ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse is informed that the Federal Bureau of Investigation has determined that a bomb has been detected and is in the possession of a known terrorist group. The government buildings in the local community are the target. This situation is termed a(n):
Correct Answer: C
Rationale: The correct answer is C: credible threat. In this scenario, a credible threat refers to a specific and tangible indication that a harmful event may occur. The information provided by the FBI about a bomb in possession of a known terrorist group targeting government buildings is a clear example of a credible threat. This term is specifically used in emergency management to indicate a situation where there is a realistic possibility of harm. A is incorrect because an all-hazards approach involves preparing for and responding to a wide range of potential disasters, not specifically a bomb threat. B is incorrect because a biologic event refers to an outbreak of a biological agent, not a bomb threat. D is incorrect because a natural disaster involves events caused by natural forces, not intentional acts by terrorist groups.
Question 2 of 9
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.
Question 3 of 9
to that provided during the Crimean War?
Correct Answer: B
Rationale: The correct answer is B because it accurately reflects the impact of Florence Nightingale's efforts during the Crimean War on nursing care during the Civil War. Nightingale advocated for sanitary conditions which led to improved housing for soldiers in the Civil War. This is supported by historical evidence. A is incorrect because the emphasis on nursing care differed between the wars, with the Crimean War focusing more on basic care and the Civil War emphasizing sanitary conditions. C is incorrect because black nurses faced discrimination and unequal compensation during both wars, and Mary Seacole's contributions were not widely recognized during the Civil War. D is incorrect because Nightingale did not complete formal nursing training before her work in the Crimean War, and Dix was already an experienced nurse before the Civil War.
Question 4 of 9
A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during:
Correct Answer: A
Rationale: The correct answer is A: the prehistoric period. During this time, people relied heavily on spiritual beliefs and rituals for healing. Sacrificing animals and using herbs in rituals to treat ailments was common practice. In contrast, early civilization in Egypt (B) had more advanced medical practices, the Renaissance (C) saw a shift towards scientific medicine, and the Middle Ages (D) had a mix of spiritual and medical practices, but not as primitive as the prehistoric period.
Question 5 of 9
The primary purpose of the Social Security Act of 1935 was to:
Correct Answer: C
Rationale: The correct answer is C: ensure health care for older adults through a national insurance system. The Social Security Act of 1935 established social insurance programs to provide financial support for retired and elderly individuals. This was done through the implementation of Old-Age, Survivors, and Disability Insurance. The Act aimed to address the economic insecurity faced by older adults and their families by providing a safety net through a national insurance system. Incorrect answers: A: Increasing research on minority groups was not the primary purpose of the Social Security Act of 1935. B: Providing medical care for chemically impaired persons was not the primary focus of the Act. D: Decreasing the public's financial burden by limiting services offered by local health departments was not the primary goal of the Act.
Question 6 of 9
Care delivery using the team-based approach is used on a telemetry nursing unit. The team consists of one registered nurse (RN), two licensed practical nurses (LPNs), and one unlicensed assistive personnel (UAP). Staff have been charged to improve quality of care while ensuring cost containment. Which assignments would meet both criteria?
Correct Answer: B
Rationale: The correct answer is B because it aligns with improving quality of care and cost containment. LPNs are trained to perform sterile procedures like dressing changes and IV tubing changes, which can enhance patient outcomes. This assignment allows the RN to focus on tasks that require their specialized skills, promoting quality care. Furthermore, utilizing LPNs for these tasks is more cost-effective than having an RN perform them. Choices A, C, and D are incorrect: A: Having the RN administer all medications to all patients is not utilizing the team effectively. LPNs and UAPs can handle medication administration under appropriate supervision. C: While experienced UAPs can assist with attaching telemetry electrodes, this task does not fully utilize the skills of the LPNs and RN to improve care quality. D: Administering an enema is within the scope of an LPN's practice, and assigning this task to the RN is not the most efficient use of resources.
Question 7 of 9
A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study?
Correct Answer: D
Rationale: The correct answer is D: Rogers' science of unitary human beings. This theory emphasizes the interconnectedness between humans and their environment as energy fields. Step 1: The nurse's belief that humans use creativity and critical thinking aligns with Rogers' theory of constant interaction with the environment through energy fields. Step 2: This theory views humans as holistic beings, emphasizing the balance and harmony between individuals and their surroundings. Step 3: Peplau's theory focuses more on interpersonal relations, Roy's on adaptation to stressors, and Orem's on self-care deficits, which are not directly related to the nurse's hypothesis. Therefore, Rogers' theory best fits the study's focus on the dynamic interaction between humans and their environment through creativity and critical thinking.
Question 8 of 9
A group of nurses are assembling outside a hospital protesting the use of foreign nurses after several nurses were terminated due to what the hospital called recurring "decreased census." The nurses carry signs with messages asking potential patients to seek care elsewhere. The local newspaper picked up the story, and the hospital is receiving negative press. The nurses are participating in:
Correct Answer: A
Rationale: The correct answer is A: picketing. Picketing involves protesting outside a workplace to draw attention to an issue, such as the use of foreign nurses in this case. The nurses are not actively refusing to work (strike), negotiating work conditions (collective bargaining), or submitting their dispute to a third party for resolution (arbitration). Picketing is the most appropriate term for their actions in this scenario.
Question 9 of 9
When preparing the education section of a resume:
Correct Answer: D
Rationale: The correct answer is D because listing education in reverse chronological order helps emphasize recent and relevant qualifications first. It showcases academic progression and achievements. A is incorrect as high school is typically not included. B is incorrect as including all colleges, even without a degree, can clutter the resume. C is incorrect as omitting the university address may limit the employer's ability to verify information.