ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A nurse who is conducting a staff in-service on the phases of a disaster continuum teaches participants that, during the impact/response stage, activities focus on:
Correct Answer: D
Rationale: The correct answer is D because during the impact/response stage of a disaster, the main focus is on initiating immediate response activities to address the immediate needs of individuals affected by the disaster. This includes activities such as search and rescue, providing medical care, and establishing emergency shelters.
Choice A is incorrect because community awareness and anticipation of disasters typically occur during the preparedness phase, not the impact/response stage.
Choice B is incorrect because determining the effectiveness of DMAT is more relevant to the recovery phase of a disaster, not the immediate response phase.
Choice C is incorrect because the all-hazards approach refers to a comprehensive strategy for addressing various types of disasters, but it does not specifically relate to the activities carried out during the impact/response stage of a disaster.
Question 2 of 5
Studies conducted to determine enrollment trends in nursing schools have found that in the last years:
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the enrollment trends in nursing schools. The statement indicates that a greater number of individuals have chosen nursing as a career but could not meet entrance requirements, implying an increase in interest but a barrier to entry.
Explanation:
-
Choice A directly relates to enrollment trends by highlighting an increase in interest but a challenge in meeting requirements.
-
Choice B is incorrect as the question focuses on enrollment trends, not the age of individuals entering nursing.
-
Choice C is incorrect as it suggests a decrease in career opportunities and projects a negative outlook for women, which is not supported by the question.
-
Choice D is incorrect as it introduces a gender dynamic not mentioned in the question and does not address enrollment trends.
Question 3 of 5
During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
Correct Answer: A
Rationale: The nurse is experiencing the "Honeymoon" phase of reality shock. In this phase, individuals feel excited, optimistic, and idealistic about their new role and workplace. The nurse's positive visualization of enjoying the benefits of their hard work during orientation aligns with the honeymoon phase. This phase is characterized by a sense of satisfaction, fulfillment, and a belief that the sacrifices made, such as enduring nursing school, were worth it. The nurse's emotional state of smiling and feeling content reflects the honeymoon phase.
Other choices are incorrect:
B: Shock or rejection - This phase involves feeling overwhelmed, anxious, and doubting one's abilities. The nurse's positive emotions do not align with this phase.
C: Recovery - This phase involves adjusting and finding ways to cope with the challenges of the new role. The nurse is not in a phase of recovery as they are not struggling or adapting to the new environment.
D: Resolution - This phase involves accepting the reality of the new role and moving forward
Question 4 of 5
The care delivery model used in this situation is:
Correct Answer: A
Rationale: The correct answer is A: team. In a team care delivery model, multiple healthcare providers work collaboratively to deliver care to the patient, ensuring comprehensive and coordinated services. This model promotes communication, efficiency, and patient-centered care.
Choice B, primary, refers to a single designated provider responsible for coordinating care.
Choice C, partnership, typically involves a close relationship between the patient and provider but lacks the interdisciplinary approach of a team model.
Choice D, modular, implies a fragmented approach with care delivered in separate components, which may lead to disjointed care and lack of coordination. Ultimately, the team care delivery model is the most effective in ensuring holistic and well-coordinated patient care.
Question 5 of 5
A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?
Correct Answer: C
Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data.
Incorrect choices:
A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation.
B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions.
D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.