Contemporary Issues in Nursing
Exam Solutions
Course Introduction
This course explores current and emerging issues that impact the field of nursing, including ethical dilemmas, healthcare policy changes, technological advancements, and evolving patient care models. Students will analyze how social, cultural, economic, and political factors influence nursing practice and the delivery of healthcare. Through case studies and critical discussions, the course encourages the development of informed perspectives and problem-solving skills, preparing students to adapt to rapidly changing healthcare environments and advocate for patients and the nursing profession.
Recommended Textbook
Professional Nursing Concepts and Challenges 7th Edition by Beth Black RN MSN PhD
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16 Chapters
415 Verified Questions
415 Flashcards
Source URL: https://quizplus.com/study-set/307
Page 2
Chapter 1: Nursing Today: A Time of Transformation
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/5063
Sample Questions
Q1) Which of the following is a correct statement about the registered nurse (RN) population?
A) The racial/ethnic composition of RNs closely resembles that of the general population.
B) The number of men entering nursing has decreased steadily over the last decade.
C) The rate of aging of RNs has slowed for the first time in the past 30 years.
D) The majority of employed RNs working full time must work a second position.
Answer: C
Q2) Which of the following nursing roles is not considered an advanced practice role?
A) Certified nurse-midwife (CNM)
B) Community health nurse
C) Certified nurse practitioner (CNP)
D) Clinical nurse specialist (CNS)
Answer: B
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3
Chapter 2: The History and Social Context of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) When surveyed, what is the primary reason given by men for entering nursing?
A) To make a difference
B) High salaries
C) Flexible schedules
D) Opportunity for travel
Answer: A
Q2) Florence Nightingale is often credited as being the first nurse researcher. This designation is based on
A) her methods of reorganizing British hospitals.
B) her use of data on the morbidity and mortality of soldiers in hospitals in Scutari.
C) demonstration that trained nurses provided better nursing care.
D) publication of Notes on Nursing, the first scholarly nursing publication.
Answer: B
Q3) What was the most important influence of war on nursing?
A) It allowed for the development of hospitals.
B) Nurses were able to perform medical procedures during war.
C) Improved medical care increased soldiers' survival rates.
D) It provided for the creation of new technology to make work easier.
Answer: B
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Page 4
Chapter 3: Nursing's Pathway to Professionalism
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The process of professionalization of an occupation typically follows a pattern of developmental stages. One of the stages is collective identity. Which of the following is an example of collective identity?
A) Legal right to practice profession to protect unique skills from outsiders
B) Apprenticeship programs to develop skills
C) A loose association of practitioners
D) Definition of the profession's mission related to full-time work
Answer: A
Q2) Which of the following characteristics of a profession were listed in Flexner's work on professions?
A) Activities of professions are more physically than intellectually oriented.
B) Activities of professions are based on their own body of knowledge.
C) Beliefs of professions are more theoretical than practical.
D) Beliefs and traditions are handed down from generation to generation.
Answer: B
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5
Chapter 4: Legal Aspects of Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which of the following nursing responsibilities can never be delegated?
A) Complex tasks
B) Evaluation
C) Medication administration
D) Accountability
Q2) Analysis of cases of reported negligence from 1995 to 2001 demonstrated that the majority of cases occurred in which patient care setting?
A) Acute care
B) Psychiatric
C) Nursing homes and long-term care facilities
D) Home health
Q3) A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to
A) follow the standard of care.
B) assess and monitor a patient.
C) communicate with a patient.
D) document.
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Page 6
Chapter 5: Ethics: Basic Concepts for Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of A) justice.
B) autonomy.
C) nonmaleficence.
D) death with dignity.
Q2) Gilligan's theory on moral development differed from Kohlberg's theory because Gilligan considered which population not addressed by Kohlberg?
A) Children
B) Men
C) Women
D) Adolescents
Q3) A nurse is involved in an ethically challenging case. To use an ethical decision-making model, which step should the nurse perform first?
A) Gather and examine all possible solutions.
B) Identify the ethical dilemma in the case.
C) Identify all parties who will be impacted by the decision.
D) Gather all information important to the situation
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7
Chapter 6: Becoming a Nurse: Defining Nursing and
Socialization into Professional Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following behaviors of a student indicate that the student has taken responsibility for his or her own professional socialization? (Select all that apply.)
