ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:
Correct Answer: C
Rationale: The correct answer is C: contact the state board of nursing to determine legal scope of practice for LPNs. This is the most appropriate action because the state board of nursing is the authoritative body that governs nursing practice within a specific state. By contacting the board, the RN can get accurate and up-to-date information on the legal scope of practice for LPNs in Arkansas. This ensures compliance with state regulations and avoids any potential legal issues. A: Querying the state nursing association may provide some insight, but the state board of nursing is the official entity that regulates nursing practice. B: Asking the LPNs about their tasks may not provide a comprehensive understanding of their legal scope of practice and could lead to misunderstandings. D: Referring to California's nurse practice act is irrelevant as each state has its own regulations, and assuming consistency across states can lead to incorrect assumptions.
Question 2 of 5
Customer satisfaction is primarily based on:
Correct Answer: C
Rationale: The correct answer is C: personal interactions with employees. Customer satisfaction is primarily influenced by the quality of interactions with employees as it shapes the overall experience. Positive interactions build trust, rapport, and a sense of care which directly impact satisfaction levels. This human element creates a more personalized and engaging experience for customers, leading to higher satisfaction rates. Access to modern facilities (A) and an extensive menu selection (B) may enhance the overall customer experience but do not directly address the core factor of personal interactions. Having to undergo fewer invasive procedures (D) is not relevant to customer satisfaction in this context.
Question 3 of 5
A patient is admitted with pneumoniThe case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
Correct Answer: B
Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans. C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway. D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.
Question 4 of 5
A patient is admitted for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?
Correct Answer: B
Rationale: The correct answer is B: Primary nursing care delivery. In primary nursing, one nurse assumes 24-hour responsibility for planning, implementing, and evaluating the care of a patient. In this scenario, the RN developed and implemented the plan of care and delegated specific tasks to the LPN/LVN. The RN remains responsible for the overall care even while off duty, as evidenced by receiving a call regarding a change in the plan of care. The other choices are incorrect because: A: Modular nursing involves a team of healthcare providers working together, sharing responsibilities, and providing care collectively. C: Team nursing involves a team of healthcare providers with different levels of expertise working collaboratively to deliver patient care. D: Functional nursing divides tasks among different team members based on their skill sets, which is not the case in the scenario provided.
Question 5 of 5
The care delivery model used in this situation is:
Correct Answer: A
Rationale: The correct answer is A: team. In a team care delivery model, multiple healthcare providers work collaboratively to deliver care to the patient, ensuring comprehensive and coordinated services. This model promotes communication, efficiency, and patient-centered care. Choice B, primary, refers to a single designated provider responsible for coordinating care. Choice C, partnership, typically involves a close relationship between the patient and provider but lacks the interdisciplinary approach of a team model. Choice D, modular, implies a fragmented approach with care delivered in separate components, which may lead to disjointed care and lack of coordination. Ultimately, the team care delivery model is the most effective in ensuring holistic and well-coordinated patient care.