Nursing Professionalism and Ethics
Final Test Solutions
Course Introduction
This course explores the foundational principles of professionalism and ethics in nursing practice. Students will examine the historical evolution of nursing as a profession, ethical theories, codes of conduct, and standards that guide nursing behavior. Emphasis is placed on the critical role of ethical decision-making, accountability, patient advocacy, and maintaining professional boundaries within healthcare settings. Through analysis of real-world cases and ethical dilemmas, students will develop practical skills in ethical reasoning, cultural competence, and effective communication, preparing them to uphold integrity and deliver compassionate, patient-centered care in diverse environments.
Recommended Textbook
Quality and Safety for Transformational Nursing Core Competencies 1st Edition by Kim Amer
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Chapter 1: Risk and Threats to Safe Quality Care in Hospital Settings
16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is reviewing actions implemented to address quality of care issues. Which action is a direct response to the Institute of Medicine publications on quality patient care?
A) Implementing a protocol to screen for hospital acquired infections
B) Creating a new program within schools of nursing that focus on quality
C) Restricting nurses from designing and implementing quality care changes
D) Developing safety and quality care competencies by the American Nurses Association Correct
Answer: A
Q2) The nurse manager, reviewing the Institute of Medicine document Crossing the Quality Chasm, recognizes what as being the first component of quality?
A) Leadership
B) Efficiency
C) Equity
D) Safety Correct
Answer: D
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Chapter 2: Quality and Safety Models
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16 Flashcards
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Sample Questions
Q1) The nurse identifies an issue with the labeling of a medication for a patient. What can the nurse do to prevent this situation from creating a medication error?
A) Write over the medication label.
B) Notify the nurse manager about the issue.
C) Contact the pharmacy and discuss ways to eliminate the issue.
D) Document the identification of the issue in the medical record. Correct
Answer: C
Q2) The nursing staff on a patient care area is adamantly resisting changing a process that has resulted in multiple safety issues. What would be the nurse manager's first step to change this harmful patient care process?
A) Choose the solution.
B) Unfreeze the staff.
C) Do the right thing.
D) Do away with things. Correct
Answer: B
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Chapter 3: Transition to Practice: an Essential Element of
Quality and Safety
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Sample Questions
Q1) A hospital administrator is meeting with the vice president of nursing to discuss the implementation of a transition to practice program for nurses. What reasons would the vice president of nursing explain as evidence to support this program? Standard Text: Select all that apply.
A) Reduces medication errors
B) Reduces adverse events
C) Combat the expertise gap
D) Reduce turnover rate
E) Improves salary levels Correct
Answer: A,B,C,D
Q2) A nurse tells the staff development trainer to not assign any new staff to preceptor for at least a year. What could be done to change this nurse's decision?
A) Orient the preceptor to the role.
B) Use simulation to help with decision making.
C) Review the concepts of Six Sigma.
D) Reduce the transition program to 2 months. Correct
Answer: A
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Chapter 4: Power, Empowerment, and Change in Nursing and Health Care
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15 Flashcards
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Sample Questions
Q1) The nurse identified a patient safety issue, however is hesitant to report this finding to management. What fears are causing the nurse to not report this finding? Standard Text: Select all that apply.
A) Being stereotyped
B) Being labeled as selfish
C) Being of being supported
D) Being sidelined for promotions
E) Being told that the finding is not a problem Correct
Q2) The staff nurse has identified a critical patient safety issue within a health care organization. Prior to reporting the issue the nurse completes a risk assessment. What would be a desirable outcome from this assessment?
A) Disregard
B) Loss of anonymity
C) Walk away from a job
D) Become a change agent Correct
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Chapter 5: Quality and Safety Education Strategies
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Sample Questions
Q1) The nurse manager observes a staff nurse initiating actions to resolve a conflict between a physician and another nurse. Which category of teamwork and collaboration criterion did the staff nurse exemplify?
A) Skill
B) Attitude
C) Creativity
D) Knowledge Correct
Q2) The nurse manager is identifying areas in which excessive waste occurs on a patient care area. Which areas would the nurse manager include on this list? Standard Text: Select all that apply.
A) Moving wheelchairs
B) Walking to two areas to get supplies
C) Stocking one dozen of a patient care item that is rarely used
D) Assessing new admissions within 1 hour of arrival to the unit
E) Wasting packaged sterile gloves because of tears in the outer package Correct
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Chapter 6: Evaluating a Program: Metrics and Stakeholders
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Sample Questions
Q1) The Quality Improvement committee designed a global triggering tool to report the number of times an ampule of Dextrose 5.0.% is prescribed. Once the trigger occurs through the electronic medical record which action would occur next?
A) Name of the physician would be reported
B) The name of the patient would be recorded
C) Further investigation for an adverse event would occur
D) The patient's diagnosis would be matched for appropriateness Correct
Q2) The manager of a telehealth department is analyzing the metrics to determine the number of successful patient telephone calls for the week. How will the manager use this information?
A) Budget for staffing
B) Identify the need for supplies
C) Analyze the telephone bill charges
D) Determine if goals have been met Correct
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Chapter 7: Interprofessional Team Building
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Sample Questions
Q1) The nurse manager is determining reasons why the goal of safe quality patient care is not being achieved. Which factors would the manager identify as deterrents to safe quality care? Standard Text: Select all that apply.
