ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
A nurse is seeking to become culturally competent in regard to obtaining information during health history and when performing physical diagnosis. The nurse is aware that which biologic variation is found in all of the following ethnicities: blacks, Asians, Hispanics, and American Indians?
Correct Answer: B
Rationale: The correct answer is B: Sickle cell anemia. This genetic disorder is found in individuals of African, Asian, Hispanic, and American Indian descent. Sickle cell anemia is caused by a mutation in the hemoglobin gene, leading to the production of abnormal hemoglobin. This condition is more prevalent in these ethnic groups due to historical reasons and natural selection against malaria. A: Mongolian spots are common in Asian infants but not in all the mentioned ethnicities. C: Lactose intolerance is more common in individuals of African, Asian, and Hispanic descent but not specifically in American Indians. D: Thalassemia is more prevalent in individuals of Mediterranean, African, and Southeast Asian descent, not in all the mentioned ethnicities.
Question 2 of 5
A patient is placed on reserpine (Serpalan) to decrease mild anxiety and treat hypertension. The patient researches the medication on the Internet and finds that this medication comes from which plant?
Correct Answer: C
Rationale: The correct answer is C: Rauwolfia serpentina. Reserpine is derived from the Rauwolfia serpentina plant. This plant contains alkaloids that act as a central nervous system depressant, reducing anxiety and lowering blood pressure. Atropa belladonna (A) contains toxic alkaloids, Digitalis purpurea (B) contains cardiac glycosides used for heart conditions, and Cephaelis ipecacuanha (D) contains emetine used for inducing vomiting, none of which are related to reserpine's effects.
Question 3 of 5
Despite the presence of safety aids such as handrails in the bathrooms at an assisted living facility, the number of fractures due to unsteady ambulation upon arising from the bed and when attempting to perform activities of daily living has increased. Which complementary alternative medicine (CAM) would be an effective intervention for this population?
Correct Answer: C
Rationale: Rationale: Tai chi is the correct answer because it focuses on improving balance, strength, and flexibility, which are essential for preventing falls in the elderly. Tai chi's slow, controlled movements can help improve stability and reduce the risk of fractures. Summary: A (Yoga) focuses more on flexibility and relaxation, not specifically on balance and stability. B (Acupuncture) is not a physical activity and does not directly address the issue of unsteady ambulation. D (Magnet therapy) lacks scientific evidence to support its effectiveness in improving balance and preventing falls.
Question 4 of 5
During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:
Correct Answer: B
Rationale: The correct answer is B: kidney stones. High calcium intake increases the risk of kidney stones due to excess calcium being excreted in the urine. The nurse should assess for symptoms like flank pain, hematuria, and frequent urination. Excessive bleeding (choice A) is not directly related to high calcium intake. Lower blood sugar (choice C) and jaundice (choice D) are not typically associated with calcium intake.
Question 5 of 5
A patient experiences migraine headaches that are not relieved by traditional Western medical practices. The family physician suggests acupuncture, which: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because acupuncture is indeed based on the belief that meridians, energy pathways in the body, are vital for life and when they are out of balance, pain occurs. Acupuncture aims to restore the balance of these meridians to alleviate pain. Explanation: 1. Acupuncture theory is rooted in Traditional Chinese Medicine, which emphasizes the flow of energy (Qi) along meridians. 2. By inserting needles at specific points along the meridians, acupuncturists aim to restore the balance of Qi and alleviate pain. 3. Meridian theory is fundamental to the practice of acupuncture and differentiates it from other pain relief modalities. 4. Choices B, C, and D are incorrect as they do not accurately represent the core principles of acupuncture and how it works. Summary: Option A is correct because it aligns with the foundational principles of acupuncture, focusing on meridians and energy balance. Options B, C, and D are