Healthcare Ethics & Policy QuizOnline version Quiz on health systems and ethics by Meliha Ekinci 1 1) Which of the following MOST explains why the aging population places strain on healthcare? a C) They require more chronic & long-term health care support b B) They require more acute emergency visits c A) They require more frequent hospital transportation services d D) They require more outpatient imaging services 2 2) AI early-detecting sepsis primarily supports: a D) Automated diagnosis without clinicians b B) Reduced mortality through early intervention c A) Faster prescriptions d C) Replacement of clinical judgement 3 3) Which BEST describes the role of the nurse in digital health use? a D) Teaching physicians how to use digital platforms b A) Ensuring AI tools are correctly coded c C) Interpreting data and applying clinical judgement d B) Inputting every possible diagnostic variable 4 4) The increase in rare-disease drugs costing over $100k per year MOST threatens: a C) Provincial healthcare budgets b D) Nurse staffing distribution c A) Pharmacist employment d B) Physician responsibility 5 5) If 2.3% of Ontarians are above age 85, the MOST important system implication is: a D) Increased vaccination programs b B) Increased respiratory infection risk c A) Increased occupational therapy services d C) Increased utilization of long-term and personal care 6 6) Nurse shortage leads MOST directly to: a D) Reduced patient movement b B) Reduced hospital meal services c C) Time pressure and higher risk of medical errors d A) Soft-skill decline 7 7) A patient is resistant to mental health screening. The BEST nurse action is: a A) Encourage screening because it is mandatory b C) Allow refusal while offering alternative discussion options c B) Inform them that 50% of Canadians experience mental disorder d D) Document refusal and end interaction 8 8) Which BEST demonstrates equity rather than equality? a A) Each patient gets equal appointment duration b B) Each patient gets same discharge instructions c D) Each patient gets the same medication list d C) Each patient receives care based on their individual needs 9 9) Which statement reflects cultural safety, not just competence? a A) “I have read about your culture.” b D) “I know your cultural beliefs.” c B) “We treat all patients the same here.” d C) “Do you feel respected and comfortable in this environment?” 10 10) A patient with COPD says “I don’t want this medication.” Nurse responds: a B) “I respect your choice — can we discuss your concerns about it?” b C) “Your refusal is documented.” c A) “You need this — it’s important.” d D) “The doctor said you must.” 11 11) Autonomy mostly supports: a D) Allowing patient to make their own decisions b A) Doing what benefits society c B) Doing what benefits nurse d C) Doing what benefits patient 12 12) A student confuses hyperglycemia and hypoglycemia. Which explanation is correct? A) Hyper = low / Hypo = high B) Hyper = high / Hypo = low C) Hyper = fast / Hypo = slow D) Hyper = slow / Hypo = fast a C) Hyper = fast / Hypo = slow b A) Hyper = low / Hypo = high c B) Hyper = high / Hypo = low d D) Hyper = slow / Hypo = fast 13 13) Which MOST directly demonstrates beneficence? a B) Protecting patient privacy b A) Respecting refusal of medication c D) Ensuring fairness in treatment d C) Providing treatment that improves wellbeing 14 14) Nurse sees wrong dose administered but no harm done. Appropriate response: a B) Document only if patient reacts b D) Wait until shift change to mention c A) Ignore because no harm occurred d C) Report immediately for safety review 15 15) During SP interaction, the MOST effective first step: a A) Explain diagnoses b B) Establish rapport c D) Provide statistics about condition d C) Begin physical assessment 16 16) The MOST effective way to reduce stigma in mental health care: a A) Avoid mentioning diagnosis b D) Redirect conversation to physical issues c B) Educate the population that mental illness is common d C) Classify mental disorders strictly as biological 17 17) NPO means: a C) Nurse professional order b A) No physical observation c D) Nutritional protocol omitted d B) Nothing by mouth 18 18) Which patient scenario MOST illustrates vulnerable population? a C) 86-year-old living alone with dementia b B) 28-year-old healthy athlete c D) 35-year-old physician d A) 43-year-old resident with high income 19 19) Cultural competence primarily emphasizes: a C) Nurse education and awareness of cultures b A) External protocols c B) System neutrality d D) Patient’s emotional perception 20 20) Cultural safety primarily emphasizes: a C) Patient’s feeling of safety and respect b D) Staff training hours c A) Nurse’s cultural knowledge d B) Hospital compliance standards 21 21) Which communication technique MOST improves patient trust? a C) Open-ended inquiries b A) Rapid questioning c D) Leading statements d B) Minimal eye contact 22 22) In examining equity vs equality, giving every patient the same resources is: a B) Equality b D) Autonomy c C) Cultural safety d A) Equity 23 23) Giving resources based on the level of need is: a D) Beneficence b B) Equality c A) Equity d C) Justice 24 24) Which BEST shows AI benefit WITHOUT ethical risk? a C) AI alerting nurse to abnormal vitals b B) AI automatically giving therapeutic statements c D) AI providing emotional reassurance d A) AI telling patient they should calm down 25 25) Which trend MOST affects wait times? a A) Increased ambulatory clinic use b B) Nurse shortage c D) Low drug cost d C) Decreased pediatric health needs 26 26) Nurse believes elder patient is exaggerating pain. Best action? a B) Assume psychological cause b C) Assess pain level objectively c A) Ignore patient complaints d D) Tell patient nothing is wrong 27 27) Which MOST contributes to nurse burnout? a B) Busy phone lines b A) Too many meetings c D) Lack of uniform colors d C) Excessive patient-to-nurse ratios 28 28) A patient says: “I feel hopeless.” Least therapeutic response: A) “Tell me more about how you feel.” B) “It sounds like this is very difficult.” C) “Don’t think like that — stay positive.” D) “You seem overwhelmed — I’m here.” a D) “You seem overwhelmed — I’m here.” b A) “Tell me more about how you feel.” c C) “Don’t think like that — stay positive.” d B) “It sounds like this is very difficult.” 29 29) A nurse feels torn between policies and doing what’s right: This is: a A) Burnout b D) Veracity c C) Moral distress d B) Autonomy 30 30) A nurse independently researches Indigenous health beliefs. This is: a B) Cultural competence b C) Cultural erasure c D) Cultural supremacy d A) Cultural safety
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