ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?
Correct Answer: D
Rationale: The correct answer is D: Controlling. Controlling involves monitoring performance, comparing it to objectives, and taking corrective actions. In this scenario, the manager is reviewing unexpected expenditures and quality indicators to ensure they align with goals and standards. Directing focuses on guiding and motivating employees. Planning involves setting goals and determining actions to achieve them. Organizing involves arranging resources and tasks.
Question 2 of 5
Organizations measure the effectiveness of their budgets by examining actual revenues and expenditures versus:
Correct Answer: A
Rationale: The correct answer is A: planned variances. Organizations compare actual revenues and expenditures to planned variances to measure budget effectiveness. Planned variances show the differences between the budgeted amounts and the actual results, highlighting areas of over or underperformance. This analysis helps organizations identify reasons for deviations and adjust future budgets accordingly. Explanation for other choices: B: Incremental budgets focus on adjusting previous budgets by a fixed amount, not on comparing actual versus planned amounts. C: Productivity metrics measure the efficiency of resources used, not specifically related to budget effectiveness. D: Expected performance is a vague term that does not directly address comparing actual versus planned financial data.
Question 3 of 5
The nurse manager meets with upper administration and learns that the strategic plan for nursing is to have 80% BSN staff within the next 3 years. The nurse manager then built her budget to meet the organization's strategic goal by providing tuition reimbursement and flexible work hours, which required some agency staffing. Which approach to budgeting is used?
Correct Answer: C
Rationale: The correct answer is C: Participatory. The nurse manager involves staff in the budgeting process by allowing input through tuition reimbursement and flexible work hours. This approach promotes engagement and collaboration, aligning with the organization's strategic goal of increasing BSN staff. Participatory budgeting is characterized by involving stakeholders in decision-making, leading to buy-in and better implementation of the budget. Summary of other choices: A: Iterative - Involves repeating steps to refine the budget, not necessarily focused on stakeholder participation. B: Top-down - Decision-making comes from upper management without much input from lower levels. D: Zero-based - Requires justifying every expense from scratch, not necessarily involving staff input in decision-making.
Question 4 of 5
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
Correct Answer: D
Rationale: The correct answer is D: false assurance. By not providing a verbal response to the patient's question and shrugging her shoulders, the nurse is not giving any indication of the patient's actual condition. This lack of communication can lead the patient to interpret the nurse's actions as reassurance that everything is fine, which is a form of false assurance. This behavior can be misleading and may prevent the patient from receiving important information about their health status. Incorrect choices: A: open communication - The nurse's lack of verbal response and shrugging shoulders does not demonstrate open communication. B: filtration - Filtration is not relevant to the situation described. C: blocking - While the nurse is not providing necessary information, the term "blocking" does not accurately describe the situation.
Question 5 of 5
A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?
Correct Answer: B
Rationale: The correct answer is B: Past experiences. In this scenario, the staff nurse's past experience of having a stillborn infant with Down syndrome is influencing her perception and behavior towards the new mother. This past experience is shaping her emotions, thoughts, and actions, demonstrating how personal experiences can impact communication in healthcare settings. This highlights the importance of self-awareness and reflection to understand how past experiences can influence interactions with patients. Incorrect choices: A: Personal perception - While personal perception plays a role in communication, the key factor in this scenario is the staff nurse's past experience, not just her perception. C: Filtration - Filtration refers to the process of selectively interpreting information. In this case, the staff nurse's behavior is more influenced by her past experience rather than selective filtering of information. D: Preconceived idea - While the staff nurse may have preconceived ideas about individuals with Down syndrome due to her past experience, the primary focus is on her past experience itself rather