Nursing Program Assessment and the Accreditation Process

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Multiple Choice Questions

Question # 1

Which branch of philosophy deals with moral principles, values, and motivation that guide human behavior in decision-making?

A) Axiology

B) Epistemology

C) Ethics

D) Metaphysics

The correct response is C.

Bloom’s Cognitive Level: Knowledge

Rationale: Ethics is a process where an individual thinks and reflects to determine what is right or wrong, which helps the individual in making decisions. Axiology, Epistemology, and Metaphysics are other branches of philosophy that focus on another aspect.

Explanation: Threading Ethics into a Graduate Curriculum, page 2

Question # 2

Which teaching strategy involves developing a realistic scenario to mimic real-world clinical problems?

A) Collaborative Learning

B) Flipped Classroom

C) Problem-Based Learning

D) Simulation-Based Learning

The correct response is D.

Bloom’s Cognitive Level: Knowledge

Rationale: Simulation-based learning allows the student to engage in experiential learning. This strategy allows students to practice and improve their clinical abilities in a controlled setting. Students use props to replicate clinical circumstances and are expected to employ skills learned in class to deal with the problem.

Explanation: Threading Ethics into a Graduate Curriculum, page 4

Question # 3

Which among the following statements is NOT an ethical obligation to a physician?

A) The physician has an ethical obligation to avoid or minimize harm.

B) The physician has an ethical obligation to benefit the patient.

C) The physician has an ethical obligation to prioritize financial gain.

D) The physician has an ethical obligation to respect the values and preferences of the patient.

The correct response is C.

Bloom’s Cognitive Level: Understanding

Rationale: Ethics must be incorporated into clinical medicine since a physician needs to avoid or minimize harm, benefit the patient, and respect the values and preferences of the patient. It is unethical to prioritize financial gain over the patient's welfare.

Explanation: Threading Ethics into a Graduate Curriculum, page 2

Question # 4

In medical ethics, what is the primary objective of a Do Not Resuscitate (DNR) order?

A) DNR allows the choice of the ideal hospital for emergency treatment.

B) DNR allows patients to decline certain drugs.

C) DNR indicates the patient’s desire to avoid cardiopulmonary resuscitation (CPR).

D) DNR manages the patient’s dietary constraints

The correct response is C.

Bloom’s Cognitive Level: Understanding

Rationale: A Do Not Resuscitate (DNR) order primarily indicates a patient's desire to avoid cardiopulmonary resuscitation (CPR) in the case of cardiac or respiratory arrest. It is a critical component of advanced care planning, allowing individuals to choose the extent of medical intervention they want. While the other options may be part of a patient's general medical care plan, a DNR expressly addresses resuscitative procedures in emergencies, with an emphasis on the patient’s desire for CPR.

Explanation: Nursing Ethics: Across the Curriculum and Into Practice

Question # 5

Who can make decisions regarding a DNR order if the patient is unable to communicate?

A) The patient's family members can make the decision.

B) Legal authorities can make the decision.

C) The patient's family members can make the decision.

D) Healthcare proxies or advance directives can make the decision.

The correct response is A.

Bloom’s Cognitive Level: Understanding

Rationale: In circumstances where the patient is unable to communicate, family members may be included in making choices about a DNR order, considering the patient’s wishes. Healthcare providers and legal authorities are not allowed to intervene in the decision.

Explanation: Nursing Ethics: Across the Curriculum and Into Practice

Question # 6

What is the fundamental objective of collaborative learning in nursing?

A) Collaborative learning improves patient-centered treatment.

B) Collaborative learning promotes teamwork and communication.

C) Collaborative learning encourages cultural considerations

D) Collaborative learning emphasizes technological improvements.

The correct response is B.

Bloom’s Cognitive Level: Understanding

Rationale: Collaborative learning in nursing extends beyond individual knowledge gain. It actively encourages students to work together, communicate, and solve problems, preparing them for the dynamic and collaborative nature of healthcare practice. This pedagogical approach is consistent with the realities of the healthcare context, where successful collaboration amongst healthcare workers is critical for providing high-quality patient care.

Explanation: Threading Ethics into a Graduate Curriculum, pages 7 and 8

Question # 7

What ethical principles are often considered when discussing and implementing DNR orders?

A) Autonomy and beneficence

B) Confidentiality and justice

C) Nonmaleficence and veracity

D) Fidelity and paternalism

The correct response is C.

Bloom’s Cognitive Level: Understanding

Rationale: The principle of nonmaleficence, expressed in the Latin phrase “primum non nocere” (first, do no harm), emphasizes healthcare providers’ responsibility to protect patients. In the context of DNR orders, the choice to desist from resuscitation is intended to avoid potential injury, particularly when the odds of success are slim, perhaps resulting in unnecessary suffering. Veracity, or dedication to truthfulness and honesty, is critical when negotiating and enforcing DNR rules. Healthcare providers are ethically required to speak openly with patients and their families about the probable results of resuscitation efforts. Provides information regarding the limitations and potential dangers of attempted resuscitation. While autonomy and beneficence may be relevant in DNR debates, the primary concern remains on avoiding damage (nonmaleficence) and maintaining truthful communication (veracity).

Explanation: Nursing Ethics: Across the Curriculum and Into Practice

Question # 8

How does the integration of nursing ethics contribute to a nurse’s skill set?

A) Nursing ethics contributes to nurses' skill sets by disregarding ethical reasoning.

B) Nursing ethics add to nurses' skill sets by limiting decision-making capacities.

C) Nursing ethics helps nurses develop a well-rounded skill set.

D) Nursing ethics contributes to nurses’ skill sets by focusing only on clinical expertise.

The correct response is C.

Bloom’s Cognitive Level: Understanding

Rationale: The integration of nursing ethics results in a well-rounded skill set that includes patient-centered care, ethical decision-making, professionalism, adherence to ethical norms, and critical reasoning, ultimately improving the nurse's efficacy and contribution to healthcare.

Explanation: Nursing Ethics: Across the Curriculum and Into Practice

Question # 9

What is one of the reasons ethics enables nurses to retain the highest levels of professionalism?

A) Nurses can disregard ethical considerations.