ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion. Incorrect choices: B: Failure to delegate tasks is an internal issue, not an external distractor. C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor. D: Thinking about a vacation is also an internal distraction, not an external one. In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.
Question 2 of 5
A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice. 2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing. 3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client. 4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards. Summary: - Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them. - Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care. - Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.
Question 3 of 5
A nurse providing care at the bedside receives an "alert" that a patient's stat potassium level is 5 and digoxin (Lanoxin) is scheduled. The nurse holds the medication and prevents a possible complication. This feature of the Electronic Health Record is available through which core function of EHR?
Correct Answer: B
Rationale: The correct answer is B: Decision support. In this scenario, the nurse received an alert regarding a potential drug interaction between the patient's potassium level and the scheduled digoxin. Decision support in EHR provides real-time clinical guidance to healthcare providers, helping them make informed decisions to improve patient safety. Holding the medication in response to the alert demonstrates the effective use of decision support to prevent adverse drug events. Choices A, C, and D do not directly relate to the situation described and do not involve the clinical decision-making support provided by EHRs.
Question 4 of 5
A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three- part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. This nurse is involved in the role of:
Correct Answer: A
Rationale: The correct answer is A: change agent. The nurse is acting as a change agent by identifying a problem (care being withheld until an interpreter arrives) and proposing a solution (teaching common medical terms in Spanish). As a change agent, the nurse is promoting positive change within the organization to improve patient care. The other choices are incorrect because: B: Educator - While the nurse is providing education, the primary role in this scenario is not solely that of an educator. C: Manager - The nurse is not directly managing staff or resources in this scenario. D: Coordinator - The nurse is not primarily coordinating activities or resources in this scenario.
Question 5 of 5
A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion. Incorrect choices: B: Failure to delegate tasks is an internal issue, not an external distractor. C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor. D: Thinking about a vacation is also an internal distraction, not an external one. In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.
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