ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely. Explanation of other choices: B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task. C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions. D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.
Question 2 of 9
Which statement regarding informed consent is correct? Informed consent:
Correct Answer: D
Rationale: The correct answer is D because informed consent requires the registered nurse (RN) to communicate all necessary information to the patient so they can make an informed decision. This includes explaining the procedure, potential risks, benefits, alternatives, and any other pertinent information. The RN plays a crucial role in ensuring that the patient understands the information provided before giving consent. Choices A, B, and C are incorrect because informed consent is not solely mandated by federal law, must disclose risks as well as benefits, and should not involve concealing any known risks.
Question 3 of 9
Complementary alternative medicine (CAM) is gaining popularity in Western society because: (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: CAM consumers want personalized health care. This is because CAM focuses on holistic and individualized approaches to health, addressing not just symptoms but underlying causes. Consumers seek CAM for tailored treatments and a more patient-centered approach. Choice A is incorrect because CAM often involves practitioners who may not be traditional physicians. Choice C is incorrect as quality of life, rather than just quantity, is increasingly valued in Western society. Choice D is incorrect because although there is some evidence supporting CAM, it is not always readily accessible or universally accepted.
Question 4 of 9
A nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:
Correct Answer: B
Rationale: The correct answer is B because in a mass casualty disaster following a terrorist attack, the same ground rules practiced in other settings and during smaller crises will be applicable. This is because the scale and complexity of the disaster require established protocols and procedures to manage the situation effectively. Choice A is incorrect because the response of local hospitals may not necessarily be dictated by the federal government in such situations. Choice C is incorrect because assigning the least experienced nurses to triage patients based on their perceived risk or chances of survival is not ethical or effective. Choice D is incorrect because having multiple incident commanders can lead to confusion and delays in decision-making during a crisis.
Question 5 of 9
The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:
Correct Answer: C
Rationale: The correct answer is C because the crisis communication officer's primary responsibility is to provide clear and factual information about the event within the facility and potentially to the news media. This helps to ensure transparency, maintain credibility, and prevent misinformation. Choice A is incorrect as containing facts within the administration group limits transparency. Choice B is incorrect as inciting panic is counterproductive. Choice D is incorrect as withholding information until confirmed by state and federal agencies may lead to unnecessary delays in communication.
Question 6 of 9
Which action represents the key management function of strategic planning?
Correct Answer: D
Rationale: The correct answer is D because developing a 5-year plan that incorporates the clinical nurse leader aligns with strategic planning, which involves setting long-term goals and outlining strategies to achieve them. This action demonstrates forward-thinking and aligns with the organization's overall vision. A: Ensuring nurses understand organizational philosophy is important but does not specifically relate to strategic planning. B: Evaluating communication processes is more operational or tactical in nature, not directly tied to long-term strategic planning. C: Monitoring data from a quality management initiative is important for quality improvement but does not directly relate to future planning and strategy development.
Question 7 of 9
The research hypothesis is that aromatherapy reduces stress more effectively than does acupuncture. The researcher does not identify a control group. This study would be a(n) design.
Correct Answer: A
Rationale: The correct answer is A: experimental design. In an experimental design, the researcher manipulates one variable (aromatherapy vs. acupuncture) to observe its effect on another variable (stress). Without a control group, it is impossible to establish a baseline for comparison. A control group is essential to isolate the effects of the treatment from other variables. Quasi-experimental designs lack random assignment, surveys are used to gather data rather than test hypotheses, and meta-analyses involve combining and analyzing results from multiple studies.
Question 8 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 9 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.