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
A nurse is approached to sign a union authorization card. If signed, the card:
Correct Answer: A
Rationale: Rationale for Answer A: Signing a union authorization card authorizes the union to serve as the nurse's legal representative in labor negotiations and other matters. By signing, the nurse is indicating consent for the union to act on their behalf. This is a crucial step in the unionization process. Summary of Other Choices: B: Requesting additional information about collective bargaining does not require signing a union authorization card. C: Sharing information about grievances does not necessarily require signing a union authorization card. D: Deducting union dues from pay is a separate process that typically requires a separate authorization form, not the union authorization card.
Question 3 of 5
The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order: (items on left will be moved in correct order on the right) Open inner package, taking care not to touch inner surface. Put the glove on the nondominant hand using the sterile gloved hand. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. Adjust each glove carefully by sliding finders under the cuffs. The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
Correct Answer: A
Rationale: The correct answer is A: Drag-and-drop item, comprehension. This question requires the nurse to demonstrate understanding of the correct sequence for applying sterile gloves. The drag-and-drop format assesses the ability to organize steps in a specific order, which falls under the comprehension level of Bloom's taxonomy, where the individual is required to understand the information provided. The other choices are incorrect because: B: Chart/exhibit item, analysis - This choice involves interpreting data or information presented in a chart or exhibit, which is not the case in this question. C: Multiple-response, application - This choice requires selecting multiple correct responses to a scenario, which is not the format of this question. D: Hot-spot item, knowledge - This choice involves identifying a specific area or point on an image, which is not relevant to the question about the correct sequence for applying sterile gloves.
Question 4 of 5
A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM. The surgical team adheres to the 2012 National Patient Safety Goals by implementing which protocols? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety. Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification. Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification. Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.
Question 5 of 5
The nurse is demonstrating active listening when:
Correct Answer: B
Rationale: The correct answer is B because maintaining eye contact while focusing on the patient's description of pain level and location demonstrates active listening. This non-verbal communication shows empathy and attentiveness to the patient's concerns. Choice A focuses on providing information rather than actively listening. Choice C involves personalizing the situation rather than focusing on the patient's needs. Choice D involves agreeing with the patient's decision rather than actively listening to understand their perspective.
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