ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A group of local volunteers respond to a tornado. Volunteers have completed an emergency response course and are able to assist with triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of the:
Correct Answer: A
Rationale: The correct answer is A: Medical Reserve Corps (MRC). Step 1: The MRC is a community-based program of volunteers who are trained to respond to public health emergencies. Step 2: The volunteers in the scenario have completed an emergency response course and are assisting with triage and educating the public, aligning with the MRC's mission. Step 3: The MMRS focuses on responding to mass casualty incidents, not necessarily public health emergencies like tornadoes. NDMS is a federally coordinated system for medical response in disasters, not typically focused on community-based responses. CCRF is a reserve force within the U.S. Public Health Service, not specifically focused on community emergency response.
Question 2 of 5
The first step in the nursing process and in the problem-solving process is to:
Correct Answer: B
Rationale: The correct answer is B: gather information. This step is essential as it allows nurses to collect data, assess the situation, and make informed decisions. Identifying the problem (A) comes after gathering information. Considering consequences (C) and implementing interventions (D) are later steps in the process once information has been gathered. Gathering information is foundational to problem-solving as it provides the necessary data to understand the situation fully and determine the appropriate course of action.
Question 3 of 5
A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Which type of leader accurately describes this nurse?
Correct Answer: A
Rationale: The correct answer is A: Transactional. This type of leader focuses on routine tasks, maintaining order, and ensuring tasks are completed efficiently. In this scenario, the nurse is primarily concerned with daily operational tasks like restocking supplies and checking orders, which align with transactional leadership. Situational leadership focuses on adapting to different situations, transformational leadership inspires change and innovation, and contemporary leadership encompasses various modern leadership styles.
Question 4 of 5
A clinical nurse leader (CNL) enters the workforce and hopes to use her interdisciplinary skills to participate on a quality improvement committee. The coordinator of the quality group invites the CNL to join the group. Which type of power is demonstrated by the coordinator of the group?
Correct Answer: D
Rationale: The correct answer is D: Legitimate. The coordinator's power is based on their legitimate authority to invite individuals to join the quality improvement committee. Legitimate power is derived from one's position or role within an organization, giving them the right to make decisions and direct activities. In this scenario, the coordinator's invitation is based on their legitimate authority as the leader of the quality group. Choice A: Coercive power involves the use of threats or punishment to influence others, which is not evident in the scenario. Choice B: Transformational power focuses on inspiring and motivating others to achieve a common goal, which is not explicitly demonstrated in the scenario. Choice C: Laissez-faire power involves a hands-off approach to leadership, allowing individuals to make their own decisions without much guidance, which is not applicable in this scenario.
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.