ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the nurse is using evidence-based practice by conducting a literature review to determine the best practice for caring for foot ulcers. Evidence-based practice involves integrating the best available evidence with clinical expertise and patient values to make informed decisions about patient care. This nurse is ensuring that the care provided is based on current research and best practices, which can lead to better patient outcomes. Choices B, C, and D are incorrect because they do not directly relate to the nurse's action of conducting a literature review to determine best practices for foot ulcer care. Choice B mentions critical thinking but does not specifically address evidence-based practice. Choice C focuses on cost-effectiveness and level of education, which are not relevant to the nurse's evidence-based practice. Choice D refers to clinical competence, which is not the main focus of the nurse's action in this scenario.
Question 2 of 5
A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to:
Correct Answer: D
Rationale: The correct answer is D because the nurse's goal is to advocate for increased protective services for elder abuse. By learning about the key issues in the candidate's platform, the nurse can identify if the candidate supports policies related to elder abuse. This information will help the nurse assess the candidate's alignment with their advocacy goals and determine if the candidate is a suitable ally in advancing elder abuse prevention measures. A, B, and C are incorrect because: A: Educating the public about the nurse's political platform is not the primary purpose of attending the session. B: Being spontaneous may lead to an ineffective communication strategy without proper preparation. C: Addressing the candidate by their first name or title is a matter of personal preference and does not directly impact the nurse's advocacy efforts.
Question 3 of 5
A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:
Correct Answer: B
Rationale: The correct answer is B: functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their skills and qualifications. This system is task-oriented, with each staff member responsible for a specific function, such as medication administration or personal hygiene, for the entire unit. This allows for efficient and specialized care delivery. A: Total patient care involves one nurse providing all aspects of care to a group of patients. C: Team nursing involves a team of healthcare professionals working collaboratively to provide care to a group of patients. D: Primary nursing assigns one nurse to oversee the care of a group of patients from admission to discharge.
Question 4 of 5
A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility?
Correct Answer: A
Rationale: The correct answer is A: Emergency Medical Treatment and Active Labor Law (EMTALA). This act prohibits hospitals from transferring patients in active labor or with an emergency condition based on insurance status or ability to pay. It ensures that all individuals, regardless of insurance or immigration status, receive necessary emergency medical treatment. The other choices are incorrect because: B: Health Insurance Portability and Accountability Act (HIPAA) protects patient privacy and does not address transfer of patients in active labor. C: Patient Self-Determination Act focuses on patient autonomy in making healthcare decisions, not on preventing transfer based on insurance status. D: The Patient Safety and Quality Improvement Act promotes patient safety and quality improvement but does not specifically address transfer of patients in active labor.
Question 5 of 5
A nurse manager is mentoring a novice nurse manager in determining staffing needs. The mentor explains, "We must determine the acuity level of the patient by:
Correct Answer: B
Rationale: The correct answer is B because quantifying the amount and intensity of care required is essential to determine staffing needs based on patient acuity. This involves assessing the complexity and severity of patients' conditions, which directly impacts the level of care needed. Patient satisfaction (A) does not provide objective data on acuity. Examining skill mix (C) is important but not the primary factor in determining acuity. Hospital days (D) reflect length of stay, not acuity level.
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