ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
Medicare would be responsible for: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because Medicare covers hospital stays for individuals aged 65 and older, which would include a 70-year-old client.
Choice B is incorrect because Medicare typically covers dialysis for individuals with end-stage renal disease, not nursing home costs.
Choice C is incorrect because Medicare does not typically cover rehabilitation care for individuals under 65.
Choice D is incorrect because AFDC is a separate program from Medicare that provides assistance for low-income families, and prescription costs for the young mother would likely be covered under a different program.
Question 2 of 5
What characteristics are associated with the clinical nurse leader? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the clinical nurse leader is indeed a generalist prepared at the master's level. They have advanced education and training to lead and coordinate care across various settings.
Choice B is incorrect as CNLs focus on care coordination and management rather than direct bedside care.
Choice C is incorrect as CNLs prioritize quality care over cost.
Choice D is incorrect as CNLs can work in various healthcare settings, not limited to acute care.
Question 3 of 5
A physician complains to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered. The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?
Correct Answer: C
Rationale:
Step 1: The administrator acknowledges the physician's concern to maintain a professional relationship.
Step 2: The administrator educates the physician that patient education on medications falls within the nurse's scope of practice.
Step 3: The administrator addresses the nurse and physician to ensure both are informed of the resolution.
Step 4: This approach promotes mutual understanding and respect between nurse and physician.
Summary: Option C is the correct answer as it acknowledges the physician's concern, educates on scope of practice, and fosters communication between both parties. Options A, B, and D are incorrect as they either punish the nurse unjustly, fail to educate the physician, or involve unrelated parties in the decision-making process.
Question 4 of 5
What effect did the movie One Flew Over the Cuckoo's Nest have on health care?
Correct Answer: B
Rationale: The correct answer is B because "One Flew Over the Cuckoo's Nest" raised awareness about the mistreatment of vulnerable populations in mental health institutions. It highlighted the need to uphold the rights of such individuals.
A is incorrect because the movie did not specifically lead to an increase in funding for mental health care or a shift to institutional care.
C is incorrect because while the movie portrayed nurses advocating for patients, it did not necessarily lead to a widespread perception of nurses as advocates for vulnerable populations.
D is incorrect because there is no evidence to suggest that funding for nursing traineeships was eliminated as a direct result of the movie.
Question 5 of 5
In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?
Correct Answer: C
Rationale: 1. Infection control is crucial in ensuring safe and effective care for all clients.
2. Infection control measures are essential in preventing the spread of infections in healthcare settings.
3. Infection control is relevant in promoting and maintaining health by preventing illness.
4. Psychosocial integrity can be compromised by infections, making infection control important in this category.
5. Physiologic integrity involves preventing and managing infections through proper protocols.
6. While teaching/learning, health promotion, and pharmacology are important, they are not integrated into all client need categories like infection control.