ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A client and her husband used in vitro fertilization to become pregnant. The unused sperm was frozen so the couple could have more children later. The husband is killed while in combat, and the client journals her choices and the possible ramifications. She comes to the fertility clinic after looking at the situation from many perspectives and after considering many alternatives. She asks that the sperm be destroyed because her husband's faith prohibited remarrying, and allowing another person to use the sperm would conflict with her late husband's beliefs. The nurse realizes that:
Correct Answer: D
Rationale: The correct answer is D because the client's decision to destroy the husband's sperm was based on reflection and the value systems of both the wife and the husband. Firstly, the client considered her late husband's faith and beliefs, showing reflection on his values. Secondly, she analyzed the situation from various perspectives and considered alternatives, indicating a rational decision-making process. This decision was reached after careful consideration of ethical and moral implications, demonstrating a logical and reasoned approach. In contrast, choices A and C imply shortcomings in the client's decision-making process, while choice B focuses solely on validation without considering the underlying reasoning.
Therefore, choice D is the most appropriate as it aligns with the client's thoughtful and value-based decision-making process.
Question 2 of 5
When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?
Correct Answer: A
Rationale: The correct answer is A: Assessment. In the nursing process, the first step is assessment, which involves gathering data to identify the issue or problem. Similarly, in the policy process, identifying the problem is equivalent to the assessment phase. This step sets the foundation for the subsequent steps of diagnosis, planning, and implementation.
Choice B: Diagnosis is incorrect as it comes after assessment in the nursing process and focuses on analyzing the data to determine the underlying cause of the issue.
Choice C: Planning is incorrect as it follows diagnosis in the nursing process and involves developing a plan of action based on the identified problem.
Choice D: Implementation is incorrect as it is the final step in the nursing process where the plan is put into action after assessment, diagnosis, and planning have been completed.
Question 3 of 5
A nurse investigates energy therapies and learns that which therapies would be included? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: Qi gong. Qi gong is a form of energy therapy that focuses on balancing the body's energy flow. It involves gentle movements, meditation, and breathing exercises to promote healing and overall well-being. Osteopathy (
B) is a manual therapy focusing on physical manipulation of the body, not energy. Imagery (
C) involves mental visualization, not energy manipulation. Healing touch (
D) is a form of energy therapy, but Qi gong is a more widely recognized and specific example in this context.
Question 4 of 5
What is the primary factor that characterizes a patient receiving palliative care
Correct Answer: A
Rationale: The correct answer is A because the primary factor that characterizes a patient receiving palliative care is a diagnosis of a serious, life-threatening disease. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, regardless of the stage of the disease or the prognosis. This means that palliative care can be appropriate for patients with a variety of life expectancies, not just those with less than 12 months to live.
Choices B and C are incorrect because while they are important factors in healthcare decision-making, they are not the primary factor that characterizes a patient receiving palliative care.
Choice D is also incorrect because palliative care can be provided to patients with various life expectancies, not just those with less than 12 months to live.
Question 5 of 5
An LPN/LVN has transferred to a nursing unit and arrives for the first day. The RN checks with the LPN/LVN often throughout the shift to provide support and determine if assistance is needed. The RN is providing which level of supervision?
Correct Answer: C
Rationale: The correct answer is C: Continual supervision is being provided until the RN determines competency.
Rationale:
1. Continual supervision is necessary for the LPN/LVN on the first day to assess their competency.
2. The RN checks frequently throughout the shift to provide support and evaluate the LPN/LVN's performance.
3. Competency must be determined before reducing supervision levels.
4. This level of supervision ensures patient safety and quality care.
Incorrect choices:
A: There is no supervision - Incorrect because supervision is provided by the RN.
B: Periodic inspection - Incorrect as continual supervision is needed for competency assessment.
D: Initial supervision - Incorrect as supervision should continue until competency is established.
In summary, choice C is correct as continual supervision is crucial for the LPN/LVN on their first day to ensure patient safety and quality care.