Contemporary Issues in Nursing
Midterm Exam
Course Introduction
This course explores current trends, challenges, and debates shaping the nursing profession today. Students will critically examine topics such as evidence-based practice, ethical and legal dilemmas, technological advancements in healthcare, cultural competence, and the impact of healthcare policy reforms. The course fosters analytical thinking and encourages discussion of strategies nurses can use to provide quality patient care in a rapidly evolving healthcare environment. Through case studies and contemporary research, students will gain insights into the complexities facing modern nursing and develop skills to adapt and lead in their professional roles.
Recommended Textbook
Professional Nursing Concepts Challenges 8th Edition by Beth Black
Available Study Resources on Quizplus
16 Chapters
415 Verified Questions
415 Flashcards
Source URL: https://quizplus.com/study-set/2126
Page 2
Chapter 1: Nursing in Todays Evolving Health Care
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/42342
Sample Questions
Q1) One important advantage of the evolution of nursing informatics is that
A) it allows any RN to become a certified informatics nurse.
B) informatics nurses are best able to design systems with the needs and skills of nurses who use them in mind.
C) informatics nurses will reduce the need for direct caregivers to document care.
D) benefits of informatics advancements include improved patient safety and increased variability of care.
Answer: B
Q2) CNSs may
A) manage an inpatient nursing unit.
B) develop educational programs for nursing staff.
C) conduct practice outcomes research.
D) prescribe medications for common illnesses.
E) attend or assist in the delivery of low-risk newborns.
Answer: A,B,C
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: The History and Social Contexts of Nursing
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42343
Sample Questions
Q1) The nursing profession is responsible for improving its own image.The most effective avenue for changing the image of nursing is to
A) write letters expressing concerns to those responsible for negative images on television and in films.
B) have nurses as consultants to the media to ensure that the media producers have accurate information about nursing.
C) have nurses appear and behave professionally and explain what nurses do in each patient interaction.
D) support the Johnson & Johnson campaign by distributing their information about nursing to students interested in nursing.
Answer: C
Q2) Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education?
A) Dorothea Dix
B) Florence Nightingale
C) Clara Barton
D) Mary Ann Bickerdyke
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Nursings Pathway to Professionalism
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42344
Sample Questions
Q1) Preparation is a component that separates occupations from professions.Which of the following is the best way that a nurse demonstrates preparation for the profession?
A) Improves nursing practice through the use of trial and error methods
B) Focuses on the skills needed for the practice setting
C) Articulates the values of caring and compassion in patient-centered care
D) Utilizes textbooks from college to support practice 5 years after graduation
Answer: C
Q2) One of the characteristics of a profession identified by Kelly was "there is an organization (association)that encourages and supports high standards of practice."
Which of the following illustrates a concern for nursing meeting this characteristic?
A) The ANA has existed for more than 100 years.
B) Nursing specialty organizations have greater power to influence practice than a more general nursing organization.
C) The membership of the ANA is less than 10% of all nurses.
D) The purpose of the ANA does not address the economic and general welfare of nurses.
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Nursing Education in an Evolving Health Care Environment
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/42345
Sample Questions
Q1) Why is accreditation of nursing education programs is important?
A) It assures students that their educational program is offering quality education.
B) Acceptance into graduate programs in nursing depends on graduation from an accredited program.
C) It serves as stimulus for programs to initiate periodic self-examination and self-improvement.
D) It has established standards to allow graduates to take licensure examinations.
E) Graduating from an accredited program ensures successful completion of the licensure exam.
Q2) The 1948 Brown Report recommended which of the following?
A) Limit enrollment of men and minorities in nursing programs.
B) Students admitted to nursing programs should not be required to meet admission requirements of the university.
C) Schools of nursing should be associated with teaching hospitals.
D) Schools of nursing should be located in institutions of higher learning.
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Becoming a Professional Nurse: Defining Nursing and
Socialization Into Practice
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/42346
Sample Questions
Q1) 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.
Q2) A nursing student says,"I can now see how developing care plans helps organize my thoughts and patient care." In which stage of Cohen's model of professional socialization is this student?
A) Stage I: Unilateral dependence
B) Stage II: Negativity/independence
C) Stage III: Dependence/mutuality
D) Stage IV: Interdependence
Q3) A new graduate nurse is in the fifth week of working on a busy surgical unit.The nurse tells a friend about witnessing some patient care that was "appalling." What should the nurse do?
