Questions 9

ATI RN

ATI RN Test Bank

Contemporary Issues in Nursing Questions

Question 1 of 5

A nurse has heard rumors that other nurses are interested in unionizing but knows little about the purpose of unions. The nurse's first action is to:

Correct Answer: D

Rationale: The correct answer is D because reviewing the National Nurses United website for collective bargaining information is the most appropriate first action. This option allows the nurse to educate themselves on the purpose of unions and understand the benefits of collective bargaining. It promotes informed decision-making and empowers the nurse with knowledge before taking any further actions. A: Contacting an arbitrator may be premature as the nurse needs to first understand the basics of unions. B: Picketing the agency is counterproductive and may create a hostile environment without proper information. C: Signing a union authorization card without understanding the implications is not advisable and may lead to unintended consequences. Summary: Option D is correct as it promotes education and informed decision-making, while the other choices are premature, potentially harmful, or lack necessary information.

Question 2 of 5

An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:

Correct Answer: B

Rationale: The correct answer is B: stereotyping. The nurse is making a generalization about an entire group based on a perceived characteristic. This statement is not only inaccurate but also perpetuates harmful stereotypes. Cultural humility (A) involves recognizing and respecting the differences and complexities of various cultures. Cultural assimilation (C) refers to adopting the cultural norms of a dominant group, which is not applicable in this scenario. Acculturation (D) is the process of adapting to a new culture, which is also not relevant to the nurse's statement. Stereotyping is the most appropriate choice as it directly addresses the nurse's biased and inaccurate assumption about intelligence based on race.

Question 3 of 5

According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?

Correct Answer: C

Rationale: The correct answer is C: Open systems. In an open system theory, organizations interact with their environment, adapting to changes and feedback. In this case, the nurse's repeated excessive call-ins affecting shift change demonstrate a lack of consideration for the team and patient care, disrupting the system's functioning. This theory emphasizes the interconnectedness and impact of individual actions on the entire system, refuting the nurse's claim of unfair treatment. Summary: A: Authoritative - Focuses on centralized decision-making authority, not relevant to addressing the nurse's behavior. B: Closed systems - Operate independently without external influences, not applicable as the nurse's actions impact the system. D: Trait - Focuses on individual characteristics, not addressing the systemic impact of the nurse's behavior.

Question 4 of 5

In order to best improve patient outcomes on an acute care hospital unit, which intervention should the nursing staff advocate for?

Correct Answer: B

Rationale: The correct answer is B because decreasing the number of patients cared for on a specific unit can improve patient outcomes by allowing nurses to provide more individualized care, reduce workload stress, and prevent errors. Staffing only 8-hour shifts (A) may not address the root cause of patient outcomes. Increasing salaries for experienced nurses (C) may improve retention but does not directly impact patient care. Increasing staffing on the evening shift (D) may help with workload distribution but does not address the overall patient load issue.

Question 5 of 5

A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:

Correct Answer: C

Rationale: The correct answer is C: security. The scenario describes measures to protect the patient records system from unauthorized access, such as requiring consent, assigning passwords, and conducting audits. Security specifically refers to safeguarding information from unauthorized access, ensuring data integrity and availability. Privacy (A) is about controlling access to personal information, while confidentiality (B) is about keeping information private. Data capture (D) refers to the process of collecting data, not protecting it from unauthorized access. In this case, the focus is on security measures implemented to protect patient records, making it the most appropriate choice.

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