ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A nurse is interested in learning the phases of the disaster continuum and realizes it has many similarities to the nursing process. To better understand the phases of a disaster, which is true when comparing the phases of the disaster continuum to the nursing process?
Correct Answer: A
Rationale: The correct answer is A because the preparedness phase of the disaster continuum aligns with the assessment and planning steps of the nursing process. In both situations, assessment involves identifying potential risks or needs, while planning entails developing strategies to address those risks or needs. Preparedness in disasters is about assessing vulnerabilities and creating plans to mitigate risks, which is akin to the initial steps in the nursing process. Choices B, C, and D are incorrect because they do not accurately match the phases of the disaster continuum with the corresponding steps in the nursing process. B incorrectly associates recovery with planning, C incorrectly links recovery with implementation, and D incorrectly pairs response relief with evaluation.
Question 2 of 5
A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Which type of leader accurately describes this nurse?
Correct Answer: A
Rationale: The correct answer is A: Transactional. This type of leader focuses on routine tasks, maintaining order, and ensuring tasks are completed efficiently. In this scenario, the nurse is primarily concerned with daily operational tasks like restocking supplies and checking orders, which align with transactional leadership. Situational leadership focuses on adapting to different situations, transformational leadership inspires change and innovation, and contemporary leadership encompasses various modern leadership styles.
Question 3 of 5
A clinical nurse leader (CNL) enters the workforce and hopes to use her interdisciplinary skills to participate on a quality improvement committee. The coordinator of the quality group invites the CNL to join the group. Which type of power is demonstrated by the coordinator of the group?
Correct Answer: D
Rationale: The correct answer is D: Legitimate. The coordinator's power is based on their legitimate authority to invite individuals to join the quality improvement committee. Legitimate power is derived from one's position or role within an organization, giving them the right to make decisions and direct activities. In this scenario, the coordinator's invitation is based on their legitimate authority as the leader of the quality group. Choice A: Coercive power involves the use of threats or punishment to influence others, which is not evident in the scenario. Choice B: Transformational power focuses on inspiring and motivating others to achieve a common goal, which is not explicitly demonstrated in the scenario. Choice C: Laissez-faire power involves a hands-off approach to leadership, allowing individuals to make their own decisions without much guidance, which is not applicable in this scenario.
Question 4 of 5
A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is:
Correct Answer: B
Rationale: The correct answer is B: moving. In Lewin's change management model, the process involves three stages: unfreeze, move, and refreeze. In this scenario, the hospital has already identified the need for change (unfreeze) by recognizing the issue with patient satisfaction scores. The change agent's recommendations and the implementation of interdisciplinary walking rounds and involving patients and families in rounds indicate the active phase of making changes and transitioning to new practices (moving). The actions taken, such as rounding every shift, updating the team through huddles, monitoring nurse participation, and interviewing patients, all demonstrate movement towards the desired change. Refreeze would come after the changes have been successfully implemented to stabilize and institutionalize the new practices. The options A (unfreeze) and C (refreeze) are incorrect as the hospital is currently in the implementation phase of change, and option D (resistance) does not apply as there is no indication of significant resistance to the proposed changes in the scenario provided.
Question 5 of 5
A nursing unit's census consists primarily of long-term residents with a high risk for falls. To meet new safety regulations, the nurse manager must plan to replace all 50 patient beds with new beds equipped with Fall Watch electronic sensors that will detect when patients get out of bed. The manager will be involved in which type of budgeting to replace the beds?
Correct Answer: D
Rationale: The correct answer is D: Capital budgeting. Capital budgeting involves planning and managing significant expenditures for long-term assets like equipment and facilities. In this scenario, replacing all 50 patient beds with new beds equipped with Fall Watch electronic sensors is a major investment in a long-term asset. The nurse manager is making a strategic decision that will impact the nursing unit's operations for an extended period. Summary: A: Fiscal budgeting focuses on revenues and expenses for a specific period, not long-term asset investments. B: Labor budgeting pertains to planning and managing labor costs, not capital investments. C: Operational budgeting involves day-to-day expenses and activities, not major capital expenditures like replacing all patient beds.