A) Return to school to obtain a master's of science in nursing (MSN) and leave bedside nursing.
B) Talk to the other nurses involved in the situation about the concerns.
C) Report the behavior to the nurse manager of the unit.
Page 7
D) Accept that this is the reality of nursing in a busy unit.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Legal Aspects of Professional Nursing Practice
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/42347
Sample Questions
Q1) The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state.Which of the following is true regarding nurse practice acts?
A) They determine the educational requirements for licensure.
B) They describe the process for gaining membership to a professional organization.
C) They regulate how many professional nursing organizations may be formed.
D) They define the practice of medicine in relation to nursing.
Q2) The Patient Self-Determination Act of 1991,as implemented today,is known as providing
A) informed consent.
B) advance directives.
C) patient bill of rights.
D) HIPAA protections.
Q3) Which of the following is an example of civil law?
A) Possession of marijuana
B) Assault and battery
C) Giving alcohol to a minor
D) Child custody case
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Ethics: Basic Concepts for Professional Nursing Practice
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42348
Sample Questions
Q1) Which of the following is the best description of a code of ethics?
A) A document that describes the correct course of action and does not change regardless of societal changes
B) A document that all professions must have even if not representative of practice
C) A document that permits others to know what principles guide professional decision making
D) A document widely open to interpretation by professionals in various settings
Q2) Answering a terminally ill child's questions about his or her condition honestly is based on a belief in the ethical principle of A) autonomy.
B) fidelity.
C) justice.
D) veracity.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Conceptual and Philosophical Foundations of Professional Nursing Practice
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42349
Sample Questions
Q1) 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.
Q2) Nurses recognize which of the following about health?
A) Individuals desiring to change their behaviors are already motivated to change.
B) The burden of change is borne by the individual.
C) Health is relative and ever changing.
D) Multiple interventions are necessary to change health behaviors.
E) Unhealthy behaviors may persist in spite of increased knowledge.
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: Nursing Theory: The Basis for Professional Nursing
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42350
Sample Questions
Q1) Which nursing model is based on the assumption that people want to be in control of their lives?
A) Orem
B) King
C) Roy
D) Watson
Q2) The nurse adjusts the patient's room to allow the patient to see the sunlight out the window and checks the patient's diet tray to ensure a balanced diet.The nurse could be basing care on the philosophy of
A) Henderson.
B) Nightingale.
C) Roy.
D) Watson.
Q3) Which of the following human needs was not included in Henderson's 14 basic needs of patients?
A) Need for work
B) Sleep and rest
C) Spirituality
D) Sexuality
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: The Science of Nursing and Evidence-Based Practice
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/42351
Sample Questions
Q1) Quantitative research methods may be somewhat less useful in nursing because of which of the following?
A) Qualitative methods are the preferred method to study nursing phenomena.
B) Nursing ethics require more stringent controls than are required by quantitative methods.
C) Many phenomena of interest to nurses are not amenable to study in tightly controlled circumstances.
D) The complexity of human beings makes it difficult to break problems into statements that can be tested.
E) Patient perceptions of experiences may have significant effects on their health behaviors.
Q2) Which of the following are the three most common sources of research questions?
A) Study of clinical problems, anecdotal stories, requests by the National Institutes of Health (NIH)
B) Requests by drug companies, doctoral students, review of the literature
C) Clinical problems, replication of prior research, testing nursing theory
D) Review of existing research, NIH grants, request by state board of nursing
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: Developing Nursing Judgment Through Critical Thinking
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42352
Sample Questions
Q1) Which of the following is an independent nursing intervention?
A) Teaching a patient with congestive heart failure to weigh herself daily
B) Recommending an extra dose of diuretic to the patient whose weight has increased 2 pounds overnight
C) Changing the first surgical dressing on a patient after surgery
D) Transferring a patient out of the intensive care unit 2 days after vascular surgery
Q2) Which of the following is considered objective data obtained from the patient?
A) "I can't catch my breath."
B) Patient expresses concern about missing work.
C) Patient nods, indicating an affirmative answer to a question.
D) Blood pressure is 110/70 at 8 p.m.
Q3) Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?
