ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:
Correct Answer: B
Rationale: The correct answer is B: functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their skills and qualifications. This system is task-oriented, with each staff member responsible for a specific function, such as medication administration or personal hygiene, for the entire unit. This allows for efficient and specialized care delivery. A: Total patient care involves one nurse providing all aspects of care to a group of patients. C: Team nursing involves a team of healthcare professionals working collaboratively to provide care to a group of patients. D: Primary nursing assigns one nurse to oversee the care of a group of patients from admission to discharge.
Question 2 of 9
A nurse realizes that a health care concern related to globalization was:
Correct Answer: B
Rationale: The correct answer is B: the pandemic of H1N1 "swine flu." This is because the H1N1 flu pandemic was a global health concern directly linked to globalization due to the rapid spread of the virus across borders. The emergence of epidemic hepatitis A (choice A) is not directly tied to globalization. The reemergence of polio (choice C) is more associated with gaps in vaccination coverage rather than globalization. An increase in chronic illnesses (choice D) can be influenced by various factors, but it is not specifically a result of globalization in the context of this question.
Question 3 of 9
A nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:
Correct Answer: B
Rationale: The correct answer is B because in a mass casualty disaster following a terrorist attack, the same ground rules practiced in other settings and during smaller crises will be applicable. This is because the scale and complexity of the disaster require established protocols and procedures to manage the situation effectively. Choice A is incorrect because the response of local hospitals may not necessarily be dictated by the federal government in such situations. Choice C is incorrect because assigning the least experienced nurses to triage patients based on their perceived risk or chances of survival is not ethical or effective. Choice D is incorrect because having multiple incident commanders can lead to confusion and delays in decision-making during a crisis.
Question 4 of 9
A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." To research the answer, the National Survey of Registered Nurses was reviewed and found:
Correct Answer: C
Rationale: Step 1: The question asks about the reason for the nursing shortage and references the National Survey of Registered Nurses. Step 2: Choice C states that practicing registered nurses are satisfied with their jobs and most remain with the same employer they worked for the previous year. Step 3: This suggests that the nursing shortage is not due to registered nurses being unhappy with their jobs and leaving. Step 4: Therefore, the correct answer is C, as it directly addresses the misconception presented in the question. Step 5: Choices A, B, and D are incorrect because they do not align with the information provided in the National Survey of Registered Nurses and do not address the actual reason for the nursing shortage.
Question 5 of 9
As part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurse's initials. The nurse is hoping to be promoted to a full-time position within the quality department, and her success on this project is very important to her receiving the position. The nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. The nurse discusses her concerns with the manager, who frees her for 1 hour each day to make rounds. During this 1 hour each day the nurse will organize herself and environment by practicing the:
Correct Answer: B
Rationale: The correct answer is B: reducing stacked-desk syndrome. This term refers to the practice of organizing tasks and environment to prevent work from piling up. In this scenario, the nurse is given 1 hour each day to focus solely on the quality assurance project, helping her prevent tasks from accumulating and ensuring she can complete her rounds efficiently. This practice enhances productivity and enables the nurse to manage her workload effectively. Choice A, "art of 'no detourism,'" is irrelevant in this context as it does not address the issue of organizing tasks and environment. Choice C, "art of 'wastebasketry,'" is not applicable as it pertains to the skill of decision-making and prioritization, which is not the primary concern in this scenario. Choice D, "managing e-mail and memo mania," is also not directly related to the nurse's need to organize herself and environment for the quality assurance project.
Question 6 of 9
A client involved in a motor vehicle accident is blinded. The nurse helps the client obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?
Correct Answer: A
Rationale: The correct answer is A: Watson's philosophy and science of caring and humanistic nursing. This theory emphasizes the importance of the nurse-client relationship, caring, and holistic care. In this scenario, obtaining a guide dog for the client reflects the nurse's caring actions to promote the client's independence and well-being. By helping the client cope with the handicap and continue daily activities, the nurse embodies the essence of caring and humanistic nursing. Incorrect Choices: B: Mishel's uncertainty in illness - This theory focuses on how individuals respond to uncertainty in illness situations, which does not directly apply to the scenario of obtaining a guide dog for a blinded client. C: Orem's self-care deficit - This theory emphasizes the nurse's role in assisting clients with self-care activities when they are unable to do so independently. While related to the scenario, it does not capture the essence of caring and humanistic nursing demonstrated in the client's situation. D: Rogers' science of unitary human beings - This
Question 7 of 9
A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the experienced staff member's expertise by asking for their input and suggestions. This approach fosters open communication, encourages collaboration, and shows a willingness to learn from others. Choice A lacks clarity and assumes the staff member knows the patients in question. Choice C is presumptuous and dismissive of the staff member's autonomy. Choice D is authoritarian and does not promote a positive working relationship. Ultimately, choice B promotes teamwork and mutual respect, leading to a smoother delegation process.
Question 8 of 9
A nurse works on a unit where electronic health records (EHR) are being initiated and asks, "What is meant by 'meaningful use' standards that are in our education packet?" The best answer is that "meaningful use":
Correct Answer: A
Rationale: The correct answer is A because "meaningful use" standards in EHR refer to specific criteria that healthcare providers must meet to receive incentives for using EHR effectively. This includes improving quality, safety, efficiency, and reducing health disparities. By meeting these benchmarks, providers can qualify for funds from Medicare. Choice B is incorrect because "meaningful use" is not just about training competencies but about how EHR systems are used to improve patient care. Choice C is incorrect as it misinterprets the concept of meaningful use. It is not about a specific percentage of patients with data entered, but about the overall impact of EHR on healthcare delivery. Choice D is incorrect because while confidentiality and security are important aspects of EHR, they are not the sole focus of meaningful use standards.
Question 9 of 9
A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others' cultural beliefs. The nurse's first step to ensure cultural competence and sensitivity is to:
Correct Answer: D
Rationale: The correct answer is D: conduct a cultural self-assessment. This is the first step to ensure cultural competence because it allows the nurse to reflect on their own beliefs, biases, and cultural background, which can impact interactions with culturally diverse clients. By understanding one's own cultural identity, the nurse can better appreciate and respect the beliefs of others. Choice A is incorrect because enrolling in a nursing theories course may provide knowledge but does not address the nurse's own biases. Choice B is also incorrect as immersion in nursing literature may increase knowledge but does not promote self-awareness. Choice C is incorrect as focusing on health assessment variations does not necessarily address cultural sensitivity in interactions. Conducting a cultural self-assessment is essential for building a foundation of cultural competence and respect.