ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
A group of RNs wish to seek union representation that would protect all workers in the agency including nonlicensed assistive personnel and non-nursing employees such as nutritionists and dietary workers. The type of union being sought is the strongest collective group and is known as a(n):
Correct Answer: B
Rationale: The correct answer is B: industrial union. Industrial unions represent all workers in a particular industry regardless of their specific job roles, providing collective bargaining power for a broader group. In this scenario, the RNs seeking union representation aim to include nonlicensed personnel and non-nursing employees, making an industrial union the most appropriate choice. A: Occupational union focuses on specific occupational groups, not as inclusive as industrial unions. C: Union shop refers to a workplace where all employees must join the union after being hired, not related to the scope of representation. D: Right-to-work bargaining organization allows employees to choose whether or not to join the union, not the strongest type of union for collective representation.
Question 2 of 5
It is important to realize that nurses may seek unionization if: (select all that apply)
Correct Answer: C
Rationale: Rationale: Choice C is correct because it highlights a significant issue related to patient safety - medication errors caused by delayed shift reports. This creates a legitimate concern for nurses regarding the effectiveness of communication and ultimately patient care. Seeking unionization could be a way for nurses to address this issue collectively. Summary: - Choice A is incorrect as it focuses on physician coverage rather than nurse concerns. - Choice B is incorrect as it addresses staffing and scheduling but does not directly relate to nurses seeking unionization. - Choice D is incorrect as it describes a collaborative care approach, which does not necessarily indicate a need for unionization among nurses.
Question 3 of 5
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
Correct Answer: D
Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale: 1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate. 2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication. 3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources. 4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A. In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.
Question 4 of 5
An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:
Correct Answer: A
Rationale: The correct answer is A: decision support. In this scenario, the nurse inputs clinical manifestations into a computer program to assist in generating a diagnosis. Decision support systems use algorithms and data to provide healthcare professionals with evidence-based recommendations or diagnoses. In this case, the system likely recognized the combination of clinical signs as indicative of fat emboli. Telehealth (B) involves remote healthcare services, not diagnosis. Robotic technology (C) and biometric technology (D) are not directly related to clinical diagnosis like decision support systems are.
Question 5 of 5
A nurse is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads, "infuse over 1 hour by portacath." The nurse accesses the Personal Digital Assistant for software that lists the steps to access a portacath. The nurse is using:
Correct Answer: B
Rationale: The correct answer is B: point-of-care technology. Point-of-care technology refers to tools and devices that assist healthcare providers in delivering care at the patient's bedside. In this scenario, the nurse is accessing a software application on a Personal Digital Assistant to follow steps for accessing a portacath, which is a form of point-of-care technology. This technology enables quick and accurate access to necessary information, ensuring safe and efficient care delivery. Incorrect choices: A: Electronic health records (EHR) primarily store patient information and medical history but do not provide real-time guidance on procedures like accessing a portacath. C: Data management involves organizing and analyzing healthcare data but does not directly assist in patient care tasks like accessing a portacath. D: Telehealth involves remote healthcare services, which are not relevant to the nurse's immediate task of accessing a portacath.