ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A nurse groups patients with criteria such as "high risk for falls," "infection protocols," and "special communication needs" to determine the mix and number of staff needed on a telemetry unit. The nurse is using:
Correct Answer: A
Rationale:
Rationale:
A nurse grouping patients with specific criteria to determine staffing needs aligns with a patient classification system. This system helps allocate appropriate staff levels based on patient acuity and needs for safe and effective care. It focuses on matching patient needs with staff expertise to ensure quality care.
Choices B, C, and D do not directly relate to determining staffing levels based on patient criteria. B refers to billing, C to coordination of care, and D to specific care plans.
Question 2 of 5
Six cultural phenomena that vary among cultural groups are known to affect health care. The influence of the consequences of these phenomena can be seen in which of the following? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B. Some cancers such as stomach cancer occur less frequently among blacks due to genetic factors. Stomach cancer is more common in Asian populations due to dietary and lifestyle factors. This variation in cancer incidence among different racial groups is influenced by genetic predisposition and environmental factors.
Therefore, the influence of cultural phenomena on health care can be observed in the differing rates of specific diseases among various cultural groups.
Other choices are incorrect:
A: This choice does not directly relate to the influence of cultural phenomena on health care, but rather discusses medication adherence based on beliefs about fate and the environment.
C: Direct eye contact is a cultural behavior that may vary among different cultural groups, but it does not directly relate to the influence of cultural phenomena on health care.
D: Standing close and touching health care providers is a cultural behavior that may be more common among certain cultural groups like Mexican Americans, but it does not directly demonstrate the influence of cultural phenomena on health care in the context of disease incidence
Question 3 of 5
A nurse has been asked to serve as the charge nurse on the evening shift. The agency where the nurse is employed is considering unionization. If the charge nurse position is accepted, this nurse:
Correct Answer: A
Rationale:
Step 1: Charge nurses are typically considered part of the nursing staff, not part of the management team.
Step 2: Since charge nurses are not considered part of the management team, they are eligible to be represented by the union.
Step 3: Being part of the union means the charge nurse can benefit from collective bargaining activities and have a voice in workplace decisions.
Step 4:
Choice A is correct as it aligns with the general understanding of charge nurses' roles and their eligibility for union representation.
Summary:
Choice B is incorrect because charge nurses are not typically considered part of the management team, so union participation would not necessarily be a conflict of interest.
Choice C is incorrect because union representation does not automatically mean filing grievances that will be arbitrated.
Choice D is incorrect because charge nurses can participate in collective bargaining activities related to unfair labor practices if they are represented by the union.
Question 4 of 5
During orientation, an RN learns that LPN/LVNs in the facility receive additional training to perform some tasks such as hanging continuously infusing intravenous fluids that have no additives. It is important for the RN to understand that:
Correct Answer: B
Rationale: Rationale for Correct Answer (B - LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN):
1. LPN/LVNs are licensed professionals, accountable for their own scope of practice as outlined by the state nursing board.
2. Accountability ensures that LPN/LVNs are responsible for their actions and decisions in providing patient care.
3. LPN/LVNs must adhere to the state's nursing practice act and regulations, ensuring safe and competent care delivery.
Summary of Incorrect
Choices:
A: The health care facility cannot override the state practice act as licensure requirements are set by the state nursing board.
C: UAPs, although important in the care team, do not have the same level of accountability as licensed nurses.
D: The nurse practice act and state regulations related to delegation are essential in guiding delegation practices, but they do not necessarily override organization policies.
Question 5 of 5
A patient wants to reduce health care costs by being a model for making wise decisions that both promote health and reduce cost. Which statement by the patient would indicate a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A because asking for the brand name drug Tylenol instead of the generic acetaminophen would likely increase healthcare costs without providing any additional benefit. Acetaminophen is the active ingredient in Tylenol, so choosing the brand name would be more expensive without improving health outcomes. This decision does not align with the goal of reducing healthcare costs while promoting health.
Choice B is correct as looking up information on urinary tract infection prevention shows the patient is proactively seeking knowledge to improve health outcomes.
Choice C is correct as getting health measurements at a health fair demonstrates an interest in monitoring health status.
Choice D is correct as seeking advice from a pharmacist for allergies is a cost-effective and health-promoting decision.
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