ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:
Correct Answer: A
Rationale: The correct answer is A: private health insurance. In this scenario, the nurse's insurance is provided by the state-owned hospital, meaning it is not a federal program like PPACA (B) or state-subsidized Medicaid (C). Additionally, it is not a single-payer system (D) since the employer is covering the majority of the premium cost, indicating a private insurance plan. Private health insurance typically involves a deductible paid by the employee, as mentioned in the question. Therefore, the nurse's insurance in this case aligns with the characteristics of private health insurance, making choice A the correct answer.
Question 2 of 5
A nursing student planning to apply for licensure knows that being charged with which offense would result in a minor criminal offense?
Correct Answer: A
Rationale: The correct answer is A: Solicitation of illegal drugs. This offense typically results in a minor criminal offense because it involves attempting to purchase or obtain illegal drugs, which is considered a less serious crime compared to the other choices. Stealing a car (B) is a major criminal offense, as it involves theft of property. Failing to report elder abuse (C) is a serious offense as it neglects the duty to protect vulnerable individuals. Billing Medicare for services not rendered (D) is a form of fraud and can result in severe consequences. Therefore, the solicitation of illegal drugs is the least serious offense among the options provided.
Question 3 of 5
When the client is unable to make medical decisions for himself or herself, authorization that allows another person to make these decisions is called:
Correct Answer: B
Rationale: The correct answer is B: durable power of attorney. This legal document grants authority to another person, known as the healthcare proxy or agent, to make medical decisions on behalf of the client when they are unable to do so themselves. This is essential for ensuring that the client's wishes are respected and that appropriate medical care is provided. A: A living will is a document that outlines a person's preferences for medical treatment in case they become incapacitated, but it does not appoint someone to make decisions on their behalf. C: Informed consent is the process of ensuring that a patient understands the risks and benefits of a medical treatment before giving consent, but it does not authorize someone to make decisions on their behalf. D: Immunity refers to protection from legal liability and is not relevant to authorizing someone to make medical decisions for a client.
Question 4 of 5
A nurse is charged with battery after helping an invalid patient back to bed and not calling for help due to a reduced staffing level. The patient sustained excessive bruising, sore joints, and extended stay. In this case, the:
Correct Answer: C
Rationale: The correct answer is C because the nurse is accountable due to the decreased level of staffing. The nurse's decision not to call for help despite knowing the reduced staffing level directly contributed to the patient's injuries. The nurse had a duty of care to ensure the patient's safety, and failing to do so resulted in harm to the patient. The nurse's actions were negligent and breached the standard of care expected in this situation. Choices A, B, and D are incorrect because the focus of the question is on the nurse's accountability for the patient's injuries due to staffing levels, not on the patient being the plaintiff, forcefully restraining the patient without orders, or invasion of privacy. These options are not directly related to the nurse's negligence in failing to provide proper care to the patient.
Question 5 of 5
Which types of abuse are the nurse required to report or be subject to fines and imprisonment for not reporting? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: Child abuse. Nurses are mandated reporters of child abuse, meaning they are legally required to report any suspected or witnessed cases to the appropriate authorities. Failure to report can result in fines and imprisonment. Child abuse is a serious issue that requires immediate intervention to protect the safety and well-being of the child. Explanation for incorrect choices: A: Animal abuse - While animal abuse is also a serious concern, nurses are not legally required to report it in the same way as child abuse. C: Alcohol abuse - Nurses may provide assistance and support for individuals struggling with alcohol abuse, but it is not a mandatory reporting requirement. D: Infant abuse - While abuse of infants falls under the category of child abuse, the specific term "infant abuse" is not a separate reporting requirement for nurses.