ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 9
A new graduate nurse is applying for the exciting first position and states, "I am only applying to Magnet hospitals because those work environments:
Correct Answer: C
Rationale: The correct answer is C because Magnet hospitals are recognized for their ability to not only attract but also retain professional nurses. These hospitals create a positive work environment that values and supports nursing staff, leading to higher job satisfaction and lower turnover rates. Choice A is incorrect because while Magnet hospitals may attract top healthcare providers, it's not solely focused on physicians. Choice B is incorrect as certification is not a mandatory requirement for all RNs in Magnet hospitals. Choice D is incorrect as Magnet hospitals actually encourage nurses to advance their education and professional development.
Question 2 of 9
A new graduate from a master's entry program in nursing announces, "I just passed my clinical nurse leader certification examination." Certification as a clinical nurse leader:
Correct Answer: B
Rationale: The correct answer is B because obtaining the clinical nurse leader certification denotes that the individual has met the minimum level of knowledge and skills required to practice safely in that role. This certification does not grant independent practice authority as in choice C, nor is it granted by the state board of nursing as stated in choice A. Additionally, while the certification recognizes advanced skills and knowledge, it specifically signifies the minimum level needed for safe practice, making choice D incorrect.
Question 3 of 9
A researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with a survey of college sophomores. The researcher was applying the principles of:
Correct Answer: A
Rationale: The correct answer is A: beneficence. Beneficence refers to the ethical principle of maximizing benefits and minimizing harm in research. In this scenario, the researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with the survey of college sophomores. By considering the well-being of the research participants and ensuring that the benefits outweigh any potential risks, the researcher demonstrated the application of beneficence. Summary: Choice A is correct because it aligns with the ethical principle of beneficence in research. Choices B, C, and D are incorrect as they do not directly relate to the consideration of risks and benefits in research involving human participants.
Question 4 of 9
Nurses caring for the victims of a mass casualty incident:
Correct Answer: D
Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.
Question 5 of 9
Which statement related to delegation is correct?
Correct Answer: D
Rationale: The correct answer is D because the RN must have knowledge of laws and regulations governing nursing practice, including those that have unclear boundaries for UAP. This is crucial to ensure safe and effective delegation. Option A is incorrect because the nurse practice act typically does not define UAP roles. Option B is incorrect as delegation also requires assessing competency, not just training. Option C is incorrect as supervision is necessary regardless of the task's routine nature. The correct answer emphasizes the importance of legal knowledge for proper delegation.
Question 6 of 9
Which statement accurately describes communication?
Correct Answer: D
Rationale: The correct answer is D because feedback is an essential component of the communication process. Feedback allows the receiver to respond to the sender, indicating understanding or seeking clarification. This two-way interaction is crucial for effective communication. In contrast, choice A is incorrect as communication components are interdependent, not mutually exclusive. Choice B is also incorrect as communication is often non-linear and involves feedback loops. Choice C is incorrect because communication involves various elements beyond just the sender and the receiver, such as context, message, and noise.
Question 7 of 9
A patient is upset because her health insurance plan refused to pay for a mammogram and services by a women's health specialist because the primary care physician did not order the referral or the mammogram. Which type of insurance plan adheres to this type of payment system?
Correct Answer: B
Rationale: The correct answer is B: Health Maintenance Organization (HMO). In an HMO, services are typically provided by a primary care physician who acts as a gatekeeper for all medical services, including referrals to specialists and diagnostic tests like mammograms. The primary care physician must authorize and order these services for them to be covered by the insurance plan. This system helps control costs and ensures coordinated care. A: Fee for Service does not require a primary care physician to authorize referrals or services. C: PPO allows patients to see out-of-network providers without referrals. D: POS plans offer more flexibility in choosing healthcare providers without requiring a primary care physician's referral.
Question 8 of 9
The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:
Correct Answer: B
Rationale: The correct answer is B: case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves managing the patient's overall care plan, ensuring continuity and efficiency. The other choices are incorrect because: A: Nurse manager focuses on managing nursing staff and unit operations, not individual patient care. C: Coordinator of patient-centered care delivery may oversee care coordination but does not necessarily follow the patient throughout the entire care journey. D: Team leader in team nursing care delivery is focused on leading a specific nursing team, not managing the patient's entire care process.
Question 9 of 9
The new director of nurses has instituted "walking rounds" on all nursing units, rather than the usual taped shift reports. A veteran nurse exclaims, "She doesn't know how we do things here!" The nurse is demonstrating:
Correct Answer: B
Rationale: The correct answer is B: appeal to tradition. The veteran nurse is objecting to the change in practice solely because it deviates from the usual way of doing things. This demonstrates a reliance on tradition rather than considering the potential benefits of the new approach. The appeal to tradition fallacy assumes that something is better or correct simply because it is the traditional way. Incorrect choices: A: Appeal to emotion - This choice involves manipulating emotions to win an argument, which is not evident in the scenario. C: Red herring - This choice involves diverting attention from the real issue, which is not the case in the scenario. D: Straw man - This choice involves misrepresenting the opponent's argument to make it easier to attack, which is not demonstrated in the scenario.