ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
A nurse interested in life satisfaction among patients receiving hemodialysis reviews databases and identifies relevant studies which are then statistically analyzed providing generalization through multiple studies. The nurse researcher is using which type of research?
Correct Answer: C
Rationale: The correct answer is C: Meta-analysis. In this scenario, the nurse researcher is combining and analyzing data from multiple studies on life satisfaction among hemodialysis patients to draw overall conclusions. Meta-analysis allows for generalization through synthesizing results from various studies, providing a more comprehensive understanding of the topic. Incorrect choices: A: Quasi-experimental - This involves manipulating variables to observe their effects, which is not the case in the given scenario. B: Secondary analysis - This refers to re-analyzing existing data, not multiple studies as in meta-analysis. D: Survey - Surveys involve collecting data directly from participants, whereas in this case, existing studies are being analyzed.
Question 2 of 9
When planning health care, the nurse should be mindful that members of the Asian culture tend to:
Correct Answer: C
Rationale: The correct answer is C because Asian culture tends to be future-oriented, emphasizing planning and preparation. This is reflected in their approach to health care where they prioritize preventive measures and long-term health goals. Choice A is incorrect as missing appointments is not a common behavior due to cultural time perception. Choice B is incorrect as while ancestors may hold significance, they do not guide health care decisions. Choice D is incorrect as Asians are often punctual and value time.
Question 3 of 9
A client who is reading a newspaper asks, "This article about health care states that many providers of health care lack effectiveness. What is the difference between effectiveness and efficiency?" The nurse explains that:
Correct Answer: A
Rationale: Step 1: Define effectiveness and efficiency - Effectiveness is achieving the intended outcome, while efficiency is achieving the outcome with minimal waste. Step 2: Analyze option A - It correctly defines effectiveness as performing the correct test or intervention and efficiency as the wise use of supplies and resources for the desired outcome. Step 3: Justification - The nurse explains that many healthcare providers lack effectiveness, indicating they are not achieving the desired outcomes, which aligns with the definition of effectiveness in option A. Step 4: Summary of incorrect choices - B incorrectly defines efficiency as quick completion of tasks, C confuses efficiency with wastage, and D incorrectly associates efficiency with speed rather than minimal waste.
Question 4 of 9
A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:
Correct Answer: C
Rationale: The correct answer is C: contact the state board of nursing to determine legal scope of practice for LPNs. This is the most appropriate action because the state board of nursing is the authoritative body that governs nursing practice within a specific state. By contacting the board, the RN can get accurate and up-to-date information on the legal scope of practice for LPNs in Arkansas. This ensures compliance with state regulations and avoids any potential legal issues. A: Querying the state nursing association may provide some insight, but the state board of nursing is the official entity that regulates nursing practice. B: Asking the LPNs about their tasks may not provide a comprehensive understanding of their legal scope of practice and could lead to misunderstandings. D: Referring to California's nurse practice act is irrelevant as each state has its own regulations, and assuming consistency across states can lead to incorrect assumptions.
Question 5 of 9
A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
Correct Answer:
Rationale: Correct Answer: A: Zero-based Rationale: 1. Zero-based budgeting starts from scratch, evaluating each expense regardless of the prior year. 2. It helps eliminate inefficiencies and ensures resources are allocated to high-priority areas. 3. By not relying on past data, outdated information does not influence the budget decisions. Summary: B: Incremental budgeting builds on the previous year's budget, not starting from zero. C: Labor budget focuses specifically on labor costs, not the overall budgeting approach. D: Operational budget typically considers historical data and current operations, unlike zero-based budgeting.
Question 6 of 9
When the client is unable to make medical decisions for himself or herself, authorization that allows another person to make these decisions is called:
Correct Answer: B
Rationale: The correct answer is B: durable power of attorney. This legal document grants authority to another person, known as the healthcare proxy or agent, to make medical decisions on behalf of the client when they are unable to do so themselves. This is essential for ensuring that the client's wishes are respected and that appropriate medical care is provided. A: A living will is a document that outlines a person's preferences for medical treatment in case they become incapacitated, but it does not appoint someone to make decisions on their behalf. C: Informed consent is the process of ensuring that a patient understands the risks and benefits of a medical treatment before giving consent, but it does not authorize someone to make decisions on their behalf. D: Immunity refers to protection from legal liability and is not relevant to authorizing someone to make medical decisions for a client.
Question 7 of 9
When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?
Correct Answer: C
Rationale: The correct answer is C because it exemplifies the role of mentoring where the experienced nurse provides feedback and guidance to the novice nurse. Mentoring involves a structured and purposeful relationship aimed at professional growth. In this situation, the experienced nurse is directly interacting with the novice nurse, giving specific feedback on a task and showing support and encouragement. This helps the novice nurse improve their skills and knowledge. Option A is incorrect because it describes role modeling, where the novice nurse is observing without direct interaction. Option B is incorrect as it also describes role modeling through observation and mimicry. Option D is incorrect as it does not involve direct feedback or guidance from the experienced nurse to the novice nurse.
Question 8 of 9
A nurse is evaluating Levin's Theory of Conservation to determine if it can be applied to patients in the initial phases of chemotherapy treatment. During this phase of theory acceptance, the nurse wants to determine if all the concepts of energy, structural integrity, personal integrity, and social integrity are included in the care of cancer treatment. The nurse is applying which criteria of theory acceptance?
Correct Answer: A
Rationale: The correct answer is A: Inclusiveness. In this scenario, the nurse is evaluating if Levin's Theory of Conservation includes all the concepts related to energy, structural integrity, personal integrity, and social integrity in the care of cancer treatment. Inclusiveness as a criterion of theory acceptance involves determining if a theory encompasses all relevant concepts and variables within a certain domain. By ensuring that all key components are addressed, the theory can be considered comprehensive and applicable to various situations. Choice B: Consistency, refers to the internal logical coherence of a theory, which is not the focus of the nurse's evaluation in this case. Choice C: Accuracy, pertains to the degree to which a theory accurately reflects reality, which is not directly related to the nurse's current evaluation. Choice D: Fruitfulness, involves the ability of a theory to generate new research and insights, which is not the primary concern for the nurse's assessment of the theory's applicability to cancer treatment.
Question 9 of 9
Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: Provide incentives for minorities and men to enter nursing. This is because increasing diversity in the nursing profession can help address shortages and improve patient care. Incentives can attract underrepresented groups and address disparities. A, determining why few black women enter graduate school, may address a specific subgroup but not the broader issue of nursing shortages. C, obtaining grant funding for faculty and scholarships, may help improve education opportunities but may not directly address the retention and recruitment of nurses. D, surveying nurses about job satisfaction, is important but may not directly address attracting more nurses into the profession or keeping them in practice.