ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence. To enhance employee satisfaction related to staffing, the management team:
Correct Answer: C
Rationale: Step-by-step rationale for choice C: 1. Participatory management involves nurses in decision-making, increasing job satisfaction. 2. Involving nurses in staffing decisions can lead to better scheduling and workload distribution. 3. This empowerment can improve morale and foster a sense of ownership among nurses. 4. Ultimately, participatory management enhances job satisfaction and retention. Summary: - Choice A (additional agency nurses) may address short-term staffing needs but doesn't directly improve job satisfaction. - Choice B (more part-time employees) may not address underlying issues of satisfaction and can lead to scheduling challenges. - Choice D (using float nurses) may help cover vacancies but doesn't involve nurses in decision-making or address satisfaction directly.
Question 2 of 5
While participating in a task force to proactively plan for nursing care delivery over the next 20 years, a nurse learns that dramatic changes will occur as a result of: (select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: the increase in the number of minimally invasive procedures being performed for disease treatment. This is because advancements in medical technology have led to a shift towards less invasive procedures, impacting how nursing care is delivered. Minimally invasive procedures often require specialized care and monitoring, necessitating changes in nursing practice. Choice B is incorrect as care provided for patients over an extended period in acute care settings is not a significant factor driving dramatic changes in nursing care delivery over the next 20 years. This scenario is more related to the current healthcare system rather than future changes. Choice C is incorrect as the reduction in the number of nurses and healthcare professionals available to provide care is unlikely to be a driving force for dramatic changes. In fact, efforts are being made to address the nursing shortage through various initiatives. Choice D is incorrect as widespread illiteracy and decreased self-efficacy of the aging patient population, while important considerations for nursing care, are not the primary factors driving dramatic changes in
Question 3 of 5
A nurse is removing a saturated dressing from an abdominal incision and must cut the tape to remove the dressing. The nurse accidentally cuts the sutures holding the incision, and evisceration occurs. In quality improvement, this incident is best identified as a:
Correct Answer: B
Rationale: The correct answer is B: sentinel event. A sentinel event is an unexpected occurrence involving death or serious physical or psychological harm to a patient. In this scenario, the accidental cutting of sutures leading to evisceration constitutes a serious harm to the patient, making it a sentinel event. This event requires immediate investigation, analysis, and implementation of preventive measures to ensure patient safety. A: Root cause refers to the underlying reason for a problem, not the event itself. C: Variation in performance is related to inconsistencies in processes, not a specific critical incident like evisceration. D: Causal factor is a contributing element to an event, but it does not capture the severity and significance of a sentinel event like evisceration.
Question 4 of 5
An organization's emergency preparedness task force meets to discuss how it should react in case of a terrorist attack and develops a disaster evacuation plan that details how each department will assist individuals in reaching safety. This type of diagram is referred to as a:
Correct Answer: D
Rationale: The correct answer is D: deployment chart. A deployment chart is used to illustrate how resources or personnel are allocated and utilized during an emergency or disaster situation. In this case, the organization's emergency preparedness task force is detailing how each department will assist individuals in reaching safety, which aligns with the purpose of a deployment chart. It helps visualize the specific roles and responsibilities assigned to each department during an evacuation. A: Pareto chart is used for prioritizing actions based on the 80/20 rule. B: Control chart is used for monitoring process variations over time. C: Top-down flowchart is used to represent the sequence of steps in a process hierarchy. In summary, the other choices are incorrect because they do not specifically address the allocation of resources and responsibilities during an emergency evacuation scenario, which is the primary function of a deployment chart.
Question 5 of 5
During the night, a patient fell in the bathroom and sustained a hip injury. The patient was very upset because of being unable to attend a granddaughter's wedding in 2 days. The team looked at the process and determined that the patient had been medicated with a narcotic, had urinary urgency so had not taken the time to put on shoes, failed to turn on the light because the door to the hall let in some light, and stumbled over a towel that had been placed to collect water leaks caused by construction that was in progress to replace damaged sinks. Which factor was a special cause variation?
Correct Answer: D
Rationale: The correct answer is D: Improper construction that caused the leak and towel placement. This is a special cause variation because it is an external factor outside the patient's control that directly contributed to the incident. The construction causing water leaks and the placement of a towel to collect water created a hazardous environment leading to the fall. The other choices, A, B, and C, are common cause variations as they are related to the patient's behavior or medical condition which could have been managed or controlled within the usual process.