct.
C) philosophy.
D) model.
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1947
Sample Questions
Q1) Institutional review boards determine whether research studies involving human subjects will:
A) be published.
B) add to the body of nursing knowledge.
C) cause harm.
D) receive funding.
Q2) A nurse is interested in understanding the meaning of the human experience of surviving polio. Subject recruitment targets persons who have been diagnosed with the disease. The researcher reflects on the data and identifies common themes in order to understand the "lived experience." These characteristics are consistent with the qualitative research method known as:
A) grounded theory.
B) ethnography.
C) phenomenology.
D) case study.
Q3) The use of research to guide nursing practice is called:
A) utilization.
B) dissemination.
C) generalizability.
D) analysis.
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/1948
Q1) A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:
A) private health insurance.
B) a federal insurances program known as PPACA.
C) state-subsidized Medicaid insurance.
D) single-payer system coverage.
Q2) A contractual agreement between the insurer and the provider in which covered members are encouraged to use specific health care providers in return for reduced rates is which type of arrangement?
A) Health maintenance organization
B) Preferred provider organization
C) Fee-for-service arrangement
D) Philanthropic agency
Q3) A 72-year-old client is admitted to have the right kidney removed after a diagnosis of cancer. The surgeon removed the left kidney. Medicare will no longer pay for preventable medical errors known as ____________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1949
Sample Questions
Q1) A physician orders a drug for a patient with a known allergy resulting in anaphylactic shock. The nurse:
A) realizes that disclosure of the error will result in more severe ramifications for the agency than if the negligence is discovered by the patient or family.
B) should disclose the occurrence before speaking with the physician who ordered the drug or with hospital management.
C) recognizes disclosure as an essential component of the national patient safety movement.
D) should report the occurrence to the patient's insurance company to decrease patient costs.
Q2) A nurse is caring for a client with malignant hypertension whose blood pressure has increased by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the physician. The nurse is at risk for being charged with:
A) negligence.
B) assault.
C) defamation of character.
D) tort.
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/1950
Sample Questions
Q1) The nurse who admits making a medication error and immediately files an incident report is demonstrating:
A) accountability.
B) individuality.
C) an injustice.
D) values clarification.
Q2) An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
A) Autonomy
B) Veracity
C) Utilitarianism
D) Deontology
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1951
Sample Questions
Q1) A Mexican-American patient is attacked and beaten. This patient is at risk for "fright disease," which is known as:
A) susto.
B) empacho.
C) bilis.
D) mal ojo.
Q2) A Hispanic patient is visited by several family members and the nurse witnessed one visitor who pinches a piece of skin at the waist. The nurse asks the purpose and learns the "provider" is listening for a snap from the abdominal region, which is then repeated several times. The patient most likely suffers from:
A) mal ojo.
B) susto.
C) bilis.
D) empacho.
Q3) On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____.
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/1952
Sample Questions
Q1) A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
A) reflexology.
B) Feldenkrais method.
C) Reiki.
D) Rolfing.
Q2) During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:
A) excessive bleeding.
B) kidney stones.
C) lower blood sugar.
D) jaundice.
Q3) The nurse caring for a patient who practices Ayurveda would assess for:
A) an increased stool osmolality gap resulting from dehydration.
B) petechiae resulting from fine-needle punctures.
C) use of over-the-counter remedies intended for intended symptom.
D) magnets strategically placed on affected joints.
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/1953
Sample Questions
Q1) A daughter tells the nurse that, "Mom will be as good as new when we get this advanced cancer cured." How can the nurse best help the daughter in the role of caregiver?
A) Working toward setting realistic goals for both her mother and herself
B) Finding the daughter in home help to assist with her mother's care
C) Discuss with the patient the role her daughter will play in her care
D) Encourage the daughter to regularly share her feelings with her mother
Q2) Which statement correctly applies to a person's suffering?
A) Pain is the cause of suffering.
B) Suffering and pain are experienced separately.
C) Suffering can exist without the experience of pain.
D) Pain is the focus of all nursing assessments.
Q3) The principle of autonomy is best supported by what intervention made available to palliative care patients?
A) Arranging for in-home health care
B) Addressing the patient's specific pain management needs
C) Helping the patient decide on the details of their advanced plan of care
D) Conducting a thorough performance status screening on the patient
Q4) ________________ occurs when a physician predicts the course and outcome of a disease process.
Page 14
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Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1954
Sample Questions
Q1) When an RN is asked to accept an assignment that he or she may not be qualified to perform, the nurse should:
A) accept the assignment as appropriate if assigned by a legitimate power.
B) be primarily concerned with the number of patients being assigned.
C) ask how other nurses have handled the assignment in the past.
D) determine whether he or she is familiar with the types of patients being assigned.
Q2) A new graduate nurse is applying for the exciting first position and states, "I am only applying to Magnet hospitals because those work environments:
A) attract physicians who are the best health care providers to improve quality of care."
B) require all registered nurses to be certified in the area of practice."
C) not only attract but also retain professional nurses."
D) discourage nurses from advancing their current level of education and I don't want to return to school for many years."
