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Professional Nursing Practice explores the foundational concepts, principles, and standards that underpin the nursing profession. This course examines the roles and responsibilities of nurses within diverse healthcare settings, emphasizing critical thinking, ethical decision-making, effective communication, and collaborative teamwork. Students will analyze the scope of nursing practice, legal and regulatory frameworks, and evidence-based approaches to patient care. Through case studies, reflective exercises, and practical applications, learners will develop professional identity, leadership skills, and cultural competence, preparing them to deliver high-quality, patient-centered care in an ever-evolving healthcare environment.
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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Q1) In which of the following influences do the helping professions find their origin?
A) inhumane actions
B) perceived social needs
C) serving one's own needs
D) visualizing the suffering of others
Answer: B
Q2) 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
Q3) For which of the following is empathy a motive?
A) meeting the needs of others
B) moral reasoning and action
C) becoming a nurse
D) determining right from wrong
Answer: B

Page 3
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Q1) During a healthcare team meeting, the physician asks the other members of the team for their input on how best to care for a particular patient, rather than dictating a prescribed plan of care. What ethical theory does this situation best exemplify?
A) feminist ethics
B) relational ethics
C) hierarchy ethics
D) virtue ethics
Answer: B
Q2) A nurse notices a patient crying and decides to offer some reassurance, rather walking away and giving the patient privacy. What focal virtue is the nurse exhibiting?
A) discernment
B) compassion
C) trustworthiness
D) integrity
Answer: A
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Q1) A patient requests multiple cosmetic surgeries. At a certain point, the health care team questions whether the overall harm that will result from continuing to do these procedures will outweigh the benefits. Which ethical principle is most related to this discussion about weighing harms against benefits?
A) beneficence
B) non-maleficence
C) justice
D) veracity
Answer: B
Q2) Which ethical principle requires nurses to uphold the profession's code of ethics, to practise within the established scope of practice, and to remain competent?
A) beneficence
B) autonomy
C) fidelity
D) non-maleficence
Answer: C
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Q1) What is the correct term for the attribute of maintaining and articulating consistent values and beliefs over time?
A) personal values
B) authenticity
C) moral thought
D) implicit values
Q2) A nurse used to love her job but now frequently exhibits anger, dissatisfaction, frustration, and poor work performance. What may she be experiencing?
A) moral awareness
B) moral thought
C) moral distress
D) moral values
Q3) In what way can keeping a journal or diary of experiences in work situations be a useful tool for a nurse?
A) to develop awareness and gain insight into personal values
B) to identify negative actions and interpretations that need to be reinforced
C) to identify challenging situations and apply alternative responses
D) to develop and monitor professional reactions in situations
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Q1) How can nurses avoid making inappropriate judgments about another's moral capabilities?
A) by understanding that all people have the same ethical, moral, and cultural values; they are just named differently
B) by keeping strict adherence to hospital and unit guidelines while caring for the patient and patient's family
C) by understanding varying perspectives from which moral decisions are made by both the nurse and the patient
D) by recognizing that needs are not always clear and that emotions encompass perspectives of care
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
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Q1) 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
Q2) The nurse and other members of the healthcare team participate with the patient in making a particularly difficult moral decision. If the CNO Practice Standard for Ethics is properly implemented, which of the following may occur?
A) The nurse disagrees with the decision.
B) Emotions are active and determine the decision.
C) The patient's feelings are devalued, as they are too emotional.
D) Support is provided to the healthcare team and the patient.
Q3) Which of the following is an example of a moral dilemma?
A) A nurse who is accustomed to working on the prenatal unit floats to the ER.
B) A nurse who has strong religious beliefs opposing abortion is assigned to assist with an elective abortion.
C) A terminally ill patient on life support suffers from severe, intractable pain.
D) A patient has a cardiopulmonary arrest when the suction apparatus fails.
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Q1) A nurse refuses to give a patient their clothing or car keys. What is this an example of?
A) defamation
B) libel
C) false imprisonment
D) slander
Q2) 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
Q3) Which of the following is characteristic when making nursing notes?
A) being nonjudgmental
B) having significant gaps
C) falsifying facts and events
D) maintaining confidentiality
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Q1) Which of the following terms relates to the characteristic of having a high level of specialized skill and knowledge?
A) profession
B) expertise
C) wisdom
D) authority
Q2) Which of the following is a mechanism of accountability that has been developed by the profession of nursing?
A) a collective professional autonomy
B) making decisions regarding disciplinary action
C) educational requirements for practice
D) adjudicating risks
Q3) Which of the following traits did Flexner include in his list of criteria to identify professions?
A) They acknowledge other kinds of influences.
B) They are motivated by altruism.
C) They include ethical codes.
D) They describe a scope of practice.
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Q1) Which of the following prohibits harassment related to race?
A) Workplace Code of Ethics
B) ICN Code of Harassment for Nurses
C) Canada's Labour Code
D) Canadian Human Rights Act
Q2) When delegating patient care activities, what does the nurse have a responsibility to do?
A) to assess competency when assigning nursing care activities to other health care workers
B) to divide the activities fairly between other health care workers
C) to teach subordinate health care workers proper techniques and procedures
D) to observe other health care workers as they perform delegated activities
Q3) A staff nurse suspects that her friend, another nurse on her unit, is impaired by illicit drugs. The nurse does not want to get her friend in trouble, but she fears that patients may be harmed. What is this conflict of loyalties an example of?
