Introduction to Nursing Practice
Exam Materials
Course Introduction
Introduction to Nursing Practice provides a foundational overview of the nursing profession, exploring the roles, responsibilities, and ethical obligations of nurses within healthcare settings. The course introduces students to basic nursing concepts, theories, and skills, including patient assessment, communication, safety, and infection control. Emphasis is placed on the nursing process, critical thinking, and evidence-based practice, preparing students to deliver holistic and compassionate care. Through a combination of classroom instruction, laboratory simulations, and clinical experiences, students gain the essential knowledge and practical skills required for entry-level nursing roles and ongoing professional development.
Recommended Textbook
Ethics and Issues in Contemporary Nursing 2nd Canadian Edition by Margaret A. Burkhardt
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19 Chapters
286 Verified Questions
286 Flashcards
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Chapter 1: Social, Philosophical, and Other Historical Forces
Influencing the Development of Nursing
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What is the term that relates to knowledge gained through observation and experience?
A) empirical
B) Cartesian philosophy
C) values
D) moral thought
Answer: A
Q2) How is Mary Agnes Snively significant to the development of Canadian nursing?
A) She established the mission of Grey Nuns to new settlers.
B) She established the International Council of Nursing.
C) She established the first national organization for nursing.
D) She established certification for nurses to become experts.
Answer: C
Q3) When was the "Dark Period of Nursing," when convalescent patients, prostitutes, prisoners, and drunkards provided hospital nursing care?
A) during the Reformation
B) during the Crusades
C) during the Middle Ages
D) during the early Christian era
Answer: A
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Chapter 2: Ethical Theory
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16 Verified Questions
16 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 type of moral theory, rigidly applied, would most likely lead a person to consider euthanasia morally wrong, even when it is done to end the pain and suffering of a patient?
A) deontology
B) virtue ethics
C) naturalism
D) utilitarianism
Answer: A
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Chapter 3: Ethical Principles
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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
Q2) What does the CNA Code of Ethics recognize about confidentiality?
A) It develops from respect for patients and is an absolute requirement in all situations.
B) It is restricted to legal regulations and definitions.
C) It is not absolute and may be modified to protect the patient or other innocent people.
D) It enables preservation of dignity for patients in intimate and private situations.
Answer: C
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Chapter 4: Values Clarification
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15 Verified Questions
15 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) incongruencies 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) How can values be acquired?
A) by challenging dilemmas faced in professional or personal lives
B) through the determination of genetic and hereditary influences
C) by openly expressing our ideals to other people
D) in both conscious and unconscious ways throughout our lives
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6
Chapter 5: Values Development
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) What are the key factors associated with Kohlberg's theory of moral development?
A) relationships and logic
B) responsibility and caring
C) personal liberty and rights
D) reciprocity and equality
Q2) Which of the following is believed to be learned within, and shared by, a group of interacting persons?
A) etiquette
B) independence
C) values
D) connections
Q3) What are two of the stages at the post-conventional level in Kohlberg's theory of moral development?
A) prior rights and social contract
B) individual instrumental purpose and exchange
C) punishment and obedience
D) universal moral principles
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Chapter 6: Ethical Decision Making
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15 Verified Questions
15 Flashcards
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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) The nurse manager asks Martha, a staff nurse, if she will work an additional four hours at the end of her shift. Martha's patient is unstable, and there are not enough nurses on the next shift to care for him adequately. If she works overtime, Martha will have to break a promise she made to watch her children's soccer game. What is this situation an example of?
A) moral distress
B) a moral dilemma
C) moral reckoning
D) a practical dilemma
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Chapter 7: Legal Issues
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) What is the term used to define formal laws written and enacted by a federal or provincial legislature?
A) statutory law
B) constitutional law
C) administrative law
D) common law
Q2) Which of the following terms is best defined as "acting in a heinous, reckless, or extreme way, and bringing about mental or psychological pain"?
A) defamation of character
B) intentional infliction of emotional distress
C) invasion of privacy
D) false imprisonment
Q3) Which of the following is an example of a summary offence?
A) a nurse giving an injection without consent
B) a nurse who unintentionally causes the death of a patient
C) a nurse failing to provide competent care
D) a nurse signing an employment contract
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Chapter 8: Professional Issues
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) According to the Canadian Nurses Association, which of the following is one of the four principles that must be included in any practice statement?
A) to engage in interdisciplinary collaboration
B) to conduct ongoing competency reviews
C) to review ethical implications for institutions that allow nurses to practice
D) to acknowledge that nursing is a diversified group of professionals
Q2) What term best describes knowledge necessary to provide a service that is either essential or desired by society?
A) professional education
B) professional recognition
C) professional autonomy
D) professional responsibility
Q3) What is one of the benefits of nurses contributing to the growing body of unique nursing knowledge and research?
A) It empowers nurses.
B) It ensures that members conduct ongoing competency reviews.
C) It permits autonomy in nursing affairs.
D) It aids in validating nursing as a true profession.
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Chapter 9: Professional Relationship Issues
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following individuals is the nurse's primary obligation to?
A) the patient
B) the employer
C) the physician
D) the profession
Q3) Which of the following would be described as "showing sympathy, care, and reciprocity to those with whom the nurse appropriately identifies, as well as working closely with others toward shared goals"??
