ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:
Correct Answer: B
Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims. Explanation for why other choices are incorrect: A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics. C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics. D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.
Question 2 of 5
A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:
Correct Answer: C
Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.
Question 3 of 5
A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. At the committee meeting, the nurse learns that:
Correct Answer: D
Rationale: Step 1: Many younger workers prioritize professional advancement and flexible work hours over longevity. Step 2: This mindset leads them to change institutions to achieve their career goals. Step 3: The nurse learns about this behavior during the committee meeting. Step 4: Therefore, the correct answer is D as it aligns with the behavior and motivations of younger nurses. Summary: A: Encouraging older nurses to retire is age discrimination and does not address retention issues. B: Magnet hospitals attract nurses with benefits, but lack of autonomy is not the primary reason for retention issues. C: Multitasking preferences do not directly relate to recruitment and retention challenges.
Question 4 of 5
In order to best improve patient outcomes on an acute care hospital unit, which intervention should the nursing staff advocate for?
Correct Answer: B
Rationale: The correct answer is B because decreasing the number of patients cared for on a specific unit can improve patient outcomes by allowing nurses to provide more individualized care, reduce workload stress, and prevent errors. Staffing only 8-hour shifts (A) may not address the root cause of patient outcomes. Increasing salaries for experienced nurses (C) may improve retention but does not directly impact patient care. Increasing staffing on the evening shift (D) may help with workload distribution but does not address the overall patient load issue.
Question 5 of 5
Nurses can combat the nursing shortage by:
Correct Answer: D
Rationale: The correct answer is D because advocating for funds to pay for nursing education and a safer work environment addresses the root causes of the nursing shortage. By securing funding for education, more individuals can enter the nursing profession. Creating a safer work environment enhances nurse retention. A is incorrect because while unions can negotiate for better benefits, it doesn't directly address the shortage by increasing the number of nurses. B is incorrect because reducing the requirements for foreign nurses may compromise the quality of care and does not address the shortage of local nurses. C is incorrect because working more hours with a higher nurse/patient ratio can lead to burnout and compromise patient safety, exacerbating the nursing shortage.
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