ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on the unit." Which type of logical fallacy has influenced the nurse?
Correct Answer: B
Rationale: The correct answer is B: Appeal to common practice. The nurse's argument that "everyone just pushes the medicine slowly" and that "no one checks for compatibility" is based on the common practice in the unit rather than on scientific evidence or guidelines. This logical fallacy assumes that just because something is commonly done, it must be correct. In this case, the nurse is disregarding the importance of checking drug compatibility and following proper protocols. Incorrect choices: A: Ad hominem abusive - This choice involves attacking the person making the argument rather than addressing the argument itself, which is not evident in the scenario. C: Appeal to emotion - This choice would involve using emotions to manipulate the audience rather than relying on logic or evidence, which is not the case in the scenario. D: Appeal to tradition - This choice would involve arguing that something is right or good because it has been done that way for a long time, which is not explicitly stated in the scenario.
Question 2 of 9
The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.
Question 3 of 9
When differentiating between slander and libel, the nurse knows that libel:
Correct Answer: A
Rationale: The correct answer is A because libel refers to written defamatory statements. In this scenario, subjective comments written in the nurse's notes can be considered libel as they are documented in writing. Choice B is incorrect because it describes negative comments made verbally, which would be considered slander, not libel. Choice C is incorrect as it involves verbal communication, which falls under slander, not libel. Choice D is incorrect as it describes repeating prejudiced comments verbally, which is also considered slander, not libel.
Question 4 of 9
A new nurse researcher is interested in tracing the history of nursing research. The researcher learns that nursing research began with:
Correct Answer: A
Rationale: The correct answer is A because Florence Nightingale is widely recognized as the pioneer of modern nursing research. During the Crimean War, she collected and analyzed data on patient care outcomes, demonstrating the importance of evidence-based practice in nursing. This laid the foundation for the development of nursing research as a formal discipline. Choice B is incorrect as nursing research did not start between 1900 and 1940, but rather with Nightingale's work. Choice C is incorrect because the focus of nursing research was not solely on doctorally prepared nurses but on improving patient care in general. Choice D is incorrect as the naturalistic paradigm is just one approach to research and not the starting point for nursing research.
Question 5 of 9
Managers at an acute care facility value the contributions of their aging nursing workforce and make recommendations to accommodate for an aging nursing workforce. They institute for which changes? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because placing supplies on the nursing unit helps accommodate aging nursing workforce by reducing physical strain from frequent trips to supply rooms. This change supports ergonomic principles and promotes efficiency. Choice B may not directly address the physical challenges of aging nurses. Choice C addresses a different issue unrelated to accommodating aging nurses. Choice D, while important, focuses on one specific aspect of accommodation and may not be as universally beneficial as having supplies readily available.
Question 6 of 9
A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family. Palliative care will continue, and the approach will be discussed with the patient and family as needed and at change of shift. The care delivery model in this situation is termed:
Correct Answer: B
Rationale: The correct answer is B: patient-centered. This model focuses on meeting the individual patient's needs and preferences, involving them in decision-making, and providing care that is respectful and responsive to their values. In this scenario, the patient's decision to stop hemodialysis is respected, and palliative care is provided in alignment with his wishes. Partnerhsip (A) typically involves collaboration between healthcare providers and patients, which is not explicitly mentioned. Case management (C) focuses on coordinating services for complex cases, which is not the primary focus here. Total patient care (D) involves providing all aspects of care directly by the same nurse, which is not the main approach in this scenario.
Question 7 of 9
During a search for the term informatics, when the nurse finds the domain ".edu," the site is affiliated with a(n):
Correct Answer: C
Rationale: The correct answer is C: educational institution. ".edu" domain is reserved for educational institutions in the United States, indicating that the website is affiliated with an educational organization. Government agencies typically use ".gov" domain (A), commercial sites use ".com" domain (B), and Internet service providers use ".net" domain (D). Therefore, the presence of ".edu" in the domain indicates that the site is associated with an educational institution.
Question 8 of 9
Time is becoming crucial for the nurse to address issues related to sponsoring programs to include hearing aid costs as part of Medicare coverage. The nurse involved in grassroots political actions realizes that the least timely method of reaching elected officials would be via:
Correct Answer: A
Rationale: The correct answer is A: letter. Writing a physical letter and sending it through traditional mail is the least timely method of reaching elected officials. It takes longer for letters to be delivered and processed compared to other electronic forms of communication like telephone, email, and fax. Elected officials may not receive and respond to letters in a timely manner, especially when time is crucial. Telephone, email, and fax offer quicker and more direct communication, allowing for faster responses and action. Therefore, choosing to reach out to elected officials via a letter would be the least timely method in this scenario.
Question 9 of 9
While performing a job search, a nurse reviews the list of Magnet hospitals of the American Nurses Credentialing Center because:
Correct Answer: B
Rationale: The correct answer is B because Magnet hospitals are recognized for their nursing excellence, empowering nurses with autonomy and self-governance. This fosters a positive work environment and improves patient outcomes. Choice A is incorrect because being a Magnet hospital does not guarantee revenue retention, but rather focuses on nursing excellence. Choice C is incorrect as Magnet hospitals do not require all RNs to have a master's degree. They do emphasize ongoing education and professional development, but not at a specific degree level. Choice D is incorrect because Magnet status is not related to the availability of diagnostic equipment but rather on nursing quality and excellence.