ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
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 2 of 5
A nurse who has practiced for 1 year on a medical-surgical unit is very interested in a position in the operating room. She traces the nursing history of surgery to learn how nursing has evolved in this practice. To determine if, historically, surgery methods advanced the practice of nursing, select the correct statements. (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections. This statement is correct because during the Middle Ages, barbers often performed surgical procedures and used techniques like boiling water and alcohol to sterilize instruments, reducing the risk of wound infections. This practice contributed to advancing the field of surgery and indirectly influenced nursing practice by emphasizing the importance of infection control. Incorrect choices: A: The Ancient Egyptians were the first to use anesthesia in the operating room - This statement is incorrect as anesthesia was not used in surgery until the 19th century. C: The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses - This statement is incorrect as while Indian culture had early hospitals and female nurses, their practices were not comparable to modern nursing. D: During the Renaissance, advances in nursing education, including surgery, were nonexistent - This statement is incorrect as the Renaissance saw advancements in medical and surgical knowledge
Question 3 of 5
Although the use of technology and the Internet provides nursing faculty and students with unlimited resources and current information, an outcome associated with this trend is that:
Correct Answer: A
Rationale: The correct answer is A. Users of electronic resources may spend a disproportionate amount of time looking for pertinent content due to the vast amount of information available online. This can lead to inefficiencies and time wasted in searching for relevant resources. Choice B is incorrect because although special skills may not be needed to access information via the Internet, the abundance of information can still lead to time wastage. Choice C is incorrect as immediate results and outcomes expected from students and faculty can actually increase pressure and time constraints, rather than enhancing time management. Choice D is incorrect as while problem-solving and reflective abilities may be developed through using technology and the Internet, the question specifically focuses on the negative outcome of spending excessive time searching for content.
Question 4 of 5
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 5
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.
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