A) a moral dilemma
B) a practical dilemma
C) moral uncertainty
D) moral distress
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Q1) Since a prime nursing focus is to relieve suffering, what must nurses understand about health care technologies?
A) They are good because they always support a patient's health and well-being.
B) They may cause conflict between doing good and avoiding harm to patients.
C) They are necessary interventions even if they cause patients to suffer.
D) They may cause nurses to do harmful things to patients against their wishes.
Q2) What ethical dilemma may arise from the use of life-sustaining technologies associated with health care providers ?
A) having each person define a quality of life
B) when families typically opt for fewer interventions
C) that technology permits a more peaceful death
D) the idea that death is an enemy to be overcome
Q3) Which of the following can be both a benefit and a challenge of technological advances in health care?
A) supporting healthy living
B) availability and cost
C) prolonging life
D) alleviating suffering
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Q1) 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
Q2) A nurse encourages a patient to take narcotics for severe cancer pain. The patient is concerned about the possible side effects. The nurse gives the patient the narcotic and tells the patient; "It's for your own good and it's important to get your pain under control." What is the nurse's behaviour an example of?
A) paternalism
B) justice
C) autonomy
D) competence
Q3) 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

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Q1) Which of the following issues affect academic integrity?
A) plagiarism and cheating
B) cheating and editing
C) editing and fidelity
D) forgery and consulting
Q2) What are two core values basic to academic honesty and to ethical treatment of research data?
A) plagiarism and cheating
B) cheating and fidelity
C) beneficence and integrity
D) veracity and fidelity
Q3) Which document provides guidelines on research involving Aboriginal persons, and the use of vulnerable populations in general?
A) Tri Council Policy Statement
B) CNA Code of Ethics
C) Nuremberg Code
D) Declaration of Helsinki
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Q1) The main goal of primary health care is health for all in a community, and the involvement of individuals and groups in communities. What is another key element of primary health care?
A) illness prevention
B) problem-based care
C) universal health care
D) intersectoral collaboration
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) Which of the following is an example of the federal responsibility for health care?
A) evaluating physician and hospital care
B) delivering direct health care services to native Canadians
C) delivering and managing insured health services
D) managing some public health and prescription care
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Q1) What is the term for pieces of legislation that have been enacted by legislative bodies and approved by the government?
A) allocative policies
B) regulations
C) judicial decisions
D) statutes
Q2) Which of the following is a health policy issue of concern to the profession of nursing?
A) setting up quarantine stations
B) changing the age of consent
C) trusting and sustainable relationships
D) monitoring entry to practice
Q3) Which of the following is NOT a method that a nurse should use when preparing to engage in political action?
A) understanding the processes and levels of government
B) writing many personal letters
C) bringing personal biases to the issue
D) enlisting interested and informed allies to the cause
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Q1) John Rawls suggested that in making decisions of distributive justice, one should examine the situation behind a "veil of ignorance" so that no one would be able to design principles to favour his or her own particular condition. This idea supports a political philosophy for which Rawls was a proponent. What is that political philosophy called?
A) utilitarianism
B) communitarianism
C) egalitarianism
D) libertarianism
Q2) A "health care system willing to be held accountable both clinically and financially for the health outcomes of an enrolled population for a capitated (fixed) payment" describes which of the following health care financing systems?
A) fee for service
B) universal health care
C) categorical financing
D) managed care
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Q1) Which population shows an increased incidence of conditions associated with poor nutrition, inadequate exercise, and illnesses from environmental factors?
A) children living in poverty
B) adults living in poverty
C) elder population living in poverty
D) abused women living in poverty
Q2) 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
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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Q1) When are transcultural issues and conflicts more likely to arise?
A) when nurses are aware of their own biases and judgments of others
B) when nurses judge other people's behaviour by their own cultural values
C) when nurses understand their own cultural beliefs and values
D) when nurses avoid judging others based on preconceived ideas
Q2) Through informal dress and communications, what type of powerful messages may nurses be sending?
A) positive messages
B) negative messages
C) successful messages
D) friendly messages
Q3) A female nurse manager is overly friendly toward a young male colleague. She makes sexually explicit remarks and often corners him in the medication room, standing uncomfortably close. Which of the following is this behaviour consistent with?
A) sexual assault
B) sexual deviance
C) sexual harassment
D) hostile work environment
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Q1) Which of the following is an objective of the Canadian Association for Rural and Remote Nursing?
A) to reduce inequities between groups and populations
B) to facilitate communication and networking
C) to regulate remote health care teamwork and interdisciplinary approaches
D) to highlight the professional and practice challenges of rural nursing
Q2) 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
Q3) 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
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Q1) Which of the following is a potential barrier to patient empowerment?
A) comfort with change
B) sufficient knowledge
C) social labelling
D) available resources
Q2) 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
Q3) How is nursing empowerment derived from the perspective of power with or power to?
A) It is given to or delegated to the nurse.
B) It is a directive process regarding change.
C) It is more focused on outcome than process.
D) It is based on mutual love and respect.
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