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
A Mexican-American patient is attacked and beaten. This patient is at risk for "fright disease," which is known as:
Correct Answer: A
Rationale: The correct answer is A: susto. Susto is a cultural-bound syndrome in Mexican-American culture characterized by emotional distress due to a frightening or traumatic experience. This patient, having been attacked and beaten, is at risk for susto due to the emotional impact of the incident. Empacho refers to indigestion, bilis to anger, and mal ojo to the evil eye, none of which are directly related to the emotional distress caused by a traumatic event like in the case of susto.
Question 3 of 5
A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very little about the health beliefs of this ethnic group. To research this group, she can use an Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To obtain more generalized information, she could also search under:
Correct Answer: A
Rationale: The correct answer is A: federally recognized minorities. This is because Russian immigrants are considered a federally recognized minority group in the United States. By searching under this category, the nurse can find specific and relevant information about the health beliefs and practices of this particular ethnic group. Choices B, C, and D are incorrect because they do not specifically pertain to the Russian immigrant population. Marginalized populations (B) may include various minority groups but may not provide specific information about Russian immigrants. Similarly, Asian/Pacific Islander cultures (C) and Latino cultures (D) do not encompass the unique health beliefs and practices of Russian immigrants.
Question 4 of 5
A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others' cultural beliefs. The nurse's first step to ensure cultural competence and sensitivity is to:
Correct Answer: D
Rationale: The correct answer is D: conduct a cultural self-assessment. This is the first step to ensure cultural competence because it allows the nurse to reflect on their own beliefs, biases, and cultural background, which can impact interactions with culturally diverse clients. By understanding one's own cultural identity, the nurse can better appreciate and respect the beliefs of others. Choice A is incorrect because enrolling in a nursing theories course may provide knowledge but does not address the nurse's own biases. Choice B is also incorrect as immersion in nursing literature may increase knowledge but does not promote self-awareness. Choice C is incorrect as focusing on health assessment variations does not necessarily address cultural sensitivity in interactions. Conducting a cultural self-assessment is essential for building a foundation of cultural competence and respect.
Question 5 of 5
A Hispanic patient is visited by several family members and the nurse witnessed one visitor who pinches a piece of skin at the waist. The nurse asks the purpose and learns the "provider" is listening for a snap from the abdominal region, which is then repeated several times. The patient most likely suffers from:
Correct Answer: D
Rationale: The correct answer is D: empacho. Empacho is a traditional Hispanic folk illness characterized by a blockage in the digestive system. In this scenario, the behavior of pinching the skin and listening for a snap in the abdominal region aligns with the common practice associated with empacho diagnosis. The family member is likely trying to detect an abnormal sound, indicating a blockage in the intestines. The other choices (A: mal ojo, B: susto, C: bilis) do not fit the description of the observed behavior and symptoms. Mal ojo refers to the evil eye, susto is a fright-related illness, and bilis pertains to an imbalance of bodily fluids, none of which involve the specific diagnostic behavior described in the scenario.