A) Authoritative attitude of physicians toward nurses
B) Poor integration about common concepts of care
C) Minimization of the nurses' role in patient care
D) Adherence to procedures is substandard
E) Poor communication Correct
Q2) Interprofessional team meetings have been occurring sporadically on a patient care area. Which observation indicates that these meetings need to be reinforced to support quality patient care?
A) Nurses assisting each other with patient care activities
B) Nursing assistive personnel (NAP) volunteering to work extra shifts
C) Nurses sharing results of committee projects during routine staff meetings
D) Nurses complaining that physicians are too busy to address patient care issues
Correct
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Chapter 8: Transforming Care at the Bedside Tcab
Sample Questions
Q1) The nursing staff working on a Transforming Care at the Bedside unit is implementing a test of change. Which is a characteristic of this test?
A) All staff implements the change immediately.
B) The change is implemented by day shift only.
C) The change is implemented for at least a month.
D) The outcome from the change is discussed at a biannual meeting. Correct
Q2) The nurse manager, implementing Transforming Care at the Bedside, wants to improve value-added processes. Why would the manager ask nurses to participate in this process?
A) Nurses have the most time.
B) Nurses spend the most time in non-care related activities.
C) Nurses know which staff wastes the most time.
D) Nurses know what the physicians want. Correct
Q3) The nursing staff on a patient care area wants to implement a change to a care process. What role will the nurse manager have with the implementation of this change?
A) Discuss the change with the hospital administrator.
B) Make sure all nursing staff is engaged in the process.
C) Expect the nursing staff to make the change independently.
D) Obtain permission for the change from the medical director. Correct
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Chapter 9: Informatics and Nursing: Using Technology to Improve Quality
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70719
Sample Questions
Q1) A healthcare organization is sponsoring a seminar that will focus on the use of robotics when providing patient care. How would the organization encourage nurses to attend this educational program? Standard Text: Select all that apply.
A) Emphasize the reduction in staffing needs with the robots.
B) Diagramming the salary cost savings with the use of robots.
C) Explain how the robot will streamline nursing tasks.
D) Discuss how the robot helps increase productivity.
E) Review the impact of the robot on efficiency. Correct
Q2) An organization desires to use technology to improve the quality of patient care. Which criterion would be important for the organization to keep in mind when previewing technologies?
A) Use of the technology to make decisions
B) Ability of the technology to track outcomes
C) Level that the technology can replace human judgment
D) Substitution of the technology for basic caring concepts Correct
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Chapter 10: Patient-Centered Care
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Sample Questions
Q1) The nurse is caring for an older patient who is in the intensive care unit for sepsis. The youngest daughter can only visit with the patient in the evenings after visiting hours have ended. What can the nurse do to support family-centered care for the patient and daughter?
A) Provide permission for the daughter to visit the patient after visiting hours.
B) Encourage that the daughter call the patient on the telephone during the day.
C) Explain to the patient that the daughter can visit once intensive care is no longer needed.
D) Ensure the daughter that the patient is being well cared for and not to worry about visiting. Correct
Q2) The nurse wants to ensure that interventions for a patient include the dimensions of person-centered care. Which interventions would the nurse include to meet this goal?
Standard Text: Select all that apply.
A) Teaching the patient side effects of prescribed medications
B) Talking with the dietitian about the patients' food preferences
C) Inquiring about the patient's plan to pay for health care expenses
D) Discussing community resources for the patient to use when at home
E) Asking the family if they would like to observe a dressing change Correct
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Chapter 11: Quality Health Care, Policy and Law
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Sample Questions
Q1) After providing morning medications the nurse realizes that a medication error was made. What should the nurse do?
A) Evaluate the patient for effects of the medication error.
B) Document that medications were switched between patients.
C) Encourage the patient to ingest more water throughout the day.
D) Tell the truth and report the medication error according to policy. Correct
Q2) A nurse is becoming discouraged with the way patient care is being provided in a skilled nursing facility. Which action would help the nurse with the feelings of discouragement?
A) Provide the best care possible during the scheduled shift.
B) Focus on assigned patients only and not be concerned with other issues.
C) Remain educated on current issues and events that shape the nursing world.
D) Discuss feelings with the director of nursing and report the facility for unsafe practice. Correct
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Chapter 12: Future-Focused Quality Nursing
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16 Flashcards
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Sample Questions
Q1) A nurse is selected to serve on a task force whose purpose is to plan responses to terroristic threats in a major city. The media is planning a session with the task force to discuss progress on the plan thus far. What would the nurse do to prepare for the media session?
A) Plan to smile into the camera and stay quiet.
B) Stand in the back of the room to reduce exposure.
C) Prepare thoughtful responses to potential questions.
D) Direct all questions to the chairperson of the committee. Correct
Q2) The director of nursing is investigating continuing education programs to attend during the next quarter. What would serve as a guide to the director when selecting programs to attend?
A) Personal achievement
B) Maintain current position
C) Supplement the resume
D) Achieving the team's goals Correct
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