ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
A consumer is learning about electronic health records at a local health fair and states, "I am worried that someone can read my health information and I really don't understand the difference between privacy and confidentiality." The nurse explains that an example of confidentiality would be:
Correct Answer: D
Rationale: The correct answer is D because locking medical records in cabinets to prevent unauthorized users from accessing patient information exemplifies confidentiality. This practice ensures that only authorized individuals have access to sensitive health data, maintaining patient privacy. Choice A is about a pledge of confidentiality, not an actual practice. Choices B and C involve patients withholding information, which is related to privacy but not confidentiality.
Question 2 of 9
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.
Question 3 of 9
A graduate of a nursing school in the United States plans to practice nursing in Paris, France. To request licensure to practice in Paris, the nurse:
Correct Answer: D
Rationale: The correct answer is D because the nurse should contact the International Council of Nurses or the nursing regulatory board of the country where they plan to practice to understand the licensure requirements. This is important as each country has its own specific regulations for foreign nurses. Option A is incorrect as not all countries require a special examination for foreign graduates. Option B is incorrect as nursing education in the United States does not automatically qualify a nurse to practice in other countries without meeting their specific requirements. Option C is incorrect because it assumes that only language and cultural assessments are necessary for licensure, overlooking other regulatory requirements.
Question 4 of 9
Nurses in Tennessee, Mississippi, and Arkansas gather for a conference related to improving quality and safety in practice and nursing education. They are awarded continuing education (CE) credit for participation and evaluation of the conference. One nurse from California states, "I need these CEs to renew my license." The nurse from Mississippi replies, "You do not need CEs for license renewal or advance practice certification renewal." Which statement about CEs would help these nurses?
Correct Answer: B
Rationale: Rationale for B being the correct answer: Continuing education aims to ensure ongoing competence, but states have the autonomy to decide if CEs are mandatory. This statement aligns with the diversity in state requirements. Summary of other choices: A: This choice generalizes the requirement for CEs across all states, which is not accurate as each state has its own regulations. C: The requirement for CEs is not based on working across state lines but on individual state regulations. D: This choice incorrectly implies that continuing education is unnecessary for maintaining competence, which is not the case.
Question 5 of 9
When can a nurse detain a client by using restraints?
Correct Answer: D
Rationale: The correct answer is D because the use of restraints on a client should only be done with proper authorization. Physician orders following a medical evaluation ensure that the decision is based on clinical necessity. Choices A, B, and C are incorrect because they do not provide valid reasons for using restraints. Insufficient staffing, confusion, and family requests are not appropriate justifications for restraining a client. It is essential to prioritize the client's safety and well-being while following proper protocols and guidelines.
Question 6 of 9
A researcher is interested in quality of life and after an extensive literature review quantitatively integrates data from identified studies and describes the findings. This researcher is using which approach? (select all that apply)
Correct Answer: C
Rationale: The correct answer is C: Meta-analysis. In a meta-analysis, a researcher combines data from multiple studies to provide a quantitative summary of the findings. This approach allows for a more comprehensive and statistically powerful analysis of the research evidence on a particular topic. Survey (A) involves collecting data directly from individuals, which is not the same as integrating data from existing studies. Triangulation (B) refers to using multiple methods or data sources to validate findings, not necessarily integrating data from different studies. State of the science summary (D) typically involves summarizing the current state of knowledge on a topic but does not involve quantitative integration of data like in a meta-analysis.
Question 7 of 9
A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which question would retrieve the most valuable information about health practices?
Correct Answer: D
Rationale: The correct answer is D because it specifically asks about the exercise practices the older adults participate in, providing detailed information on their current exercise routines. This question is valuable as it helps the nurse understand the type, intensity, and frequency of exercises being performed by the individuals with osteoporosis. Choice A is too broad and doesn't focus on specific exercise practices. Choice B is about personal preferences rather than actual exercise practices. Choice C focuses on the timing of exercise but does not delve into the types of exercises being performed. Thus, D is the most valuable question for gathering pertinent information regarding the exercise practices of older adults with osteoporosis.
Question 8 of 9
A nurse executive is concerned that the mortality rate in his or her hospital exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality, including work environment. If Aiken's recommendations are followed, which change would be most effective?
Correct Answer: A
Rationale: The correct answer is A: Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts. Aiken's survey emphasized the importance of adequate nurse staffing in improving patient outcomes and reducing mortality rates. By increasing staffing ratios with nurses of all educational levels, the hospital can ensure better patient care, effective coordination, and timely interventions. This approach addresses the key factors highlighted in Aiken's survey - nurse staffing and education. Choices B, C, and D are incorrect because they do not directly address the issue of nurse staffing, which was the primary focus of Aiken's survey. Employing bachelor's prepared nurses participating in interprofessional rounds (B) may improve communication but does not solely address the staffing concerns. Ensuring nurse managers have a master's degree (C) may improve leadership but does not directly impact frontline staffing. Encouraging unlicensed assistive personnel to attend educational programs (D) may enhance skills but does not address the need for more nurses in the staffing ratios
Question 9 of 9
A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is:
Correct Answer: B
Rationale: The correct answer is B: moving. In Lewin's change management model, the process involves three stages: unfreeze, move, and refreeze. In this scenario, the hospital has already identified the need for change (unfreeze) by recognizing the issue with patient satisfaction scores. The change agent's recommendations and the implementation of interdisciplinary walking rounds and involving patients and families in rounds indicate the active phase of making changes and transitioning to new practices (moving). The actions taken, such as rounding every shift, updating the team through huddles, monitoring nurse participation, and interviewing patients, all demonstrate movement towards the desired change. Refreeze would come after the changes have been successfully implemented to stabilize and institutionalize the new practices. The options A (unfreeze) and C (refreeze) are incorrect as the hospital is currently in the implementation phase of change, and option D (resistance) does not apply as there is no indication of significant resistance to the proposed changes in the scenario provided.