ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A patient is admitted with pneumoniThe case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
Correct Answer: B
Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics.
A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans.
C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway.
D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.
Question 2 of 5
A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style?
Correct Answer: D
Rationale: The correct answer is D, passive-aggressive. The nurse is indirectly expressing her displeasure and resistance to floating by smiling and agreeing to come back for lunch, but then displaying negative body language and muttering under her breath. This behavior is passive on the surface but aggressive in the underlying tone. The nurse is not openly confronting the issue but is still showing resistance and frustration.
A: Assertive communication involves expressing one's needs and feelings in a direct and respectful manner. The nurse is not openly communicating her feelings or needs in this scenario.
B: Aggressive communication involves expressing needs and feelings in a forceful and hostile manner. The nurse's behavior is not openly hostile towards others.
C: Passive communication involves avoiding conflict and not expressing one's needs or feelings. The nurse is indirectly expressing her displeasure, so it's not purely passive.
Question 3 of 5
A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B because reviewing the dress code policy to give feedback before an appointment in the morning is time-sensitive and directly impacts the nurse's professional responsibilities. This task falls under the "B" category in the ABC prioritization approach, which prioritizes tasks that are important but not urgent. This task requires attention before the morning appointment to ensure professionalism and compliance.
Tasks A, C, and D are not prioritized as "B" because they are either more urgent or less important compared to reviewing the dress code policy before the morning appointment. Task A is important but not urgent as the time sheet is not due immediately. Task C is categorized as "A" as it involves a critical patient situation that requires immediate attention. Task D is categorized as "C" as it is important and time-sensitive, needing completion before discharge in 2 hours.
Question 4 of 5
A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:
Correct Answer: C
Rationale: The correct answer is C: security. The scenario describes measures to protect the patient records system from unauthorized access, such as requiring consent, assigning passwords, and conducting audits. Security specifically refers to safeguarding information from unauthorized access, ensuring data integrity and availability. Privacy (
A) is about controlling access to personal information, while confidentiality (
B) is about keeping information private. Data capture (
D) refers to the process of collecting data, not protecting it from unauthorized access. In this case, the focus is on security measures implemented to protect patient records, making it the most appropriate choice.
Question 5 of 5
A nurse who wishes to practice in another state: (select all that apply)
Correct Answer: B
Rationale:
Step-by-step rationale:
1. Determining if the state is a compact state is important because nurses from compact states can practice in other compact states without obtaining additional licenses.
2. If the state is not a compact state, the nurse can obtain licensure by endorsement, which means transferring their license to the new state without retaking the NCLEX-RN.
3. Revoking licensure in the current state is not necessary, as nurses can hold licenses in multiple states through either compact agreements or endorsement.
Therefore, the correct answer is B.
Choice A is incorrect because the nurse does not have to retake the NCLEX-RN.
Choice C is incorrect because obtaining licensure by endorsement is an option.
Choice D is incorrect as nurses can hold licenses in multiple states.