ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse develops a new nursing theory related to stress and viability. The nurse determines the theory accounts for historical events in which soldiers suffering from the stress of inadequate clothing to protect them from the cold and lack of correspondence from home had an increased mortality related to gunshot wounds. The theory will predict gunshot victims' need for proper clothing and letters from significant others as they serve in Iraq. Which criterion for theory acceptance is being validated?
Correct Answer: C
Rationale: The correct answer is C: Accuracy. The nurse's theory is being validated based on its ability to accurately predict the need for proper clothing and letters from significant others for soldiers serving in Iraq. This criterion is essential for theory acceptance as it demonstrates the theory's ability to make accurate predictions based on historical events. Inclusiveness (A) refers to the theory's ability to encompass a wide range of phenomena, which is not explicitly demonstrated in this scenario. Consistency (B) refers to the theory's internal coherence and agreement with existing knowledge, which is not the focus of the nurse's validation process in this case. Simplicity (D) refers to the theory's clarity and parsimony, which is not the primary criterion being validated here. In summary, accuracy is the most relevant criterion being validated in this scenario as the nurse's theory is being assessed based on its predictive accuracy in relation to the soldiers' needs in Iraq.
Question 2 of 9
The NCLEX examination is created and administered by the:
Correct Answer: C
Rationale: The correct answer is C: National Council of State Boards of Nursing (NCSBN). The NCLEX examination is developed and administered by the NCSBN, which is responsible for regulating nursing practice in the United States. They create the exam to ensure that nurses entering the profession meet minimum competency standards. The AACN (choice A) focuses on advancing nursing education, the ANA (choice B) is a professional organization representing nurses, and the NLN (choice D) is an organization that promotes excellence in nursing education. Therefore, the NCSBN is the only organization directly involved in the creation and administration of the NCLEX exam.
Question 3 of 9
A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
Correct Answer: C
Rationale: The correct answer is C: case manager, according to Peplau's interpersonal relations model. In this scenario, the nurse is coordinating resources and services for the client, which aligns with the role of a case manager. Peplau's model emphasizes the therapeutic relationship between the nurse and client, focusing on understanding the client's needs and providing support. The nurse in this situation is not just providing direct care (caregiver), advocating for change (change agent), or focusing solely on cultural aspects (translator). The nurse's role as a case manager involves addressing the client's complex needs, coordinating care, and advocating for the client's well-being, making it the most appropriate choice in this context.
Question 4 of 9
A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:
Correct Answer: B
Rationale: The correct answer is B: functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their skills and qualifications. This system is task-oriented, with each staff member responsible for a specific function, such as medication administration or personal hygiene, for the entire unit. This allows for efficient and specialized care delivery. A: Total patient care involves one nurse providing all aspects of care to a group of patients. C: Team nursing involves a team of healthcare professionals working collaboratively to provide care to a group of patients. D: Primary nursing assigns one nurse to oversee the care of a group of patients from admission to discharge.
Question 5 of 9
A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. The patient believes in the power of complementary alternative therapies to help the body heal itself. 2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal. 3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes. 4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms. Summary of why other choices are incorrect: A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing. C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself. D. While focusing on total lifestyle is important in alternative healing, this choice does not directly
Question 6 of 9
What does the Spirit of Nursing statue honor?
Correct Answer: D
Rationale: The Spirit of Nursing statue honors all military nurses for their bravery and compassion. This is the correct answer because military nurses have demonstrated exceptional dedication and sacrifice in providing care to wounded soldiers during times of conflict. They embody the spirit of selflessness and service that is essential in the nursing profession. Incorrect answers: A: Florence Nightingale is known for her contributions to nursing and public health, but the statue specifically honors military nurses. B: Edith Cavell was a nurse who helped Allied soldiers escape from German-occupied Belgium during WWI, not related to the Tuskegee experiment. C: Clara Maas was a nurse who volunteered for yellow fever experiments, but her work was not during WWII and did not lead to a cure for the disease.
Question 7 of 9
A valuable tool for determining whether a potential employer is suitable for your career goals is to:
Correct Answer: B
Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision. Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.
Question 8 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 9 of 9
An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients. The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to:
Correct Answer: B
Rationale: The correct answer is B: stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner. This is the priority intervention because it addresses the immediate issue of potentially incorrect documentation and allows for clarity and understanding between the RN and LPN/LVN. It promotes open communication and a chance to correct any errors that may have occurred. Choice A is incorrect because checking the drug packages after the fact does not address the issue of potentially incorrect documentation and missed medications. Choice C is incorrect as it is an extreme response that does not promote a collaborative and educational approach to resolving the situation. Choice D is incorrect as calling the pharmacy for replacement medications is not necessary at this stage and does not address the immediate concern of potentially incorrect documentation.