Q3) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/1955
Q1) A concern that nurses were being asked to perform tasks that went beyond the state's nurse practice act was brought to the union's attention. Nurses were informed that either mediation or binding arbitration will be used to resolve the issue. A novice nurse asks about the difference between these techniques and is informed that:
A) mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor.
B) binding arbitration is a formal discussion between labor and management in which the arbitrator's recommendations are compulsory.
C) mediation uses a trained person to negotiate a legally binding plan.
D) binding arbitration requires both labor and management to participate in discussions on the least destructive approach to allow self-governance by employees.
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/1956
Sample Questions
Q1) A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":
A) identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
B) refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
C) refers to a requirement that at least 50% plus one of all patients have data entered into the EHR.
D) the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.
Q2) Software programs that process data to produce or recommend valid choices are known as ______________.
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1957
Sample Questions
Q1) A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:
A) Commissioned Corps Readiness Force.
B) Strategic National Stockpile.
C) Department of Homeland Security.
D) local Young Men's Christian Association (YMCA).
Q2) A nurse at a school notices that several students have "blisters" on their bodies. Further investigation reveals that a terrorist incident has occurred, causing smallpox. If the chemical, biologic, radiologic, nuclear, and explosive (CBRNE) agent categories are used, this incident would be classified as:
A) chemical.
B) biologic.
C) radiologic.
D) nuclear.
Q3) The term used during a pandemic disaster that refers to the attempt to contain germs by limiting socialization and personal interactions is ___________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1958
Sample Questions
Q1) According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?
A) Authoritative
B) Closed systems
C) Open systems
D) Trait
Q2) An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?
A) Rewards
B) Coercion
C) Expert
D) Legitimate
Q3) Managers who exhibit an authoritative behavioral style are most likely to use which source of power?
A) Informal
B) Expert
C) Coercive
D) Reward
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/1959
Sample Questions
Q1) The financial plan required for the distribution of resources and expenses is a
Q2) Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?
A) Including in the labor budget costs for overtime and benefits
B) Managing variances in nursing overtime costs and supply usage
C) Accurately predicting revenues on the basis of unit-of-service
D) Providing qualitative analysis for variances in the capital budget
Q3) A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
A) Have the nurse work in payroll for a week.
B) Enroll the staff in continuing education units (CEU) for personal finance.
C) Ask the nurse to represent the unit on the budget planning committee.
D) Make the nurse responsible for monitoring all disposable equipment and supplies.
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1960
Sample Questions
Q1) Which component of an e-mail shown below would be both effective and concise?
A) Subject: A short concise subject line: Meeting.
B) Body: I would like you to answer these questions before the next meeting: Where would you like to meet? Do you want all the staff to attend? Can we serve refreshments? What is one goal for our unit?
C) Body: Dear Staff, As you know, each department must reduce staff by 2%. We will need to discuss how to inform unlicensed staff about the downsizing efforts of the hospital.
D) Body: The next staff meeting is scheduled for Tuesday, January 19, at 5 PM in the first floor auditorium. Please send items for the agenda.
Sally Smith, MSN, RN, smith@hospital.org or ext. 5582.
Q2) The healthiest form of communication is the ________ style.
Q3) Which statement accurately describes communication?
A) The components of communication are mutually exclusive.
B) Communication is linear.
C) Communication involves only the sender and the receiver; everything else is superficial.
D) When the receiver becomes the sender, the subcomponent of communication that is in use is feedback.
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1961
Sample Questions
Q1) A registered nurse (RN) is assigned as charge nurse for the first time. She knows to consult the state board of nursing to determine scope of practice for licensed practical nurses (LPN) and unlicensed assistive personnel (UAP). She also realizes there are common policies which exist in most state practice acts that include:
A) the RN is held accountable for the decision to delegate, but responsibility rests only with the delegatee.
B) the RN may only delegate tasks that are not in the scope of practice of the LPN if the delegatee is certain they are competent to perform the task.
C) since the LPN is licensed, they practice professional nursing.
D) to determine what tasks can be safely delegated, the RN must first assess the patient.
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22 Verified Questions
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Source URL: https://quizplus.com/quiz/1962
Sample Questions
Q1) A nurse groups patients with criteria such as "high risk for falls," "infection protocols," and "special communication needs" to determine the mix and number of staff needed on a telemetry unit. The nurse is using:
A) a patient classification system to determine safe staffing levels.
B) diagnostic-related groups for Medicare billing.
C) case management to coordinate care.
D) clinical pathways to determine care.
Q2) A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG). According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery. During surgery the patient's oxygen saturation decreased drastically as a result of chronic tobacco abuse. Subsequently, the patient remained on the ventilator an additional 2 days postoperatively. According to the clinical practice guideline for CABG, this situation represents a:
A) patient outcome.
B) variance.
C) goal.
D) standard.
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/1963
Sample Questions
Q1) Institute for Healthcare Improvement (IHI) proposed a process for quality improvement with steps known as "PDCA." When explaining the steps to a group of nurses interested in improving the process of medication reconciliation for heart failure patients with high rates of recidivism, the instructor states:
A) P stands for process. Following a top-down flowchart provides the steps for reviewing patient medications taken at home compared to those prescribed during hospitalization.
