ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A nurse in a rehabilitation unit plans activities of daily living to prevent excessive fatigue, helps the patient dress before the family visits, assists with range of motion, and allows the patient to decide which clothes to wear during the visit. This nurse is best applying which theory to practice?
Correct Answer: A
Rationale: The correct answer is A: Watson's Theory of Caring. This theory emphasizes the importance of caring relationships in nursing practice. In this scenario, the nurse is demonstrating caring by helping the patient prevent fatigue, assisting with dressing, and respecting the patient's autonomy in choosing clothes. Watson's theory focuses on promoting holistic care and building a therapeutic nurse-patient relationship. Choices B, C, and D are incorrect: B: Rogers' Theory of Unitary Humans focuses on the interconnectedness of humans with their environment, which is not the primary focus of the nurse's actions in the scenario. C: Levine's Theory of Conservation emphasizes maintaining the patient's energy and structural integrity, which is not the main focus of the nurse's actions in the scenario. D: Leininger's Theory of Transcultural Nursing focuses on providing culturally competent care, which is not the central theme of the nurse's actions in the scenario.
Question 2 of 5
Which patient's decision-making capacity should be a concern for the palliative care nurse?
Correct Answer: B
Rationale: The correct answer is B because a patient with moderate Alzheimer's disease may have impaired decision-making capacity due to cognitive decline. Patients with Alzheimer's may struggle to understand, remember, and evaluate information needed to make informed decisions. Choice A shows the patient's curiosity, not necessarily a lack of capacity. Choice C indicates family involvement but does not directly address the patient's capacity. Choice D reflects anxiety about decision-making, not necessarily incapacity.
Question 3 of 5
In orientation, a new graduate is surprised to learn of workplace violence in health care agencies and asks, "What kind of violence is common in hospitals?" The educator describes workplace violence as: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because workplace violence in health care agencies commonly includes violence towards staff by patients or visitors, especially in cases where patients are victims of domestic violence. This type of violence can manifest as physical aggression, verbal abuse, or threatening behavior. The other choices are incorrect because B describes workplace sabotage, C focuses on personal development unrelated to workplace violence, and D describes a scenario unrelated to violence towards staff in a healthcare setting.
Question 4 of 5
A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
Correct Answer: A
Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.
Question 5 of 5
Accrediting agencies such as The Joint Commission address staffing by:
Correct Answer: D
Rationale: The correct answer is D because accrediting agencies like The Joint Commission focus on ensuring patients receive satisfactory care through evidence-based practices. They evaluate the quality of care provided rather than specific staffing levels or ratios. Imposing maximum staffing levels (A) can be restrictive and may not account for varying patient needs. Requiring a specific staff mix (B) may not always be feasible or reflective of best practices. Stipulating nurse-patient ratios (C) can be important but may not address the overall quality of care provided to patients. In summary, option D is correct as accrediting agencies prioritize evidence of satisfactory care delivery over rigid staffing requirements.
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