CEN Domain 8: Professional Issues Welcome to your CEN Domain 8: Professional Issues 1. CEN: Professional Issues In the context of emergency nursing, which of the following actions is considered a violation of professional boundaries? A. Providing care based on patient needs without personal bias B. Sharing limited personal information to build trust with a patient C. Establishing a friendship with a patient after their discharge D. Advocating for patient rights and autonomy in care decisions None 2. CEN: Professional Issues Which of the following best describes the principle of autonomy in emergency nursing practice? A. Making healthcare decisions for patients based on the nurse's judgment B. Respecting and supporting a patient's right to make their own healthcare decisions C. Prioritizing care based on the principle of the greatest good for the greatest number D. Providing care that ensures fairness and equality among all patients None 3. CEN: Professional Issues When dealing with ethical dilemmas in the emergency department, which approach is most appropriate for ensuring ethical decision-making? A. Following the most senior nurse's decision without question B. Adhering strictly to hospital policies and procedures C. Consulting the healthcare team and considering professional ethical guidelines D. Making decisions based on personal moral beliefs and values None 4. CEN: Professional Issues What is the primary purpose of the Emergency Nurses Association (EN A. Code of Ethics? A) To provide legal standards for emergency nursing practice B. To outline the financial responsibilities of emergency nurses C. To establish the ethical principles guiding emergency nursing practice D. To specify the technical skills required for emergency nursing None 5. CEN: Professional Issues In emergency nursing, what is the most appropriate action when a conflict arises between a patient's wishes and the family's requests? A. Always prioritize the family's requests over the patient's wishes B. Seek to find a compromise that minimizes legal risks to the hospital C. Prioritize the patient's wishes while considering ethical principles of autonomy D. Refer the decision to hospital administration without further discussion None 6. CEN: Professional Issues Which statement accurately describes the concept of beneficence in emergency nursing? A. Beneficence involves doing harm to ensure a quicker recovery for the patient. B. It pertains to the nurse's duty to distribute resources equally among patients. C. Beneficence is the obligation to act in the best interest of the patient. D. It means respecting the patient's right to refuse treatment. None 7. CEN: Professional Issues What is the most appropriate response when an emergency nurse witnesses a colleague providing substandard care? A. Ignore the situation to avoid workplace conflict. B. Report the incident to the nursing manager or supervisor immediately. C. Confront the colleague publicly to shame them into improving their care. D. Offer unsolicited advice on how to provide better care in the future. None 8. CEN: Professional Issues Which of the following actions best demonstrates the principle of non-maleficence in emergency nursing? A. Refusing to provide care to a patient based on personal biases B. Performing a procedure without sufficient training C. Ensuring all interventions minimize harm and risk to the patient D. Allocating resources based on a patient's ability to pay None 9. CEN: Professional Issues How should an emergency nurse act when faced with a situation that conflicts with their personal beliefs but is in accordance with professional guidelines? A. Refuse to provide care that conflicts with personal beliefs B. Provide care, placing professional guidelines above personal beliefs C. Persuade the patient to refuse care that conflicts with the nurse's beliefs D. Transfer care responsibilities to another professional without explanation None 10. CEN: Professional Issues Which of the following is a key consideration in maintaining patient privacy and confidentiality in the emergency department? A. Sharing patient information with all staff members to ensure comprehensive care B. Discussing patient cases in public areas of the hospital to facilitate learning C. Limiting access to patient information to those directly involved in the patient's care D. Using social media to seek advice on challenging cases without disclosing names None 11. CEN: Professional Issues In the context of disaster response, what is the primary ethical concern for emergency nurses? A. Ensuring personal safety before assisting victims B. Maximizing the use of available resources to benefit the greatest number of people C. Providing care based on patients' insurance coverage D. Prioritizing care for individuals with the highest social status None 12. CEN: Professional Issues What is the role of informed consent in emergency nursing care? A. It is unnecessary in emergencies as care must be provided immediately. B. It involves documenting verbal consent only for legal purposes. C. It requires providing patients with information about their care and obtaining their agreement. D. It allows nurses to make healthcare decisions for patients without their input. None 13. CEN: Professional Issues Which of the following best reflects the principle of justice in the allocation of scarce resources in the emergency department? A. Allocating resources based on a first-come, first-served basis B. Distributing resources according to patients' social status C. Prioritizing resources based on the severity of the patient's condition D. Assigning resources based on the patient's ability to pay None 14. CEN: Professional Issues In emergency nursing, what is the best approach to handle receiving an order from a physician that seems unsafe or inappropriate for the patient? A. Follow the order without question to maintain the hierarchy B. Refuse to perform the order and not inform the physician C. Discuss the concerns with the physician to seek clarification or modification D. Implement the order then report the physician to the ethics committee None 15. CEN: Professional Issues What is the most appropriate course of action for an emergency nurse who identifies a systemic issue that affects patient safety? A. Ignore the issue assuming it is part of the system's inefficiencies B. Report the issue to the appropriate management or quality improvement team C. Discuss the issue with patients to gauge their perception D. Solve the issue individually without involving others None 16. CEN: Professional Issues How should an emergency nurse proceed when a patient lacks the capacity to give informed consent and no legal surrogate is available? A. Proceed with treatment based on what the nurse believes is best B. Wait until a legal surrogate is appointed before providing any treatment C. Provide necessary emergency treatment guided by the principle of implied consent D. Ask the patient's friends for their opinion on the treatment None 17. CEN: Professional Issues What ethical consideration should guide an emergency nurse's decision-making when faced with a cultural practice that conflicts with conventional medical treatment? A. The nurse should ignore the cultural practice to avoid discrimination B. The nurse should prioritize conventional medical treatment over cultural practices C. The nurse should attempt to accommodate the cultural practice within the bounds of ethical and safe medical care D. The nurse should delegate care to another nurse who agrees with the cultural practice None 18. CEN: Professional Issues When an emergency nurse encounters a professional dilemma that is not addressed by existing policies or guidelines, what is the most appropriate initial action? A. Act based on personal experience and judgment B. Seek guidance from a senior nurse or mentor C. Postpone decision-making until a policy is developed D. Refer the dilemma to the hospital's ethics committee for review None 19. CEN: Professional Issues Which of the following actions demonstrates an emergency nurse's commitment to lifelong learning and professional development? A. Only attending mandatory training sessions required by the employer B. Focusing solely on gaining practical skills without theoretical knowledge C. Regularly participating in continuing education and professional development activities D. Avoiding new technologies or practices to maintain traditional care methods None 20. CEN: Professional Issues What is the recommended approach for an emergency nurse who receives a complaint from a patient about the care provided? A. Dismiss the complaint as a misunderstanding on the patient's part B. Listen actively, acknowledge the patient's concerns, and follow up according to hospital policy C. Advise the patient to file a formal complaint with hospital administration D. Promise immediate corrective action without understanding the full context None 1 out of 20 Time is Up! Time's up
