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WorksheetsCE Unit 5 Review
Total questions: 25
Worksheet time: 18mins
Mia is a healthcare professional responsible for maintaining the accuracy and privacy of patient health records. Which ethical principle is she primarily supporting by doing this?
Justice
Beneficence
Autonomy
Confidentiality
Multiple Choice — 2 points each: While working a shift, Nurse Sophia accidentally documents information in the wrong patient’s chart. What should Nurse Sophia do first?
Delete the entry
Leave the entry as is
Draw a single line through the error, write 'error,' initial, and re-enter correctly
Ask another nurse to correct it
Multiple Choice — 2 points each: Maya, a nurse, is caring for a patient whose IV site has become swollen and painful. What should Maya document?
'The IV looks bad.'
'Patient is faking pain.'
'IV site swollen, red, and tender; infusion stopped; charge nurse notified.'
'Patient upset about IV.'
Multiple Choice — 2 points each: Luna is a nurse working a busy shift and is assigned six patients, which is more than the recommended nurse-to-patient ratio. Luna is worried about the safety of her patients. What is the ethical action?
Notify the charge nurse or supervisor of unsafe staffing.
Refuse to take report.
Ignore it and continue working.
Leave the unit.
Multiple Choice — 2 points each: Mason is finishing his charting on the electronic health record (EHR) system at the hospital. Which of the following is a best practice for EHR security?
Sharing passwords only with licensed nurses
Logging out after each charting session
Leaving the workstation unlocked
Using a public computer for quick charting
Multiple Choice — 2 points each: Priya is a patient who refuses a blood transfusion based on her religious beliefs. What is the nurse’s ethical duty?
Respect the refusal and document the patient’s decision accurately.
Persuade the patient to change their mind.
Omit the refusal from documentation.
Tell the physician only if asked.
Multiple Choice — 2 points each: Evelyn is a nurse who takes time to reflect on her own cultural values and biases before caring for patients from diverse backgrounds. Which term best describes this process?
Cultural competence
Cultural knowledge
Cultural self-awareness
Cultural imposition
Multiple Choice — 2 points each: A nurse avoids providing care to a patient with strong cultural beliefs, assuming 'all patients are the same.' This is an example of:
Cultural competence
Cultural blindness
Cultural negotiation
Culturally responsive care
Multiple Choice — 2 points each: Scarlett, a nurse, documents that a patient’s vital signs are stable, but fails to record a medication error she made during her shift. Which ethical issue has occurred?
Breach of privacy
Falsification by omission
Professional boundary violation
Cultural bias
Multiple Choice — 2 points each: Elijah is a nurse at a hospital. One of his patients follows a specific religious diet. Which of the following actions by Elijah is an example of culturally responsive care?
Providing alternative dietary options to meet religious needs
Using the same care plan for all patients
Asking the family to change their traditions
Refusing to accommodate spiritual requests
Multiple Choice — 2 points each: Mia is working as a nurse in a facility and notices that the medical supply inventory is low. What should she do?
Wait for supplies to arrive
Use outdated materials
Report the shortage immediately to the charge nurse or supply coordinator
Ignore the issue
Multiple Choice — 2 points each: Luna, a nurse, documents in a patient's chart, 'Patient is lazy and refuses to ambulate.' What is the problem with this documentation?
Too brief
Not objective; contains judgmental language
Too detailed
Missing vital signs
Multiple Choice — 2 points each: Luna is a nurse caring for a patient from a different cultural background. Which statement best reflects cultural humility in her approach?
'I know how to care for all cultures.'
'Patients should adapt to hospital routines.'
'I recognize I may not fully understand this patient’s beliefs, so I will ask and learn.'
'My culture is the standard for professionalism.'
Multiple Choice — 2 points each: Sophia is a nurse working in a multicultural hospital. She wants to ensure her care reflects Leininger’s Transcultural Nursing Theory (Culture Care Theory). What should be Sophia’s main goal?
To standardize care for all patients
To provide care that aligns with each patient’s cultural values and life context
To limit family influence
To emphasize efficiency over empathy
Multiple Choice — 2 points each: Oliver, a nurse, notices that his co-worker frequently skips documenting treatments to save time. The most ethical response is to:
Ignore the behavior
Report to the co-worker directly
Notify the nurse supervisor following chain of command
Document on behalf of the co-worker
True/False — 1 point each: Sophia is a nurse who is updating a patient's health record. All entries she makes in the health record must be signed, dated, and time-stamped.
True
False
True/False — 1 point each: Michael is documenting a patient visit. He wants to include his personal positive opinions about the patient in the medical record. Is it acceptable for Michael to do this?
True
False
True/False — 1 point each: Ava is working a shift at the hospital where there is a staffing shortage. She finds it difficult to safely monitor all her patients, which leads to ethical dilemmas.
True
False
True/False — 1 point each: Anika is attending a workshop on healthcare communication. During the session, the facilitator explains that cultural competence and cultural humility are identical concepts. Is this statement correct?
True
False
True/False — 1 point each: Nora, a nurse, is caring for a patient who refuses a prescribed medication. Nora documents the patient's refusal and the education she provided about the consequences. Should nurses document patient refusals and the education provided about the consequences?
True
False
Fill in the Blank — 2 points each: Ethan travels to a new country and believes that his own culture is superior to the local customs. This belief is called (a) .
Benjamin, a nurse, is meeting with a patient from a different cultural background. He takes time to listen and understand the patient's cultural values and beliefs before working together to create a care plan that respects those values. This process is called (a) .
Grace is a nurse working in a diverse community clinic. To provide culturally responsive care, she knows she must practice (a) , or awareness of her own cultural beliefs and how they influence care.
Cultural competence and cultural humility are different concepts. Which of the following best describes the difference between them?
Cultural competence focuses on acquiring knowledge and skills about other cultures, while cultural humility emphasizes ongoing self-reflection and lifelong learning.
Cultural competence and cultural humility both mean the same thing.
Cultural humility is about mastering all cultural practices, while cultural competence is about self-reflection.
Cultural competence is only relevant in healthcare, while cultural humility applies to all professions.
Essay Questions — 10 points each: Explain how maintaining the accuracy and privacy of health records demonstrates ethical nursing behavior.
