ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
A 13-year-old female is brought to the family planning clinic by her enraged father, who has just learned that she is pregnant. The pregnant client states, "I want to have this baby and give it up for adoption." However, the father is adamant that she will disgrace the family and demands that the health care providers tell his daughter that she has a physical condition that would prohibit her from carrying this baby to a viable stage. The nurse realizes that this is a conflict that involves the ethical principle of:
Correct Answer: C
Rationale: The correct answer is C: autonomy. Autonomy refers to a patient's right to make their own decisions about their healthcare, including the right to accept or refuse treatment. In this scenario, the 13-year-old female has expressed her desire to have the baby and give it up for adoption. By respecting her autonomy, healthcare providers must support her decision, even if it goes against her father's wishes. A: Deontology is a moral theory that emphasizes the importance of following moral rules and duties. While autonomy is a principle within deontology, the main focus in this scenario is on respecting the patient's autonomy rather than following a specific moral rule. B: Veracity refers to the principle of truth-telling. While honesty is important in healthcare, the main issue in this scenario is respecting the patient's autonomy rather than truth-telling. D: Beneficence refers to the duty to do good and promote the well-being of the patient. In this scenario, respecting the patient's autonomy is
Question 2 of 5
According to the Hallmarks of the Professional Nursing Environment, a nurse should ask a potential employer:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Asking about the role nurses have in determining the quality of care is crucial to understanding the level of autonomy and influence nurses have in the workplace. This question shows the nurse's commitment to patient care and the importance of nursing contributions in improving outcomes. It also indicates the nurse's interest in being part of a collaborative healthcare team. Summary of Incorrect Choices: A: This question focuses primarily on financial aspects and does not address the nurse's professional role in patient care. B: While benefits are important, asking about benefits specific to RNs only may come off as self-centered and not reflective of the nurse's commitment to patient care. D: Inquiring about long-term economic security is essential, but it does not directly address the nurse's role in quality care delivery, which is the primary focus of professional nursing practice.
Question 3 of 5
The Health Care Reform Act provides insurance for all U.S. citizens and legal residents presenting far-reaching ethical considerations related to diverse individual patient health care beliefs for those delivering nursing care. Nurses must consider their civil rights under the rights of conscience and how new health care agendas such as the Patient Protection and Affordable Care Act (PPACA) could affect their practice in situations that may conflict with their own belief system. Today's practicing nurse must:
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct: 1. Professional duty: Nurses have a duty to provide patient-centered care regardless of personal beliefs. 2. Legal liability: Withholding treatment based on personal beliefs can lead to legal consequences. 3. Ethical considerations: Nurses must prioritize patient care over personal beliefs. 4. Rights of conscience: Nurses may have the right to refuse to participate in certain treatments, but they must still ensure patient care. 5. Patient-centered care: Nurses must respect patient autonomy and provide care based on the patient's wishes. Summary of why the other choices are incorrect: B. Irrelevant to the nurse's duty to provide patient-centered care. C. Nurses should not impose their beliefs on patients but should respect and support their choices. D. Suggesting the hospital not accept federal funding does not address the nurse's duty to provide patient-centered care.
Question 4 of 5
When should a follow-up letter be written to a recruiter?
Correct Answer: C
Rationale: The correct answer is C because following up a few days after the interview shows professionalism and eagerness. It allows you to express gratitude, reiterate your interest, and inquire about the next steps. This timing is crucial as it keeps you fresh in the recruiter's mind without being too pushy. Choice A is incorrect because it is more appropriate to send a thank-you letter after the interview, not before. Choice B is incorrect as waiting 2 weeks after not getting the job may be too late for effective follow-up. Choice D is incorrect because you should not assume you got the position without confirmation.
Question 5 of 5
A pregnant woman reports back pain and wants to try a complementary alternative medicine (CAM) therapy. The nurse knows that which CAM would be contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Magnet therapy. Magnet therapy is contraindicated in pregnancy due to the risk of unknown effects on the fetus. Magnets may interfere with the body's natural magnetic fields, potentially causing harm to the developing baby. Aromatherapy (B), imagery (C), and therapeutic touch (D) are generally considered safe during pregnancy when performed by trained professionals and with appropriate precautions. Aromatherapy uses essential oils, imagery involves mental visualization techniques, and therapeutic touch uses energy-based techniques that do not pose significant risks to the pregnant woman or the fetus.
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