A) Projecting a professional appearance in class
B) Attending class, quietly listening to the lectures
C) Taking responsibility to request alternative dates for examinations in order to work
D) Taking responsibility to learn the expectations of the faculty in each course
E) Accepting constructive criticism without becoming defensive
Q2) The legal definition of nursing for any particular state can be found in the
A) state legislature's official newsletter.
B) state board of nursing's bylaws.
C) governor's official papers.
D) state's nurse practice act.
Q3) Which of the following strategies may help to overcome reality shock in the novice nurse?
A) Participating in a preceptorship
B) Returning to school immediately after graduation
C) Moving frequently from job to job
D) Becoming emotionally involved with patients
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Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The purpose of mandatory continuing education for license renewal is to A) ensure that nurses remain up to date in knowledge.
B) ensure that nurses remain competent in psychomotor skills.
C) ensure that nurses attend regular staff development meetings.
D) ensure consistency between states regarding continuing education requirements.
Q2) In 1900, the primary reason for hospital-based nursing education programs was to A) educate nurses to care for patients in hospitals.
B) provide educational opportunities for women.
C) staff the hospitals that operated the education programs.
D) provide standardized preparation for nurses.
Q3) Which of the following is the primary distinction between licensure and certification?
A) Certification is required to practice nursing.
B) Licensure is granted automatically on completion of an accredited nursing program.
C) Certification validates a high level of proficiency.
D) Licensure is voluntary.
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9
Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/5070
Sample Questions
Q1) A patient is in respiratory distress and placed on oxygen. Which is the most appropriate short-term goal?
A) Nasal cannula remains in place.
B) Patient completes morning care and eats breakfast.
C) Patient verbalizes that he is breathing better after lunch.
D) Patient maintains an oxygen saturation of 90% during the shift.
Q2) Developing sound clinical judgment is a professional responsibility of the nurse. Which statements indicate behaviors that improve clinical judgment? (Select all that apply.)
A) "I always assess before acting and make changes as needed."
B) "I work the shifts I am assigned."
C) "I look for research findings to support my nursing actions."
D) "I believe that every patient deserves my very best efforts."
E) "I have read the professional nursing standards."
Q3) Which of the following represents an interdependent nursing action?
A) Giving the patient an ordered medication
B) Bathing the patient
C) Inserting a Foley catheter
D) Participating in a "code" (cardiac arrest response)
Page 10
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Chapter 9: Communication and Collaboration in Nursing
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A patient states, "The harder I try to get along with my son, the more I feel he just wants to be left alone," and the nurse responds, "I guess parents have to expect these problems as children get older." The nurse's response is an example of a communication breakdown known as
A) failing to see the uniqueness of the individual.
B) failing to recognize levels of meaning.
C) using value statements
D) failing to clarify unclear messages.
Q2) Using Hagerty and Patusky's theory of human relatedness (2003), the nurse-patient relationship has been reconceptualized by approaching
A) each patient contact as one step in a lengthy relationship-building process.
B) patients with a sense of the patient's autonomy, choice, and participation.
C) the relationship as one in which the nurse has the power.
D) the nurse-patient contact as an opportunity to streamline caregiving.
Q3) How would a nurse's use of the technique of reflection help a person?
A) Showing an awareness of the person's feelings
B) Causing the person to answer more fully than yes or no
C) Showing knowledge the person is not expected to know
D) Encouraging the person to think through problems for himself or herself
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Page 11
Chapter
Families, and Nurses
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient states, "There is no hope. They're going to keep me here until I die. Can't you give me my medication more often? I'm going to die anyway." In which stage of illness is this patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Depression and grief
Q2) A patient states, "I have knowledge about my diet and how to do my insulin injections, so I can get on with my life." In which stage of illness is this patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Acceptance and participation
Q3) Which illness has the characteristics of an acute illness?
A) Exercise-induced asthma
B) Type 2 diabetes
C) Influenza
D) Cleft palate
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Chapter 11: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) What is meant by the term "evidence-based practice"?
A) Using nursing research findings to develop nursing theory
B) Integrating the research process into nursing administration
C) Studying research from the social sciences and applying it to practice
D) Applying research findings; patient care data, preferences, and values; and nursing expertise to nursing practice
Q2) Which of the following must be included in the informed consent in research?