A) self-sacrifice
B) loyalty
C) beneficence
D) leadership
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Page 11
Chapter 10: Practice Issues Related to End-Of-Life Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Regardless of technological development and scientific advances, what are the important considerations for nursing to relate to?
A) basing decisions on personal values
B) acknowledging the importance of advanced technology
C) being attentive to technology
D) maintaining the human focus of care
Q2) In which circumstance does Curtin suggest that artificial sources of nutrition may be terminated?
A) when utilizing other technologies at the end of life
B) when there is a reliable prediction of permanent unconsciousness
C) when other interventions will relieve a patient's suffering
D) when changes in the patient's condition will eventually lead to starvation
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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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which source document acknowledges the importance of living wills and clearly identifies promoting and respecting informed decision making?
A) Substitute Decision Maker Proxy
B) Code of Ethics
C) Lifestyle Choices Policy
D) Advance Directives Act
Q2) When a nurse discusses a patient's condition and treatment 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
Q3) What is the purpose of a patient completing a living will?
A) prolonging life or improving quality of life
B) identifying a proxy or substitute decision-maker
C) a medical determination relating only to the issue at hand
D) evaluating health care decisions and reducing choices
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Chapter 12: Scholarship Issues
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which document includes statements that object to the phenomenon of researchers who "parachute" into developing countries to conduct research, then abandon the research participants after completion?
A) World Humanities Research
B) CNA Code of Ethics
C) Nuremberg Code
D) Declaration of Helsinki
Q2) Which of the following statements best exemplifies the principle 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 into a current paper
Q3) Which of the following issues affect academic integrity?
A) plagiarism and cheating
B) cheating and editing
C) editing and fidelity
D) forgery and consulting
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Chapter 13: The Future of Canadian Health Care: Challenges and Priorities
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Sample Questions
Q1) 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
Q2) Which act gives provinces the authority over health care, but gives the federal government the responsibility to fund it?
A) Medicare Act, 1946
B) Constitution Act, 1982
C) British North America Act
D) Saskatchewan Medical Care Insurance Act
Q3) Large immigrant populations may live in overcrowded situations and, in some cases, may be unable to access health care. In addition to financial constraints, what is another issue that immigrant populations might face with regard to health care?
A) burdening the health care system with longer wait times
B) language and cultural barriers to health care
C) burdening primary health care, and spending more on prescription drugs
D) lack of health care providers and facilities
Page 15
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Chapter 14: Health Policy Issues
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A student nurse speaks to a senator about hospitals, saying they need to set unit-by-unit staffing levels based upon patient acuity and individual hospital unit characteristics in order to promote better patient outcomes. What is this an example of?
A) lobbying
B) statutes
C) policy modification
D) regulations
Q2) What is the term for issues that are created, affected, or regulated by any of the government branches?
A) political issues
B) partisan issues
C) health policy issues
D) regulatory issues
Q3) 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
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Chapter 15: Economic Issues
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Different models of health care exist. Which model of health care is the Russian health care system modelled after?
A) national health systems model
B) public insurance model
C) entrepreneurial model
D) financing systems model
Q2) What is the term for an out-of-pocket payment that some provinces still require?
A) fee for service
B) premium
C) allied service fee
D) voluntary health fee
Q3) Which ethical theories of justice are based on the concept that it is good to maximize the greatest good for the greatest number of people?
A) libertarian theories
B) utilitarian theories
C) deontological theories
D) communitarian theories
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Chapter 16: Social Issues
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) 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
Q2) Compared to Murphy's original estimate of the number of homeless people in Canada in 2000, how much higher is the estimated number now?
A) 5 times
B) 10 times
C) 20 times
D) 30 times
Q3) Which of the following can get in the way when working with vulnerable groups?
A) self-determination
B) language that colours speech and actions
C) exploring personal beliefs
D) inadequate research
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18
Chapter 17: Issues of Gender and Culture
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following is a major limiting factor for men still entering into the profession of nursing?
A) collective bargaining
B) pay gap
C) societal stereotyping
D) caring behaviours
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) What does Achterberg cite in her article Woman as Healer as one of the many issues that challenge nurses?
A) nursing gaining professional status
B) the masculinisation of medicine
C) maligning the caring role in society
D) oppression of women
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Chapter 18: Rural and Aboriginal Nursing in Canada
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which of the following individuals would self-identify as being a part of at least one Aboriginal group?
A) Amish
B) Acadian
C) Québécois
D) Inuit
Q2) A nurse in a small rural hospital is out grocery shopping and is asked the following in the check-out lane: "How is Sarah doing? Was the operation successful?" Which of the following statements must the nurse be aware of when working in a rural community?
A) Talking about patients to members in a small community is a cultural norm.
B) The confidentiality of patients' information must be protected.
C) Being fully embedded as a nurse in a small community involves discussing all patients.
D) Providing holistic nursing care in a rural setting implies overlap of a nurses' role patients.
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Chapter 19: Empowerment for Nurses
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What nursing focus does patient empowerment evolve from?
A) advocacy
B) patient care
C) paternalism
D) locus of control
Q2) What skills does nursing knowledge foster in order to enable empowerment?
A) decision making based on intuition
B) values development and their impact on choices
C) application of scientific principles and evidence-based practice
D) imposing personal values on others
Q3) Which of the following factors influences professional empowerment in nursing?
A) professional disobedience
B) support of professional colleagues
C) faith that the right thing is done
D) abdicating responsibility for decision making
Q4) 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
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