Professional Practice in Nursing
Final Exam Questions
Course Introduction
Professional Practice in Nursing explores the essential knowledge, skills, and attitudes required for effective, ethical, and collaborative nursing care within diverse healthcare settings. This course emphasizes the development of professional identity, adherence to standards and codes of practice, and the application of critical thinking and evidence-based decision-making. Students will examine the legal, ethical, and regulatory frameworks that guide nursing practice, as well as concepts such as leadership, interprofessional collaboration, cultural competency, and patient advocacy. Through case studies and practical scenarios, students will deepen their understanding of the challenges and responsibilities faced by nurses, preparing them for confident and competent entry into the professional workforce.
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
Source URL: https://quizplus.com/study-set/2297 Page 2
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) 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
Q2) Which of the following had the greatest influence on establishing the first hospital in the New World?
A)Marie Rollet Hebert
B)Marguerite d'Youville
C)Jeanne Mance
D)Renee Descartes
Answer: C
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Chapter 2: Ethical Theory
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19 Verified Questions
19 Flashcards
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Sample Questions
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) 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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4
Chapter 3: Ethical Principles
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17 Verified Questions
17 Flashcards
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Sample Questions
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) The nurse promises a patient that she will return in five minutes to sit and speak with him. What ethical principle does this situation exemplify?
A)morals
B)fidelity
C)confidentiality
D)justice
Answer: B
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Chapter 4: Values Clarification
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A female patient is hospitalized with traumatic injuries caused by a vehicular collision. Her daughter, who was killed in the accident, was taken to the same hospital. The patient, who had been driving the vehicle, constantly asks the nurse about her daughter. The orthopedic surgeon has told the nurse not to tell the patient about the death of her daughter. The orthopedic surgeon does not give the nurse any reason for these instructions. The nurse expresses concern to the nurse manager, who says that the orthopedic surgeon will decide when the patient should be told. However, the nurse is not comfortable with this and wonders what should be done. Which of the following terms best describes this situation?
A)incongruent values
B)values conflict
C)overt values
D)societal values
Q2) 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
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Chapter 5: Values Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following statements best summarizes Kohlberg's Theory of Moral Development?
A)an ethic of autonomy where personal freedom to choose what is right for the self is highlighted
B)an ethic of justice where personal liberty and rights are primary
C)an ethic of fidelity where the valuing of truth develops as we mature
D)an ethic of care which is grounded in relationships and mutual responsibility
Q2) What is one 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
Q3) Which of the following describes the development of intellectual capacities through the time of childhood, from birth to around age 15 years?
A)Kohlberg's theory of moral development
B)Piaget's stages of cognitive development
C)Lao Tsu's theory of development
D)Fowler's stages of faith development
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Page 7
Chapter 6: Ethical Decision Making
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) 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
Q2) When does moral uncertainty occur?
A)when we sense that there is a moral problem, but are not sure of the morally correct action
B)when someone else in the health care setting performs an act the nurse believes to be immoral
C)when two or more mutually exclusive moral claims clearly apply to the situation
D)when participants disagree on the appropriate course of action for the moral problem
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
Available
Chapter 7: Legal Issues
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which law deals with the rights and obligations between two or more people who make agreements that can be enforced by law?
A)tort law
B)public law
C)contract law
D)private law
Q2) Which of the following best defines a set of rules and principles that describe the powers of a government and the rights of the people?
A)constitutional law
B)statutory law
C)common law
D)administrative law
Q3) Which of the following legal categories would falsification of educational records upon new employment at an agency come under?
A)assault
B)fraud
C)battery
D)intentional tort
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9
Chapter 8: Professional Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Each Provincial College of Nursing has the power and responsibility to discipline nurses. What is this an example of?
A)unity
B)accountability
C)authority
D)responsibility
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 of the following consist of guides for nursing care that are developed by non-nurses, the government, or institutions?
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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10
Chapter 9: Professional Relationship Issues
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15 Verified Questions
15 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) What guideline could a nurse use to consider alternative actions that require quick solutions, as well as to address urgent problems that require immediate responses simultaneously?
A)loyalty
B)whistle-blowing
C)spectrum of urgency
D)primary obligation
Q3) What are low rates of job satisfaction, poor self-esteem, and low retention rates for new nurses related to?
A)troubling staff mix ratios
B)horizontal violence in the workplace
C)poor conflict resolution and problem-solving skills
D)younger nurses entering the field with limited clinical experience
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Chapter 10: Practice Issues Related to End Of Life Care
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) 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
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) According to the textbook, what does the term "medical futility" mean?
