ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A nurse has been asked to serve as the charge nurse on the evening shift. The agency where the nurse is employed is considering unionization. If the charge nurse position is accepted, this nurse:
Correct Answer: A
Rationale: Step 1: Charge nurses are typically considered part of the nursing staff, not part of the management team. Step 2: Since charge nurses are not considered part of the management team, they are eligible to be represented by the union. Step 3: Being part of the union means the charge nurse can benefit from collective bargaining activities and have a voice in workplace decisions. Step 4: Choice A is correct as it aligns with the general understanding of charge nurses' roles and their eligibility for union representation. Summary: Choice B is incorrect because charge nurses are not typically considered part of the management team, so union participation would not necessarily be a conflict of interest. Choice C is incorrect because union representation does not automatically mean filing grievances that will be arbitrated. Choice D is incorrect because charge nurses can participate in collective bargaining activities related to unfair labor practices if they are represented by the union.
Question 2 of 5
Mandatory overtime and reduction in RN staff have resulted in decreased client satisfaction and a sentinel event. Management is unwilling to discuss a change in staffing, and collective bargaining interest is sparked. During the pre-election period, what actions by management are prohibited? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because seeking individuals to spy on coworkers who are possible union supporters is a violation of the National Labor Relations Act (NLRA). This action is considered an unfair labor practice as it interferes with employees' rights to engage in protected concerted activities, including discussing unionization. It creates a hostile work environment and undermines the employees' right to organize. Choices B, C, and D are incorrect because they do not directly violate the NLRA. Photographing employees participating in union-related activities may be considered intimidating but is not explicitly prohibited. Visiting managers outside of work to gain their perception of union popularity is not inherently illegal, as long as it does not coerce or intimidate them. Threatening to relocate the company if the union wins is considered an unfair labor practice, but in this scenario, it is mentioned that there is no intention to relocate, so it does not apply.
Question 3 of 5
Which situation would be considered a workforce advocacy issue that is reportable to the state nurses association or the Center for American Nurses if it is not resolved at the local level?
Correct Answer: D
Rationale: Step 1: Identification of the Issue - The situation described in option D directly impacts the safety of nurses by preventing them from changing the sharps container when needed, posing a risk for needlestick injuries. Step 2: Significance of the Issue - Needlestick injuries are a serious occupational hazard for healthcare workers and can result in exposure to bloodborne pathogens, leading to infections such as HIV and Hepatitis. Step 3: Advocacy Relevance - The inability to access the key to change the sharps container compromises the safety of nurses and violates their right to a safe work environment, making it a workforce advocacy issue. Step 4: Reporting to Higher Authorities - If the issue is not resolved at the local level, it should be reported to the state nurses association or the Center for American Nurses for intervention and resolution to ensure the safety of healthcare workers. Summary: Options A, B, and C do not directly relate to workforce advocacy issues that pose a significant risk to nurses' safety. Option
Question 4 of 5
An organization's emergency preparedness task force meets to discuss how it should react in case of a terrorist attack and develops a disaster evacuation plan that details how each department will assist individuals in reaching safety. This type of diagram is referred to as a:
Correct Answer: D
Rationale: The correct answer is D: deployment chart. A deployment chart is used to illustrate how resources or personnel are allocated and utilized during an emergency or disaster situation. In this case, the organization's emergency preparedness task force is detailing how each department will assist individuals in reaching safety, which aligns with the purpose of a deployment chart. It helps visualize the specific roles and responsibilities assigned to each department during an evacuation. A: Pareto chart is used for prioritizing actions based on the 80/20 rule. B: Control chart is used for monitoring process variations over time. C: Top-down flowchart is used to represent the sequence of steps in a process hierarchy. In summary, the other choices are incorrect because they do not specifically address the allocation of resources and responsibilities during an emergency evacuation scenario, which is the primary function of a deployment chart.
Question 5 of 5
A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN) recommended competencies for educating nursing professionals. These include: (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: patient-centered care. Patient-centered care is a core competency recommended by QSEN as it emphasizes the importance of considering the patient's preferences, values, and needs in all aspects of healthcare delivery. This approach leads to improved patient outcomes, increased satisfaction, and overall better quality of care. Explanation for why the other choices are incorrect: A: Advanced health assessment techniques are important skills for nurses, but they are not specifically listed as recommended competencies by QSEN. C: Prescriptive pharmacology content focuses on medication administration and management, which is important but not a core competency recommended by QSEN. D: Quality improvement is a crucial aspect of healthcare, but it is not the only competency highlighted by QSEN for educating nursing professionals.
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