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
According to Kramer, nurses in the shock phase should ask themselves:
Correct Answer: C
Rationale: The correct answer is C because in the shock phase, nurses should focus on self-reflection and personal growth to cope effectively with the challenges. Asking what changes they can make to feel good about their career choice promotes self-awareness and resilience. Choices A and D focus on external factors, which may not address personal development. Choice B reflects a self-critical mindset, which can be detrimental to emotional well-being during the shock phase.
Question 3 of 5
A current trend is for students to be evaluated to determine whether they demonstrate competence in the actual client care environment or with a standardized patient. This process occurs in addition to or instead of traditional pencil-and-paper evaluations. This type of evaluation is referred to as:
Correct Answer: D
Rationale: The correct answer is D: performance-based assessment. This type of evaluation focuses on assessing students' ability to perform tasks and demonstrate competence in real-world scenarios, such as client care environments or with standardized patients. It is a more practical and hands-on approach compared to traditional pencil-and-paper evaluations. Core practice competencies (A) refer to essential skills and knowledge required for a specific profession. Continuing competence (B) involves ongoing professional development to maintain skills and knowledge. Distance learning (C) is a method of education that does not require physical presence in a traditional classroom setting. Performance-based assessment best aligns with the description provided in the question, making it the correct choice.
Question 4 of 5
Nurses on a unit met with the nurse manager as part of participatory budgeting. They ask, "What exactly is the difference between fixed and variable costs? Understanding this will help us better understand the budgeting process." The manager provides a definition and asks the staff to list types of direct and indirect cost. Which example would indicate a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because the nurse manager's salary is typically considered a fixed cost, not a variable cost. Fixed costs remain constant regardless of the level of production or activity, while variable costs change in direct proportion to the level of activity. The nurse manager's salary is a fixed cost because it remains the same regardless of how many nurses are employed or how many patients are being cared for. A: Fixed costs such as accreditation fees are correct examples. B: Fixed costs like the cost for the automated medication-dispensing system are also correct examples. D: Variable costs like the salary expense for registered nurses are correct examples. Therefore, choice C would indicate a need for further teaching as it misidentifies the nurse manager's salary as a variable cost when it should be classified as a fixed cost.
Question 5 of 5
A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
Correct Answer: A
Rationale: The correct answer is A: reflexology. Reflexology is a practice based on the theory that specific areas on the feet and hands correspond to different organs and systems in the body. By stimulating these areas through massage techniques, blood circulation is increased, promoting healing and pain relief. - Choice B, Feldenkrais method, focuses on improving movement and function through awareness and gentle movements, not specifically targeting reflex points. - Choice C, Reiki, involves the transfer of energy to promote healing, but does not involve massage techniques or specific reflex points. - Choice D, Rolfing, is a type of bodywork that focuses on manipulating the body's connective tissues to improve posture and alignment, not specifically targeting reflex points like in reflexology.