A)a physician alone defining overall treatment and the value of medically indicated care
B)causing the painless death of the person in order to end suffering
C)treatment beneficial to both physical and overall well-being
D)treatment valued by the patient but not medically indicated
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Chapter 11: Practice Issues Related to Patient
Self-Determination
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16 Verified Questions
16 Flashcards
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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) As the nurse is completing the pre-operative checklist, Mrs. Jones asks whether she will be awake during her surgery. What is the next step for this nurse?
A)Answer Mrs. Jones's question to reassure her prior to her surgery.
B)Put a note on the chart for this to be reviewed with Mrs. Jones by the Anesthetist in the Operating Room.
C)Contact the surgeon, as Mrs. Jones does not have a clear understanding and therefore has not given informed consent.
D)Document Mrs. Jones's questions in the chart and note that the nurse provided the answers.
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Chapter 12: Scholarship Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following characteristics of ethical research goes beyond the protection of human rights?
A)scientific objectivity
B)scientific competitiveness
C)indifference
D)personal gain
Q2) Which of the following does a nurse researcher include in the research protocol to protect human rights?
A)the right to have no risk involved
B)the right to be assigned to any group
C)the right to autonomy
D)the right to free medical care
Q3) Which of the following is NOT an effort to bolster protections for human research subjects?
A)auditing records for evidence of compliance with informed consent
B)managing conflicts of interest so that research subjects are appropriately informed
C)decreased monitoring of clinical trials by the researcher
D)education and training of clinical investigators and Institutional Review Board members
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Page 14
Chapter 13: The Future of Canadian Health Care:
Challenges and Priorities
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) 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
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Chapter 14: Health Policy Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) 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
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16
Chapter 15: Economic Issues
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What is a natural consequence of utilitarian forms of health care financing?
A)Resources and services will be distributed equally.
B)Some people will not receive resources and services.
C)The people with the greatest need will receive the bulk of resources and services.
D)People who have greater personal resources will receive greater benefit.
Q2) There are a number of different models of health care. Which model does the Russian health care system follow?
A)national health systems model
B)public insurance model
C)entrepreneurial model
D)financing systems model
Q3) An elderly patient who suffered a knee injury following a fall and who has severe degenerative disease in her knee is denied an arthroscopy. The orthopedic surgeon does not feel, given her age and severity of disease, that the procedure will help. What is this an example of?
A)a judgement based on age
B)a judgement based on severity of injury
C)a judgement based the availability of services
D)a judgement based on usefulness of therapy
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Page 17
Chapter 16: Social Issues
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A patient returned to the hospital for the fourth time in less than a week complaining of diabetes-related complications. Talk begins at the nurses' station regarding whether the patient should receive treatment, since it is his fault because he has never filled the prescription given to him for his diabetes. What is the term for the nurses' behaviour?
A)racism
B)language of violence
C)victim blaming
D)non-maleficence
Q2) Which factor contributes to a domestic violence victim returning to their abusive partner several times before permanently terminating the relationship?
A)poor support from the criminal justice system
B)poor health
C)health care system minimizing the abuse
D)victims being uninformed about violence
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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 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
Q2) An experienced male nurse applies for a position in labour and delivery. Even though he is better qualified than other applicants, the nurse manager hires a female nurse. The manager explains that she wants to protect her patients from being uncomfortable with a male nurse. Which of the following is this situation an example of?
A)sexism
B)transcultural respect
C)nursism
D)societal expectations
Q3) Which term refers to a disparity in earnings?
A)sameness salary
B)pay gap
C)feminist fee
D)comparable worth
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Page 19
Chapter 18: Rural, Remote, and Indigenous Nursing in Canada
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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
Q2) A nurse works in a small outpost hospital in Inuvik. The nurse attends a local hockey game at the arena and is asked the following question by a resident of the town: "When I saw you last week about the pain in my stomach and was given the medication, it helped for a bit. Today it's the same but different, what do you think I should do?" What concept is this scenario an example of?
A)being professional
B)meeting obligations
C)avoiding boundaries
D)being enmeshed
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Chapter 19: Empowerment for Nurses
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16 Verified Questions
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Sample Questions
Q1) A student nurse shares at a meeting following clinical that he feels that the nurse he was working with that day was very critical and he felt "shut down" and bullied. What is this an example of?
A)the rite of passage all new nurses must go through to obtain respect from the senior nurses
B)the process during nursing school that helps to toughen new nurses up to the realities of nursing
C)how the world, regardless of profession, socializes the young into the work world
D)an environment that is not doing enough to create safe, supportive, and empowering work environments
Q2) What should be thoroughly explored before engaging in whistle-blowing by nurses?
A)how many nurses agree and will stand by the issue
B)how long the problem has been going on
C)if speaking out is likely to effect change D)which leaders can be counted on for support
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