B) D stand for deviation, which is an alteration in the expected drugs ordered.
C) C is for check if the process for change worked. Was there an improvement in accurate reconciliation? And what was learned? A stands for algorithm, which includes all steps of the process.
D) A stands for algorithm, which includes all steps of the process.
Q2) A nonprofit organization that distributes to governmental agencies, the public, business, and health care professionals knowledge related to health care for the purpose of improving health is the:
A) Institute for Safe Medication Practices.
B) Institute of Medicine.
C) National Committee for Quality Assurance.
D) The Joint Commission.
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/1964
Sample Questions
Q1) Time is becoming crucial for the nurse to address issues related to sponsoring programs to include hearing aid costs as part of Medicare coverage. The nurse involved in grassroots political actions realizes that the least timely method of reaching elected officials would be via:
A) letter.
B) telephone.
C) e-mail.
D) facsimile (fax).
Q2) Throughout the history of health care in our nation, one particular piece of federal legislation provided funds for hospital construction. As the number of hospitals rapidly increased, the need for nurses to staff hospitals also increased, and the shift from community-based nursing care to hospital-based nursing care began. This fundamental piece of legislation was the:
A) Sheppard-Towner Act.
B) Hill-Burton Act.
C) Veterans Bill.
D) Access to Health Care Bill.
Q3) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1965
Sample Questions
Q1) It is important for novice nurses to know that "self-esteem = self-confidence + self-______."
Q2) According to Kramer, nurses in the shock phase should ask themselves:
A) "How can I fit in with other staff?"
B) "Why can't I perform as everyone expects?"
C) "What changes can I make to make me feel good about the choice to become a nurse?"
D) "How can I get the rest of the staff to change?"
Q3) When the novice nurse asks, "What will happen if this task is not completed," which skill is being demonstrated?
A) Priority setting
B) Delegation
C) Organization
D) Clinical skills
Q4) Which nurse is more prone to burnout? The nurse who:
A) graduated last in the class.
B) is industrious and conscientious.
C) refuses to work an extra shift even though he or she needs the money.
D) volunteers to serve on only one committee and keeps in touch with schoolmates.
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21 Verified Questions
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Source URL: https://quizplus.com/quiz/1966
Sample Questions
Q1) In deciding whether to say no to a request that involves a time commitment, the professional nurse must consider:
A) the cost-benefit ratio.
B) the time commitment of coworkers.
C) ways to buffer saying no.
D) personal preference.
Q2) A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactorily. The mentor suggests some tips for time management. These include: (select all that apply)
A) focusing on activities to be completed, rather than on objectives.
B) planning for tomorrow today.
C) making certain that the last hours are the most productive in tying up loose ends.
D) maintaining a log of how the nurse spends time (no need to worry about using complete sentences).
E) picking five major objectives for the day and not stopping until they are achieved.
Q3) The most important step in time management is ____________.
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1967
Sample Questions
Q1) A nurse researcher is attempting to describe the demographics of today's RNs and reports that:
A) less than half of all RNs work in hospital settings.
B) the average age for an RN is 50 years.
C) approximately 25% of RNs are male.
D) most RN are practicing with a bachelor's degree.
Q2) What characteristics are associated with the clinical nurse leader? (select all that apply)
A) Is a generalist prepared at the master's level.
B) Provides care at the bedside for complex patients.
C) Identifies the best resources at the lowest price to achieve best health outcomes for a client.
D) Serves as care coordinator whose practice is limited to acute care settings.
E) Is an advanced practice nurse with an earned doctorate in nursing.
Q3) A nurse wants to become an advanced practice nurse and investigates the requirements for a: (select all that apply)
A) nurse practitioner.
B) nurse executive.
C) certified nurse-midwife.
D) certified registered nurse anesthetist.
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24 Verified Questions
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Source URL: https://quizplus.com/quiz/1968
Sample Questions
Q1) The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to:
A) address the letter to "To Whom It May Concern."
B) address the letter to "Nurse Recruiter."
C) call the facility to inquire about the name and title of the person.
D) leave the salutation blank if the name and the title are unknown.
Q2) A nurse entering the job market wants to be certain that the first position is rewarding and allows for growth as a registered nurse. According to the Hallmarks of the Professional Nursing Environment, the nurse should ask:
A) about the philosophy related to clinical care to determine the role of RNs in deciding outcomes related quality outcomes.
B) if professional development opportunities are supported through paid leave and tuition reimbursement.
C) how compensation packages compare to others in the same area and nationally.
D) what the projected need for RNs is in the next 5 years and current turnover rate.
Q3) The key to a successful interview is being ____________.
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21 Verified Questions
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Source URL: https://quizplus.com/quiz/1969
Sample Questions
Q1) In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?
A) Teaching/learning
B) Health promotion
C) Infection control
D) Pharmacology
Q2) The primary purpose of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is to:
A) ensure that practitioners have the minimum skills and knowledge needed to provide care that will produce the best patient care outcomes.
B) regulate nursing education.
C) determine the mandatory educational level required for nurses to practice.
D) accredit schools of nursing.
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