ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B because it involves a medical error that could potentially harm the patient. An incident report is necessary to document such events for quality improvement and patient safety. Choice A does not involve a preventable adverse event, so it does not require an incident report. Choice C is related to communication issues and can be resolved without an incident report. Choice D involves a patient fall, which is a reportable event, but the client was informed not to get up alone, making it less urgent for an incident report compared to a medication error.
Question 2 of 9
Each month data on admission assessments that are based on the following standard are entered: "All patients will be assessed by an RN within 2 hours of admission." The target goal for this standard is 97% compliance. Data are displayed on a graph that shows number and time of admission assessments and compliance variation limits. This pictorial representation is:
Correct Answer: B
Rationale: The correct answer is B: control chart. A control chart is used to display data over time and indicate variations within set limits, making it ideal for monitoring compliance with a standard like "All patients will be assessed by an RN within 2 hours of admission." The control chart allows for easy identification of trends, shifts, or patterns that may indicate a need for corrective action to maintain the 97% compliance goal. A: Pareto chart is used to identify the most significant factors contributing to a problem, not to monitor compliance over time. C: Deployment chart is not a standard tool in quality control or process monitoring. D: A top-down flowchart is used to depict the sequence of steps in a process, not to monitor compliance with a standard over time.
Question 3 of 9
A new nurse researcher is interested in tracing the history of nursing research. The researcher learns that nursing research began with:
Correct Answer: A
Rationale: The correct answer is A because Florence Nightingale is widely recognized as the pioneer of modern nursing research. During the Crimean War, she collected and analyzed data on patient care outcomes, demonstrating the importance of evidence-based practice in nursing. This laid the foundation for the development of nursing research as a formal discipline. Choice B is incorrect as nursing research did not start between 1900 and 1940, but rather with Nightingale's work. Choice C is incorrect because the focus of nursing research was not solely on doctorally prepared nurses but on improving patient care in general. Choice D is incorrect as the naturalistic paradigm is just one approach to research and not the starting point for nursing research.
Question 4 of 9
During a search for the term informatics, when the nurse finds the domain ".edu," the site is affiliated with a(n):
Correct Answer: C
Rationale: The correct answer is C: educational institution. ".edu" domain is reserved for educational institutions in the United States, indicating that the website is affiliated with an educational organization. Government agencies typically use ".gov" domain (A), commercial sites use ".com" domain (B), and Internet service providers use ".net" domain (D). Therefore, the presence of ".edu" in the domain indicates that the site is associated with an educational institution.
Question 5 of 9
A physician complains to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered. The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?
Correct Answer: C
Rationale: Step 1: The administrator acknowledges the physician's concern to maintain a professional relationship. Step 2: The administrator educates the physician that patient education on medications falls within the nurse's scope of practice. Step 3: The administrator addresses the nurse and physician to ensure both are informed of the resolution. Step 4: This approach promotes mutual understanding and respect between nurse and physician. Summary: Option C is the correct answer as it acknowledges the physician's concern, educates on scope of practice, and fosters communication between both parties. Options A, B, and D are incorrect as they either punish the nurse unjustly, fail to educate the physician, or involve unrelated parties in the decision-making process.
Question 6 of 9
A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient datA few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an "error and access denied" message. Security is being maintained by:
Correct Answer: B
Rationale: The correct answer is B: biometric technology. Biometric technology uses unique physical characteristics, such as fingerprints, to verify identity. In this scenario, the nurse and the other authorized person were granted access because their fingerprints matched the stored data. The visitor was denied access because their fingerprint did not match. A: Robot technology is not related to verifying identity through fingerprints. C: Telehealth is a method of providing healthcare remotely and is not related to access control. D: Ubiquitous computing refers to the idea of computing technology being everywhere, but it is not directly related to biometric security measures like fingerprint scanning.
Question 7 of 9
A person interested in employment in the health care sector has less than 1 year to pursue his or her education and wants to focus on functional aspects of patient care. He/she desires to work in a long-term facility. Which type of nursing program should this person request information about?
Correct Answer: C
Rationale: Rationale: 1. An associate degree in nursing (ADN) is a 2-year program, making it suitable for someone with less than 1 year to pursue education. 2. ADN programs focus on the functional aspects of patient care, aligning with the person's interest. 3. Working in a long-term care facility typically does not require a BSN or MSN. 4. LPN programs are shorter but have a different scope of practice than what the person desires.
Question 8 of 9
Qualified nursing school applicants have continued to be turned away, limiting enrollment due to a shortage of faculty, which is attributed to several factors, including:
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the shortage of nursing faculty by highlighting the issue of burnout and job dissatisfaction, which leads to faculty turnover and limits enrollment. This explanation aligns with the initial statement that qualified applicants are being turned away due to the shortage of faculty. Choices B, C, and D are incorrect because they do not directly address the main issue of faculty shortage. B talks about the stability of faculty numbers in Associate Degree programs, which is irrelevant to the shortage. C discusses the decrease in the mean age of nursing faculty and the departure of older mentors, but this does not explain the shortage of faculty. D mentions increasing job competition from clinical sites, which is not the primary reason for the shortage of nursing faculty.
Question 9 of 9
When practicing in a compact state:
Correct Answer: B
Rationale: The correct answer is B because in a compact state, the mutual recognition model allows nurses to practice across state lines without obtaining additional licenses. This model ensures that patients' rights are protected by requiring nurses to adhere to the nurse practice act of the state where the patient is located. This promotes nursing mobility while maintaining regulatory standards. A is incorrect because nurses must follow the nurse practice act of the state where they are practicing, not necessarily the largest state. C is incorrect because nurses do not have to pay for a license in all participating states under the mutual recognition model. D is incorrect because the nurse practice act outlines the scope of practice, not necessarily the list of skills that can be performed across state lines.