Professionalism in Nursing Final Exam Questions
Course Introduction
Professionalism in Nursing explores the core values, behaviors, and ethical principles that underpin nursing practice. This course examines the responsibilities and standards of conduct required in the profession, including accountability, integrity, advocacy, and lifelong learning. Students will analyze scenarios involving confidentiality, delegation, and interprofessional collaboration, developing critical communication and decision-making skills. Emphasis is placed on the importance of personal and professional development, adherence to legal and regulatory frameworks, and fostering trust within the healthcare environment to ensure high standards of patient care.
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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Page 2
Chapter 1: Social, Philosophical, and Other Historical Forces
Influencing the Development of Nursing
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Sample Questions
Q1) Which of the following is an example of the significance of Nursing during the Middle Ages ?
A)Religious nursing orders and church-sanctioned secular nursing orders offered the only legitimate avenues for women wishing to become nurses.
B)Increasing respect was given to nursing and midwifery, as nurses began to practise autonomously.
C)Healing arts in Denmark and Greece were performed in sacred ceremonies by priests, priestesses, or shamans.
D)Most nurses were women of high social status seeking ways to legitimize their position and status.
Answer: A
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 Flashcards
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Sample Questions
Q1) What focal virtue is measured by other people's recognition of the nurse's consistency and predictability in following moral norms?
A)discernment
B)conscientiousness
C)trustworthiness
D)integrity
Answer: C
Q2) Which concept was first noted in the writings of Socrates?
A)virtue ethics
B)utilitarianism
C)deontology
D)rationalism
Answer: A
Q3) Which ethical theory, when applied, would most likely lead to making meals for a needy family?
A)rationalism
B)naturalism
C)virtue ethics
D)deontology
Answer: B
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Chapter 3: Ethical Principles
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17 Flashcards
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Sample Questions
Q1) What does the principle of beneficence require the nurse to do?
A)to separate personal from professional life
B)to prevent harm or evil and do good
C)to make the patient an active participant in their care
D)to morally regulate the conduct of others
Answer: B
Q2) 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
Q3) Which ethical principle implies that others are worthy of high regard?
A)beneficence
B)respect for autonomy
C)respect for persons
D)distributive justice
Answer: C
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Chapter 4: Values Clarification
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16 Flashcards
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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)incongruence with personal values
B)judgment of values being imposed
C)divergence of moral beliefs and restraints
D)commitment to develop more awareness
Q2) When a patient is unable to clearly articulate their values, what is most likely to occur?
A)It may result in distress and feelings of marginalization.
B)It may result in frustration and negatively affect care.
C)It may result in an unwillingness to seek healthcare advice.
D)It may result in confusion and inadequate decision-making.
Q3) What is the correct terminology for values that are implicit in the expectations of an institution, but are not in set out writing?
A)formal values
B)covert values
C)integral values
D)overt values
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Chapter 5: Values Development
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Sample Questions
Q1) A postpartum patient, living in Canada for a year, resists the nurse's health teaching regarding birth control. What is this an example of?
A)The patient is exhibiting evidence that she is in Gilligan's Phase 1.
B)There are gender differences in moral decision making.
C)There are transcultural considerations in values development.
D)Women will focus, according to Kohlberg, on relational stages.
Q2) 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
Q3) 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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Sample Questions
Q1) The nurse is involving all stakeholders and has identified and proposed new options to institutional guidelines. Applying the nursing process, what stage would the nurse be using, according to the College of Nurses Practice Standard for Ethics?
A)assessing the situation
B)deciding upon an approach
C)taking action
D)evaluation
Q2) Which would be considered as part of the "Identify Options" stage of the ethical decision-making process?
A)questioning if the original ethical problem has been resolved
B)checking in with yourself and your moral barometer
C)determining which factors are morally significant
D)identifying whose decision this is to make
Q3) 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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8
Chapter 7: Legal Issues
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28 Flashcards
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Sample Questions
Q1) What system of binding rules governs the behaviour of people in their relationships with others and with the government?
A)ethics
B)laws
C)morals
D)intentional tort
Q2) Which of the following is a component of negligence?
A)failing to fulfil the legal responsibility to obey laws
B)failing to provide a reasonable standard of care
C)failing to protect personal information
D)failing to keep patients free of interference
Q3) Which of the following would apply to a nurse removing life support from a terminally ill patient without permission?
A)legislative law
B)indictable offence
C)misdemeanour
D)summary offence
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9
Chapter 8: Professional Issues
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16 Flashcards
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Sample Questions
Q1) Which of the following is an example of one of the functions of a professional organization for nursing?
A)lobbying for higher salaries and safer working conditions for nurses
B)monitoring nurses' ongoing competence and continuing education
C)assisting with identifying and meeting the educational needs of members
D)publishing disciplinary outcomes to keep members informed
Q2) What is the foremost law that governs the regulation of nursing?
A)Coordination and Patient Choice Act
B)Controlled Acts Model
C)Scope of Practice Statute
D)Professions of Medicine Law
Q3) 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
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Chapter 9: Professional Relationship Issues
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15 Flashcards
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Sample Questions
Q1) Which of the following statements best describes the physician-nurse relationship in a hospital setting?
A)The physician is the nurse's "boss," and the nurse is obligated to follow the physician's orders.
B)The physician has total autonomy. The nurse is a limited moral agent.
C)Facility policies and procedures determine the nature and extent of each person's moral agency.
