ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
A new graduate arrives for the first interview feeling prepared and excited about beginning a nursing career but quickly becomes concerned when the recruiter asks which illegal question?
Correct Answer: D
Rationale: The correct answer is D because asking about the number of children the candidate has could potentially lead to discrimination based on family responsibilities, which is illegal. This question is not related to the candidate's ability to perform the job duties in the operating room. A: Asking about criminal convictions is legal for certain positions for safety reasons. B: Mentioning pre-employment checks is standard practice and not illegal. C: Inquiring about weaknesses is a common interview question and not discriminatory.
Question 2 of 9
The Health Care Reform Act provides insurance for all U.S. citizens and legal residents presenting far-reaching ethical considerations related to diverse individual patient health care beliefs for those delivering nursing care. Nurses must consider their civil rights under the rights of conscience and how new health care agendas such as the Patient Protection and Affordable Care Act (PPACA) could affect their practice in situations that may conflict with their own belief system. Today's practicing nurse must:
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct: 1. Professional duty: Nurses have a duty to provide patient-centered care regardless of personal beliefs. 2. Legal liability: Withholding treatment based on personal beliefs can lead to legal consequences. 3. Ethical considerations: Nurses must prioritize patient care over personal beliefs. 4. Rights of conscience: Nurses may have the right to refuse to participate in certain treatments, but they must still ensure patient care. 5. Patient-centered care: Nurses must respect patient autonomy and provide care based on the patient's wishes. Summary of why the other choices are incorrect: B. Irrelevant to the nurse's duty to provide patient-centered care. C. Nurses should not impose their beliefs on patients but should respect and support their choices. D. Suggesting the hospital not accept federal funding does not address the nurse's duty to provide patient-centered care.
Question 3 of 9
A new graduate arrives for the first interview feeling prepared and excited about beginning a nursing career but quickly becomes concerned when the recruiter asks which illegal question?
Correct Answer: D
Rationale: The correct answer is D because asking about the number of children the candidate has could potentially lead to discrimination based on family responsibilities, which is illegal. This question is not related to the candidate's ability to perform the job duties in the operating room. A: Asking about criminal convictions is legal for certain positions for safety reasons. B: Mentioning pre-employment checks is standard practice and not illegal. C: Inquiring about weaknesses is a common interview question and not discriminatory.
Question 4 of 9
Managers who exhibit an authoritative behavioral style are most likely to use which source of power?
Correct Answer: C
Rationale: The correct answer is C: Coercive. Managers with an authoritative behavioral style tend to use coercive power, which involves the ability to influence others through threats or punishment. This style relies on fear and control to achieve compliance. Informal power (A) is based on relationships and influence, expert power (B) is derived from knowledge and expertise, and reward power (D) is based on the ability to provide incentives. However, coercive power aligns most closely with an authoritative style as it emphasizes control and dominance over subordinates.
Question 5 of 9
The priority intervention to improve work-related quality of life for nurses is to:
Correct Answer: A
Rationale: The correct answer is A: provide safe harbors for unjust or unsafe work assignments. This is the priority intervention because ensuring a safe work environment is crucial for nurses' well-being and quality of life. By addressing unjust or unsafe work assignments, nurses can feel supported and protected, leading to improved job satisfaction and overall quality of life. Option B: improving nurse-physician communications is important but not as critical as ensuring a safe work environment. Option C: requiring professional development courses is beneficial but may not directly address the immediate concerns of nurses' quality of life. Option D: improving vertical working relationships is important, but addressing unsafe work conditions should take precedence for nurses' well-being.
Question 6 of 9
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely. Explanation of other choices: B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task. C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions. D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.
Question 7 of 9
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 8 of 9
A nurse is responsible for determining the incidence rates of hospital-acquired diarrhea on a pediatric ward after receiving reports that five children admitted with uncontrolled asthma had developed diarrhea while hospitalized. The nurse is working in the role of:
Correct Answer: B
Rationale: The correct answer is B: infection control. In this scenario, the nurse is focusing on preventing and controlling the spread of hospital-acquired diarrhea among pediatric patients. By investigating the incidence rates and implementing measures to reduce the risk of infection transmission, the nurse is fulfilling the role of infection control. Quality management (A) focuses on improving processes and outcomes, not specifically on infection prevention. Occupational health (C) involves ensuring workplace safety for employees, not patient infection control. Forensics (D) involves investigating and analyzing evidence related to crimes or legal matters, not infection control in a healthcare setting.
Question 9 of 9
A nurse caring for a patient with anemia and heart failure prepares to hang a unit of packed red blood cells and realizes her break is in 5 minutes. She decides it is not necessary to have another nurse check the blood against the patient's information since the patient's blood type is O+ which she incorrectly remembered to be the universal donor. She hangs the blood, noting the patient is "reading and vital signs normal." She leaves the floor for her break and does not report leaving or ask anyone to perform required vital signs. Upon returning she meets a family friend who is visiting and time "just flies." She returns to the patient's room after admitting a new patient. The patient is hypotensive and color is cyanotic and anxious. She reports the findings to the charge nurse, who then contacts the physician. A blood reaction occurrence is noted. The nurse providing care is charged:
Correct Answer: C
Rationale: The correct answer is C: with criminal negligence. The nurse displayed a reckless disregard for the patient's safety by not verifying the blood type, leaving for an extended break without ensuring proper monitoring, and failing to report her absence. These actions were highly irresponsible and demonstrated a severe lack of care and attention to the patient's well-being. Criminal negligence involves a conscious disregard for the consequences of one's actions, which in this case resulted in a serious adverse event for the patient. Choices A and B do not fully capture the gravity of the nurse's actions, as they imply a lesser degree of fault. Choice D, under the doctrine of res ipsa loquitur, would be inappropriate in this scenario as the nurse's actions directly contributed to the adverse outcome.