ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
Correct Answer:
Rationale: Correct Answer: A: Zero-based Rationale: 1. Zero-based budgeting starts from scratch, evaluating each expense regardless of the prior year. 2. It helps eliminate inefficiencies and ensures resources are allocated to high-priority areas. 3. By not relying on past data, outdated information does not influence the budget decisions. Summary: B: Incremental budgeting builds on the previous year's budget, not starting from zero. C: Labor budget focuses specifically on labor costs, not the overall budgeting approach. D: Operational budget typically considers historical data and current operations, unlike zero-based budgeting.
Question 2 of 5
An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:
Correct Answer: B
Rationale: The correct answer is B: stereotyping. The nurse is making a generalization about an entire group based on a perceived characteristic. This statement is not only inaccurate but also perpetuates harmful stereotypes. Cultural humility (A) involves recognizing and respecting the differences and complexities of various cultures. Cultural assimilation (C) refers to adopting the cultural norms of a dominant group, which is not applicable in this scenario. Acculturation (D) is the process of adapting to a new culture, which is also not relevant to the nurse's statement. Stereotyping is the most appropriate choice as it directly addresses the nurse's biased and inaccurate assumption about intelligence based on race.
Question 3 of 5
In order to best improve patient outcomes on an acute care hospital unit, which intervention should the nursing staff advocate for?
Correct Answer: B
Rationale: The correct answer is B because decreasing the number of patients cared for on a specific unit can improve patient outcomes by allowing nurses to provide more individualized care, reduce workload stress, and prevent errors. Staffing only 8-hour shifts (A) may not address the root cause of patient outcomes. Increasing salaries for experienced nurses (C) may improve retention but does not directly impact patient care. Increasing staffing on the evening shift (D) may help with workload distribution but does not address the overall patient load issue.
Question 4 of 5
A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about this information's:
Correct Answer: B
Rationale: The correct answer is B: objectivity. The nurse should be concerned about the objectivity of the information due to the potential bias introduced by the funding received from a pharmaceutical company. This could influence the scientist's findings and conclusions to favor the interests of the company, affecting the accuracy of the information. Authority (choice A) refers to the expertise of the author, not the potential bias. Accuracy (choice C) is impacted by objectivity and the potential conflict of interest. Currency (choice D) relates to how up-to-date the information is, which is not the main concern in this scenario.
Question 5 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.
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