A) Patient will inject insulin twice daily.
B) Patient will keep appointments with physician over the next 6 months.
C) Patient's A1c will be 5% at 1 year postdiagnosis.
D) Patient's recorded blood glucose will be between 60 and 120 mg/dL each day.
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Communication and Collaboration in Professional Nursing Practice
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/42353
Sample Questions
Q1) The nurse and patient may experience sadness during the termination phase.How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship?
A) Providing personal contact information so the patient can contact the nurse if needed
B) Visiting the patient at home during off-duty time to help the transition to self-care
C) Emphasizing the achievements the patient has made, including the ability for self-care
D) Exchanging goodbye gifts as a sign that the relationship is terminated
Q2) Within nurse-patient communication,the use of silence can
A) block further therapeutic communication.
B) allow the patient to not feel pressured to provide information.
C) demonstrate trust.
D) provide the nurse with an opportunity to complete the patient's care.
Q3) Collaboration in health care settings involves
A) professionals respected for their unique knowledge and abilities.
B) professionals educated in a collaborative model of education.
C) recognition of individual professional accomplishments.
D) a multitiered system hierarchy.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Nurses,patients Families: Caring at the
Intersection of Health,Illness Culture
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42354
Sample Questions
Q1) When planning for patient teaching,the nurse is aware that which of the following factors create(s)a barrier to learning?
A) Mild anxiety
B) Pain and fatigue
C) Family presence
D) Patient autonomy
Q2) Which illness has the characteristics of an acute illness?
A) Exercise-induced asthma
B) Type 2 diabetes
C) Influenza
D) Cleft palate
Q3) A patient states,"I do not understand why I keep getting these headaches.I have seen a nurse practitioner and two specialists.I have taken several medications,but the headaches keep coming back." In which stage of illness is the patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Acceptance and participation
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Health Care in the United States
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/42355
Sample Questions
Q1) Which of the following is an example of rehabilitation and disease management?
A) Prompt treatment for hypertension
B) Attending weight loss classes
C) Teaching patients with newly diagnosed diabetes the signs of hypoglycemia and hyperglycemia
D) Taking an antibiotic for a sinus infection
Q2) Which of the following is a responsibility of many health care agencies' chief executive officers (CEOs)?
A) Managing the budgets of each department in the agency
B) Recruiting and hiring of staff
C) Overall operation of the agency on a daily basis
D) Establishing policies governing the operation for the agency
Q3) A nurse places high priority on working with patients and families,including them in planning care and in establishing goals.Which nursing role has this nurse assumed?
A) Patient advocate
B) Provider of care
C) Change agent
D) Collaborator
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Political Activism in Nursing: Communities,
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/42356
Sample Questions
Q1) A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse?
A) The nurse must join a union to be employed there.
B) The nurse can join the union if desired, but it is not required.
C) This facility is closed to all union activities.
D) The facility is negotiating with several unions for control of the employees.
Q2) Which of the following is an effective method for the practicing nurse to achieve leadership skills?
A) Becoming active in professional organizations
B) Changing jobs frequently to improve skills
C) Learning about collective bargaining
D) Avoiding involvement in politics
Q3) A nurse was appointed to a governing board of a governmental agency and then ran for an elective office.The nurse is known as a
A) nurse citizen.
B) nurse activist.
C) nurse politician.
D) nurse clinician.
To view all questions and flashcards with answers, click on the resource link above. Page 17
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42357
Sample Questions
Q1) Which factors will lead to a continuing nursing shortage in the future?
A) Aging of the workforce
B) Decreasing pay for nurses
C) Increased unionization
D) Increased need for nurses
E) Recent economic downturn
Q2) What is the focus of the Truth About Nursing Campaign?
A) Educating high school students about the nature of nursing
B) Increasing interdisciplinary collaboration by highlighting nursing achievements
C) Changing how the world thinks of nursing and protecting its image
D) Defending nurses against malpractice by supplying expert witnesses at trial
Q3) A tired,stressed nurse complains about being part of the "Sandwich Generation." What does that phrase mean?
A) People who care for both children and aging parents
B) Employees who are stuck in jobs they wish to quit
C) A person who is tired and stressed from a job
D) A group of people squeezed by the need for continued work
To view all questions and flashcards with answers, click on the resource link above.
Page 18