ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A nurse executive is concerned that the mortality rate in his or her hospital exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality, including work environment. If Aiken's recommendations are followed, which change would be most effective?
Correct Answer: A
Rationale: The correct answer is A: Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts. Aiken's survey emphasized the importance of adequate nurse staffing in improving patient outcomes and reducing mortality rates. By increasing staffing ratios with nurses of all educational levels, the hospital can ensure better patient care, effective coordination, and timely interventions. This approach addresses the key factors highlighted in Aiken's survey - nurse staffing and education. Choices B, C, and D are incorrect because they do not directly address the issue of nurse staffing, which was the primary focus of Aiken's survey. Employing bachelor's prepared nurses participating in interprofessional rounds (B) may improve communication but does not solely address the staffing concerns. Ensuring nurse managers have a master's degree (C) may improve leadership but does not directly impact frontline staffing. Encouraging unlicensed assistive personnel to attend educational programs (D) may enhance skills but does not address the need for more nurses in the staffing ratios
Question 2 of 5
Although the use of technology and the Internet provides nursing faculty and students with unlimited resources and current information, an outcome associated with this trend is that:
Correct Answer: A
Rationale: The correct answer is A. Users of electronic resources may spend a disproportionate amount of time looking for pertinent content due to the vast amount of information available online. This can lead to inefficiencies and time wasted in searching for relevant resources. Choice B is incorrect because although special skills may not be needed to access information via the Internet, the abundance of information can still lead to time wastage. Choice C is incorrect as immediate results and outcomes expected from students and faculty can actually increase pressure and time constraints, rather than enhancing time management. Choice D is incorrect as while problem-solving and reflective abilities may be developed through using technology and the Internet, the question specifically focuses on the negative outcome of spending excessive time searching for content.
Question 3 of 5
When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative?
Correct Answer: A
Rationale: The correct answer is A: Quality and Safety in Nursing Education. This initiative aligns with the Institute of Medicine report's focus on improving quality and safety in nursing education. The QSEN initiative provides resources and guidelines for nursing faculty to integrate quality and safety competencies into their curriculum. Choice B (COPA) is focused on competency outcomes and performance, which is not directly related to addressing the issues identified by the Institute of Medicine report. Choice C (NONPF) is specific to nurse practitioner faculties and may not cover the broader scope of issues highlighted in the report. Choice D (ACE) focuses on evidence-based practice in academic settings but does not specifically address the quality and safety concerns identified in the report.
Question 4 of 5
When preparing to complete a competency examination involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consist of:
Correct Answer: B
Rationale: The correct answer is B because in a competency examination involving a neurologic assessment, the critical elements are the required criteria that must be incorporated into the assessment to achieve the desired outcome. These elements are essential components that assessors need to include to ensure a thorough and accurate evaluation of the client's neurological status. Choice A is incorrect as critical elements do not necessarily equate to life or death situations. Choice C is incorrect as fundamental strategies unique to complex dynamic care environments are not specifically related to the critical elements of a neurologic assessment. Choice D is incorrect as objective data for client recovery likelihood is not the same as the required criteria for a neurologic assessment.
Question 5 of 5
A member of a nursing students study group comments, "I wish our instructor would just tell us the important information that we will be tested on in our course and on NCLEX®. Instead, we spend some time early in the class discussing key facts then the most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents:
Correct Answer: D
Rationale: The correct answer is D: practice-based competency. This teaching-learning style focuses on developing practical skills and competencies through hands-on experiences such as case studies and simulator practice. This approach is more effective in preparing nursing students for real-world scenarios and NCLEX® exams compared to just memorizing basic facts (choice A). Objective Structured Clinical Examinations (OSCE) (choice B) involve structured assessments of clinical skills and are not the primary focus of the teaching style described. Peer-to-peer learning (choice C) emphasizes collaborative learning among students, which may be a component of the teaching style but not the central focus. Practice-based competency (choice D) aligns best with the emphasis on practical application and skill development described in the scenario.