D)Both the nurse and the physician are autonomous moral agents whose primary obligation is owed to the patient.
Q2) 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
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11
Chapter 10: Practice Issues Related to End Of Life Care
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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 costs
D)its risks, availability, and purpose
Q2) What is nursing's role in death and dying?
A)facilitating the use of extraordinary measures to avoid death
B)supporting the physician's role in curing
C)working with patients and families to support a dignified death
D)helping to determine the pronouncement of death
Q3) What is the term for a situation where a competent patient is refusing food or fluid when there is a prediction of death, yet the family requests tube feeding?
A)medical futility
B)advance directives
C)technological dilemma
D)palliative care
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Chapter 11: Practice Issues Related to Patient
Self-Determination
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Sample Questions
Q1) When a nurse discusses the results of a patient's diagnostic test with family members who were not authorized to have medical information disclosed to them, what principle is the nurse breaching?
A)autonomy
B)non-maleficence
C)competence
D)confidentiality
Q2) A nurse is injured with a percutaneous exposure of blood while on duty. The nurse wishes to have the patient tested for HIV; however, the patient refuses. Which of the following statements best summarizes testing issues related to HIV?
A)The nurse's right to have the testing completed supersedes any patient's objections. B)It is illegal to perform testing without the patient's consent.
C)It is mandatory for all patients to be tested for HIV, and therefore the nurse would have results available.
D)The nurse needs to advise the patient of the potential risks of refusing to have the testing completed.
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13
Chapter 12: Scholarship Issues
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Sample Questions
Q1) Which of the following characteristics may a nurse experience when participating in conducting research?
A)academic dishonesty
B)personal bias
C)misrepresentation
D)role conflict
Q2) Which of the following would be an example of plagiarism?
A)paraphrasing of the work of another and providing credit to that person
B)submitting your original work without citations
C)citing the work of another and using referencing
D)"cutting and pasting" sections from a previous paper you wrote into a current paper
Q3) Which document was developed to set forth principles for the ethical conduct of research in response to human rights violations during the Second World War?
A)World Humanities Research
B)CNA Code of Ethics
C)Nuremberg Code
D)Declaration of Helsinki
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14
Chapter 13: The Future of Canadian Health Care:
Challenges and Priorities
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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) 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 report emphasized the need for primary health care reform in Canada?
A)Drummond Report
B)Declaration of Alma-Ata
C)Romanow Report
D)Quinquennial Report
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Page 15
Chapter 14: Health Policy Issues
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Sample Questions
Q1) What is the term for plans of action that guide the actions of governments, institutions, corporations, and communities?
A)common law
B)policies
C)legislation
D)torts
Q2) Which of the following is both an ethical and a political issue?
A)genetic testing and research
B)urban and rural health priority-setting
C)safety and workplace legislation
D)food safety and labelling
Q3) Which of the following describes the most effective type of letter sent to a policy-maker in a lobbying campaign?
A)a long emotional plea that is very thorough and explanatory and includes many examples
B)a form letter with a handwritten salutation and signature
C)a concise handwritten letter written in your own words, using your own thoughts and logic
D)a letter that includes a list of all topics of interest to nurses in your area
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Page 16
Chapter 15: Economic Issues
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Sample Questions
Q1) Three patients arrive at a health care facility in a remote northern area of Canada. All have serious injuries, but there is only enough room on a small plane for one patient. The nurse in charge of the facility asks, "Who needs access to specialties the most?" What does this scenario suggest?
A)The nurse is using a material rule of distributive justice to make the decision.
B)Decisions about how to distribute scarce medical resources are unpredictable.
C)The nurse should collaborate with the physician when this type of decision is made.
D)There are no rules regulating distribution of scarce medical resources in this facility.
Q2) 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
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Chapter 16: Social Issues
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Sample Questions
Q1) Which of the following health-related issues should nursing care and policy address?
A)social exclusion
B)financial resources
C)intimate-partner violence
D)higher mortality rates
Q2) Which ethical principle would lead to refusing to discharge an abused child to her home when there is a possibility of further injury?
A)non-maleficence
B)justice
C)beneficence
D)autonomy
Q3) Which ethical principle is being disregarded when preference for health care is given to those who are not homeless?
A)non-maleficence
B)justice
C)beneficence
D)autonomy
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18
Chapter 17: Issues of Gender and Culture
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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) Which of the following is a major limiting factor for men still entering the profession of nursing?
A)collective bargaining
B)pay gap
C)societal stereotyping
D)caring behaviours
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19
Chapter 18: Rural, Remote, and Indigenous Nursing in Canada
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Sample Questions
Q1) What type of nursing education may help nurses in rural and remote areas to access continuing and graduate education?
A)university continuing education
B)college continuing education
C)modular courses
D)co-operative programs
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) What is one of the major differences in nursing practice between working in a rural community and an urban community?
A)standards of practice
B)scope of practice
C)code of ethics
D)population health approach
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Chapter 19: Empowerment for Nurses
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Sample Questions
Q1) Which of the following might hinder nursing empowerment?
A)acting to address system issues
B)eliminating divergent and conflicting views
C)collaborating and sharing in decision making
D)participating in forming institutional policies
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
Q3) A patient tells you that he cannot lose weight because his job keeps him on the road so he cannot exercise, and his wife fixes too many high-calorie meals. What is he demonstrating?
A)internal locus of control
B)external locus of control
C)negative locus of control
D)positive locus of control
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