ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
A novice nurse is stressed due to always being behind with her assignments. She is overheard saying, "No one here worries about checking nasogastric tube placement before they give medications and hang feedings. Skipping that step would save me an extra 30 minutes to be used for charting. If they can do it, so can I." This nurse is experiencing which stage of reality shock?
Correct Answer: D
Rationale: The correct answer is D, "native." In this scenario, the nurse is rationalizing skipping a crucial safety step by justifying it with the actions of others, indicating a lack of understanding regarding the importance of the procedure. The "native" stage of reality shock occurs when individuals start to adopt the norms and behaviors of their workplace without questioning or critically evaluating them. This nurse is displaying a mindset of conforming to unsafe practices to fit in with her colleagues, which aligns with the characteristics of the "native" stage. Incorrect choices: A: "loner" does not apply as the nurse is not isolating herself but rather seeking to emulate the actions of others. B: "rutter" does not fit as this stage involves feeling overwhelmed by the demands of the job, not justifying unsafe practices. C: "change agent" is not relevant as the nurse is not actively seeking to instigate change but rather conforming to existing practices.
Question 2 of 5
When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:
Correct Answer: A
Rationale: The correct answer is A: develop. When delegating tasks, it is important for the nurse to choose the most qualified person to ensure safe and effective care. By delegating tasks to someone who needs development, the nurse can provide opportunities for growth and skill enhancement. This benefits both the individual being delegated to and the overall team. Choices B, C, and D are incorrect because promoting, punishing, or rewarding someone based on task delegation can lead to bias, unfairness, or inappropriate incentives, which are not conducive to effective delegation practices.
Question 3 of 5
A student nurse assigned to work with the charge nurse is given the opportunity to help revise the nursing assessment form. She receives several compliments from management and her nursing instructor for her creative suggestions. The student nurse enjoys the project and attention she is receiving and begins to prolong the conclusion of the project. Although she constantly adds new information, she filters this out slowly to others. The student nurse is subject to the time management obstacle of:
Correct Answer: D
Rationale: The correct answer is D: fear of completion. This is because the student nurse is prolonging the conclusion of the project despite constantly adding new information and filtering it out slowly to others. This behavior indicates a reluctance to finish the project, likely due to a fear of moving on to the next stage or fear of evaluation. The student nurse is enjoying the attention and positive feedback, leading to a delay in completing the task. A: The need for perfection is not the primary obstacle in this scenario as the student nurse is not necessarily striving for perfection but rather avoiding completion. B: Fear of losing creativity is not the main issue here as the student nurse is still adding new information, indicating creativity is not the concern. C: Unclear goals do not seem to be the obstacle as the student nurse is actively engaged in the project and receiving positive feedback.
Question 4 of 5
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.
Question 5 of 5
A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion. Incorrect choices: B: Failure to delegate tasks is an internal issue, not an external distractor. C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor. D: Thinking about a vacation is also an internal distraction, not an external one. In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.