ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?
Correct Answer: D
Rationale: The correct answer is D because understanding the mission of the parent organization is crucial for aligning personal values with the organizational goals. This knowledge can help the nurse assess if their values and beliefs are in line with the organization's mission, leading to better job satisfaction and performance. A: Flexible scheduling is important but not specified in ANA's recommendations. B: Advancement expectations are important, but not a priority in ANA's recommendations. C: Staff retention is relevant, but not emphasized in ANA's recommendations.
Question 2 of 9
Regardless of the term used to describe high-quality health care, the focus of quality is:
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Quality in healthcare should be consumer-centric, meeting their needs and preferences. 2. Consumer needs and wants drive patient satisfaction and outcomes. 3. Patient-centered care leads to better health outcomes and overall quality of care. 4. Focusing on consumer needs promotes individualized and effective care delivery. Summary of why other choices are incorrect: - Choice B (economical care) does not necessarily ensure high-quality care. - Choice C (technologic advancement) is important but not the sole focus of quality healthcare. - Choice D (equally distributed services) is important for equity but does not define quality in healthcare.
Question 3 of 9
The primary focus of the care provider role for the nurse involves:
Correct Answer: B
Rationale: The correct answer is B because the primary focus of the care provider role for a nurse is to encourage consumer self-responsibility and emphasize health promotion/maintenance. This involves empowering patients to take control of their own health, promoting wellness, and preventing illness. The other choices are incorrect because: A) using the nursing process is essential but not the primary focus, C) increasing satisfaction among professional nurses is important but not the primary role of a care provider, and D) advancing nursing practice through research is valuable but not the primary responsibility of a care provider.
Question 4 of 9
According to the Hallmarks of the Professional Nursing Environment, a nurse should ask a potential employer:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Asking about the role nurses have in determining the quality of care is crucial to understanding the level of autonomy and influence nurses have in the workplace. This question shows the nurse's commitment to patient care and the importance of nursing contributions in improving outcomes. It also indicates the nurse's interest in being part of a collaborative healthcare team. Summary of Incorrect Choices: A: This question focuses primarily on financial aspects and does not address the nurse's professional role in patient care. B: While benefits are important, asking about benefits specific to RNs only may come off as self-centered and not reflective of the nurse's commitment to patient care. D: Inquiring about long-term economic security is essential, but it does not directly address the nurse's role in quality care delivery, which is the primary focus of professional nursing practice.
Question 5 of 9
A nurse caring for a patient with anemia and heart failure prepares to hang a unit of packed red blood cells and realizes her break is in 5 minutes. She decides it is not necessary to have another nurse check the blood against the patient's information since the patient's blood type is O+ which she incorrectly remembered to be the universal donor. She hangs the blood, noting the patient is "reading and vital signs normal." She leaves the floor for her break and does not report leaving or ask anyone to perform required vital signs. Upon returning she meets a family friend who is visiting and time "just flies." She returns to the patient's room after admitting a new patient. The patient is hypotensive and color is cyanotic and anxious. She reports the findings to the charge nurse, who then contacts the physician. A blood reaction occurrence is noted. The nurse providing care is charged:
Correct Answer: C
Rationale: The correct answer is C: with criminal negligence. The nurse displayed a reckless disregard for the patient's safety by not verifying the blood type, leaving for an extended break without ensuring proper monitoring, and failing to report her absence. These actions were highly irresponsible and demonstrated a severe lack of care and attention to the patient's well-being. Criminal negligence involves a conscious disregard for the consequences of one's actions, which in this case resulted in a serious adverse event for the patient. Choices A and B do not fully capture the gravity of the nurse's actions, as they imply a lesser degree of fault. Choice D, under the doctrine of res ipsa loquitur, would be inappropriate in this scenario as the nurse's actions directly contributed to the adverse outcome.
Question 6 of 9
A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?
Correct Answer: C
Rationale: The correct answer is C: Ask to observe the skill as it is being performed; then perform it under direct supervision. This approach allows the novice nurse to learn through observation and hands-on practice under direct supervision, ensuring proper technique and safety. By observing the skill first, the nurse can understand the correct steps and potential challenges. Performing the skill under supervision provides real-time feedback and guidance. This method promotes active learning and confidence-building. Rationale for incorrect choices: A: Reading the procedure manual is helpful but may not provide the necessary hands-on experience and immediate feedback required for skill acquisition. B: Practicing in a skills laboratory can be beneficial, but it may not offer the opportunity for direct supervision and feedback from experienced professionals. D: Trying to remember from a previous simulation may not be reliable and lacks the real-time guidance and correction needed for skill mastery.
Question 7 of 9
A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?
Correct Answer: B
Rationale: The correct answer is B because a constituent refers to a citizen who is registered and eligible to vote for a representative. In this scenario, the nursing student is calling the office of an elected official, indicating that they are a citizen who can vote for that official. Choice A is incorrect as it refers to a member of a professional organization, not a citizen eligible to vote. Choice C is incorrect as it refers to an elected official, not a citizen. Choice D is incorrect as it refers to a member of the House of Representatives, not a citizen eligible to vote.
Question 8 of 9
A valuable tool for determining whether a potential employer is suitable for your career goals is to:
Correct Answer: B
Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision. Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.
Question 9 of 9
A client involved in a motor vehicle accident is blinded. The nurse helps the client obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?
Correct Answer: A
Rationale: The correct answer is A: Watson's philosophy and science of caring and humanistic nursing. This theory emphasizes the importance of the nurse-client relationship, caring, and holistic care. In this scenario, obtaining a guide dog for the client reflects the nurse's caring actions to promote the client's independence and well-being. By helping the client cope with the handicap and continue daily activities, the nurse embodies the essence of caring and humanistic nursing. Incorrect Choices: B: Mishel's uncertainty in illness - This theory focuses on how individuals respond to uncertainty in illness situations, which does not directly apply to the scenario of obtaining a guide dog for a blinded client. C: Orem's self-care deficit - This theory emphasizes the nurse's role in assisting clients with self-care activities when they are unable to do so independently. While related to the scenario, it does not capture the essence of caring and humanistic nursing demonstrated in the client's situation. D: Rogers' science of unitary human beings - This