ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
A group of nurses are interested in the how to improve teaching effectiveness for patients who have a hearing impairment and lack family involvement while hospitalized. They believe "hearing loss decreases the teaching effectiveness while hospitalized." The group plans to evaluate teaching effectiveness using a 10-point Likert scale pre-post teaching, perform a hearing test to determine degree of hearing loss on admission, and have social work evaluate the impact of hearing impairment on patient's ability to safely live alone prior to discharge. The group is working in which step of the scientific process?
Correct Answer: B
Rationale: The correct answer is B: Method. In the scientific process, the method refers to designing and planning the research study. In this scenario, the group of nurses is planning how to improve teaching effectiveness for patients with hearing impairment, which involves designing the study by using a Likert scale pre-post teaching evaluation, conducting a hearing test, and involving social work for evaluation. This step focuses on determining how the research will be carried out, including data collection methods and procedures. The other choices are incorrect because: A: Hypothesis - This step involves formulating a testable prediction based on observations or existing knowledge. C: Results - This step involves analyzing the data collected and drawing conclusions. D: Evaluation - This step involves assessing the effectiveness or outcomes of the research study.
Question 2 of 5
The research hypothesis is that aromatherapy reduces stress more effectively than does acupuncture. The researcher does not identify a control group. This study would be a(n) design.
Correct Answer: A
Rationale: The correct answer is A: experimental design. In an experimental design, the researcher manipulates one variable (aromatherapy vs. acupuncture) to observe its effect on another variable (stress). Without a control group, it is impossible to establish a baseline for comparison. A control group is essential to isolate the effects of the treatment from other variables. Quasi-experimental designs lack random assignment, surveys are used to gather data rather than test hypotheses, and meta-analyses involve combining and analyzing results from multiple studies.
Question 3 of 5
Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?
Correct Answer: B
Rationale: The correct answer is B: Pilot. A pilot study involves testing a new intervention on a small scale to assess feasibility and potential outcomes before implementing it on a larger scale. In this case, the unit is planning to use an Electronic Medical Record for a limited time to evaluate its impact on documentation time and patient care. This approach allows for targeted feedback and adjustments based on the outcomes observed during the trial period. A: Ethnography involves in-depth observation and analysis of a specific culture or group, which is not the focus of the scenario. C: Secondary data analysis involves the use of existing data for research purposes, not the implementation of a new intervention. D: Phenomenology focuses on understanding individuals' subjective experiences, which is not the primary goal of implementing an Electronic Medical Record in this case.
Question 4 of 5
A nurse is interested in studying the rituals of a tribe living in remote areas of AfricThe researcher is accepted into the tribe and observes firsthand the rituals practiced. Themes were analyzed to arrive at a description of the culture including rituals. The nurse is practicing which type of research?
Correct Answer: A
Rationale: The correct answer is A: Qualitative, Ethnography. Ethnography involves studying a culture through direct observation and interaction, which aligns with the nurse's approach of observing the tribe's rituals firsthand. This type of research focuses on understanding cultural practices and behaviors in their natural context, making it suitable for studying the tribe's rituals. Choice B: Qualitative, Phenomenology focuses on exploring individuals' lived experiences and perceptions, not cultural practices like rituals. Choice C: Quantitative, Quasi-experimental involves manipulating variables in controlled settings, not ethnographic observation. Choice D: Quantitative, Secondary data analysis involves analyzing existing numerical data, not direct observation of cultural rituals.
Question 5 of 5
Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing:
Correct Answer: B
Rationale: The correct answer is B: length of hospital stay. DRGs aim to reduce healthcare costs by incentivizing hospitals to provide efficient care and discharge patients sooner. Shortening the length of hospital stay helps decrease overall healthcare expenses without compromising the quality of care. Choices A, C, and D are incorrect because DRGs focus on the duration of hospitalization, not necessarily on hospital admission rates, outpatient services, or specialty groups. Shortening hospital stays is a more direct way to control costs within the inpatient setting.