A) Participants relinquish the right to privacy.
B) Once participants agree to participate, they must complete the study.
C) Participants need to know the funding source for the research.
D) Participants must be informed of risks associated with participation.
Q3) Dissemination of findings may involve which of the following activities? (Select all that apply.)
A) Manuscript reviewed by peers
B) Oral presentation of findings at annual conference of the Society of Pediatric Nurses
C) Poster presentation at regional conference of Sigma Theta Tau International
D) Publication of findings in Western Journal of Nursing Research
E) PowerPoint slides developed showing charts and graphs of the statistical results
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Chapter 12: Conceptual and Philosophical Bases of Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Family structures have experienced change in the second half of the twentieth century. What is the most dramatic difference seen in families today?
A) Increased incidence of single-parent families
B) Reemergence of large, extended families
C) Increased incidence of nuclear families
D) Nuclear families moving closer to extended families
Q2) Bandura's theory of self-efficacy described people's response to health-related behaviors. Which of the following was a major premise of this theory?
A) Patients will take responsibility for their health if they understand the risks and benefits.
B) A "cue to action" is a powerful motivator for changing health behavior.
C) Belief in self as having the ability to improve health is important in changing health behaviors.
D) Health is genetically predetermined and cannot be influenced by an individual's actions or beliefs.
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Chapter 13: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which contemporary nursing theorist is best known for her definition of nursing that describes the nurse's role as a substitute for the patient and as a helper and partner to the patient?
A) Orem
B) Henderson
C) Watson
D) King
Q2) Which nursing theorist is best known for her emphasis on interacting systems, including nurse and patient in goal setting and goal attainment?
A) Watson
B) Roy
C) King
D) Orem
Q3) Which component of nursing theory describes a testable outcome?
A) Conceptual model
B) Proposition
C) Framework
D) Metaparadigm
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a
A) for-profit agency.
B) not-for-profit agency.
C) voluntary agency.
D) private agency.
Q2) To whom does the nurse provide information when working in the role of educator?
(Select all that apply.)
A) Families about illnesses and treatments
B) Community groups about injury prevention
C) Student nurses about nursing standards and ideals
D) Health care team members about the patient
E) Physician assistants about invasive procedures
Q3) Which of the following is not recognized as part of the role of the nurse as a member of the health care team?
A) Patient advocate and educator
B) Collaborator and provider of care
C) Manager of care and resources for a group of patients
D) Performance of physician functions under direct supervision of a physician
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Page 16
Chapter
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The American Nurses Association (ANA) serves as the A) clearinghouse of standards set by clinical specialty organizations.
B) regulatory agency setting the guidelines for the scope of practice.
C) source of dissemination of nursing research.
D) professional organization for all nurses regardless of practice setting or level of practice.
Q2) The most critical aspect of nurses becoming personally "political" is A) financially supporting political action committees (PACs).
B) being informed of social and political issues.
C) communicating with legislators.
D) running for office.
Q3) The area of philosophy that deals with the regulation and control of people living in society to preserve prosperity, defend rights, and augment resources is known as A) policy.
B) politics.
C) political power.
D) power.
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Page 17
Chapter 16: Nursing's Challenge: The Call for Transformation
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What are some recommendations for self-care for nurses in the workplace? (Select all that apply.)
A) Wash hands consistently.
B) Use sharps disposal containers.
C) Use adequate help or mechanical devices for lifting
D) Demand mental health screening for all visitors and patients
E) Reduce the need for working double shifts.
Q2) What is the most important action a nurse can take to help further the profession of nursing?
A) Joining a professional organization like the ANA
B) Running for political office and helping create health-related legislation
C) Maintaining a sense of well-being and taking care of oneself in the workplace
D) Developing leadership skills and increasing professional education
Q3) A patient asks a nurse to explain pharmacogenetics. Which response by the nurse is best?
A) "It is the effect of pharmaceutical agents on a person's genes."
B) "It uses genetic information to determine if particular drugs will work in a person."
C) "It is the science of using a person's genes to help create new medications."
D) "It was the project that mapped and sequenced human genes."
Page 18
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