ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very little about the health beliefs of this ethnic group. To research this group, she can use an Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To obtain more generalized information, she could also search under:
Correct Answer: A
Rationale: The correct answer is A: federally recognized minorities. This is because Russian immigrants are considered a federally recognized minority group in the United States. By searching under this category, the nurse can find specific and relevant information about the health beliefs and practices of this particular ethnic group. Choices B, C, and D are incorrect because they do not specifically pertain to the Russian immigrant population. Marginalized populations (B) may include various minority groups but may not provide specific information about Russian immigrants. Similarly, Asian/Pacific Islander cultures (C) and Latino cultures (D) do not encompass the unique health beliefs and practices of Russian immigrants.
Question 2 of 5
A Hispanic patient is visited by several family members and the nurse witnessed one visitor who pinches a piece of skin at the waist. The nurse asks the purpose and learns the "provider" is listening for a snap from the abdominal region, which is then repeated several times. The patient most likely suffers from:
Correct Answer: D
Rationale: The correct answer is D: empacho. Empacho is a traditional Hispanic folk illness characterized by a blockage in the digestive system. In this scenario, the behavior of pinching the skin and listening for a snap in the abdominal region aligns with the common practice associated with empacho diagnosis. The family member is likely trying to detect an abnormal sound, indicating a blockage in the intestines. The other choices (A: mal ojo, B: susto, C: bilis) do not fit the description of the observed behavior and symptoms. Mal ojo refers to the evil eye, susto is a fright-related illness, and bilis pertains to an imbalance of bodily fluids, none of which involve the specific diagnostic behavior described in the scenario.
Question 3 of 5
An older adult has atrial fibrillation, which causes the heart to have an irregular rhythm. The client uses imagery to alter the dysrhythmiThe client is using which type of complementary alternative medicine (CAM)?
Correct Answer: D
Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.
Question 4 of 5
A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
Correct Answer: A
Rationale: The correct answer is A: reflexology. Reflexology is a practice based on the theory that specific areas on the feet and hands correspond to different organs and systems in the body. By stimulating these areas through massage techniques, blood circulation is increased, promoting healing and pain relief. - Choice B, Feldenkrais method, focuses on improving movement and function through awareness and gentle movements, not specifically targeting reflex points. - Choice C, Reiki, involves the transfer of energy to promote healing, but does not involve massage techniques or specific reflex points. - Choice D, Rolfing, is a type of bodywork that focuses on manipulating the body's connective tissues to improve posture and alignment, not specifically targeting reflex points like in reflexology.
Question 5 of 5
A pregnant woman reports back pain and wants to try a complementary alternative medicine (CAM) therapy. The nurse knows that which CAM would be contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Magnet therapy. Magnet therapy is contraindicated in pregnancy due to the risk of unknown effects on the fetus. Magnets may interfere with the body's natural magnetic fields, potentially causing harm to the developing baby. Aromatherapy (B), imagery (C), and therapeutic touch (D) are generally considered safe during pregnancy when performed by trained professionals and with appropriate precautions. Aromatherapy uses essential oils, imagery involves mental visualization techniques, and therapeutic touch uses energy-based techniques that do not pose significant risks to the pregnant woman or the fetus.