ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
A nurse performing a history and physical on a newly admitted Hispanic patient learns the patient has just used the services of a savador to:
Correct Answer: B
Rationale: The correct answer is B because a "salvador" is typically a spiritual healer or medium in Hispanic culture who helps communicate with deceased family members. This aligns with the scenario of the patient seeking the services of a salvador to communicate with a family member who recently died. The other choices are incorrect because: A: Determining herbs for hot flashes is typically done by an herbalist or healthcare provider. C: Treating lower back pain usually involves medical professionals like doctors or physical therapists. D: Acupuncture for smoking cessation is typically provided by licensed acupuncturists or healthcare professionals, not a salvador.
Question 2 of 9
An organization's emergency preparedness task force meets to discuss how it should react in case of a terrorist attack and develops a disaster evacuation plan that details how each department will assist individuals in reaching safety. This type of diagram is referred to as a:
Correct Answer: D
Rationale: The correct answer is D: deployment chart. A deployment chart is used to illustrate how resources or personnel are allocated and utilized during an emergency or disaster situation. In this case, the organization's emergency preparedness task force is detailing how each department will assist individuals in reaching safety, which aligns with the purpose of a deployment chart. It helps visualize the specific roles and responsibilities assigned to each department during an evacuation. A: Pareto chart is used for prioritizing actions based on the 80/20 rule. B: Control chart is used for monitoring process variations over time. C: Top-down flowchart is used to represent the sequence of steps in a process hierarchy. In summary, the other choices are incorrect because they do not specifically address the allocation of resources and responsibilities during an emergency evacuation scenario, which is the primary function of a deployment chart.
Question 3 of 9
When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative?
Correct Answer: A
Rationale: The correct answer is A: Quality and Safety in Nursing Education. This initiative aligns with the Institute of Medicine report's focus on improving quality and safety in nursing education. The QSEN initiative provides resources and guidelines for nursing faculty to integrate quality and safety competencies into their curriculum. Choice B (COPA) is focused on competency outcomes and performance, which is not directly related to addressing the issues identified by the Institute of Medicine report. Choice C (NONPF) is specific to nurse practitioner faculties and may not cover the broader scope of issues highlighted in the report. Choice D (ACE) focuses on evidence-based practice in academic settings but does not specifically address the quality and safety concerns identified in the report.
Question 4 of 9
During orientation, an RN learns that LPN/LVNs in the facility receive additional training to perform some tasks such as hanging continuously infusing intravenous fluids that have no additives. It is important for the RN to understand that:
Correct Answer: B
Rationale: Rationale for Correct Answer (B - LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN): 1. LPN/LVNs are licensed professionals, accountable for their own scope of practice as outlined by the state nursing board. 2. Accountability ensures that LPN/LVNs are responsible for their actions and decisions in providing patient care. 3. LPN/LVNs must adhere to the state's nursing practice act and regulations, ensuring safe and competent care delivery. Summary of Incorrect Choices: A: The health care facility cannot override the state practice act as licensure requirements are set by the state nursing board. C: UAPs, although important in the care team, do not have the same level of accountability as licensed nurses. D: The nurse practice act and state regulations related to delegation are essential in guiding delegation practices, but they do not necessarily override organization policies.
Question 5 of 9
When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing care?
Correct Answer: A
Rationale: The correct answer is A: Safe and effective care environment. The rationale is that assigning different nurses to care for a patient with shingles and a patient with HIV/AIDS is an example of maintaining infection control and preventing the spread of communicable diseases. This falls under the category of safe and effective care environment because it ensures proper isolation precautions are followed to protect both patients and healthcare workers. Summary: - Option A is correct because it relates to infection control and maintaining a safe care environment. - Option B, health promotion and maintenance, is not relevant to the scenario described. - Option C, psychosocial integrity, does not address the primary concern of preventing the spread of infection. - Option D, teaching/learning, is not the focus of the scenario, which is more about infection control and safety.
Question 6 of 9
A physician orders a drug for a patient with a known allergy resulting in anaphylactic shock. The nurse:
Correct Answer: C
Rationale: The correct answer is C because disclosure is a key component of the national patient safety movement. By disclosing the error to the patient and involving them in the decision-making process, the nurse promotes transparency, trust, and patient-centered care. This approach also allows for timely interventions to address the allergic reaction effectively. Choice A is incorrect because prioritizing agency consequences over patient safety goes against ethical principles. Choice B is incorrect as it suggests disclosing before discussing with the physician or management, which could lead to confusion and potential miscommunication. Choice D is incorrect since reporting to the patient's insurance company does not address the immediate patient safety concern of the allergic reaction.
Question 7 of 9
recommends that EHR systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information?
Correct Answer: A
Rationale: The correct answer is A: Health information and data capture. This functionality of the EHR system allows for the documentation and storage of patient health information, including allergy details. By inputting the patient's severe allergy to eggs and penicillin into the system, it ensures that this critical information is readily available for healthcare providers. The other choices are incorrect because: B: Results/data management focuses on organizing and presenting test results, not specifically on capturing patient allergies. C: Provider order entry management involves entering orders for medications, treatments, and procedures, not directly related to documenting allergies. D: Clinical decision support assists healthcare providers in making clinical decisions based on data and guidelines, but it does not specifically address capturing and sharing patient allergy information.
Question 8 of 9
A researcher conducts a survey to determine the perceived health status of elderly persons living independently at home. The same subjects participate in a telephone call in which they describe the lived experience of living with chronic illness. When writing up the research study, the nurse would describe using:
Correct Answer: B
Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.
Question 9 of 9
Which task is most likely to be considered in a state's practice act as appropriate to delegate to a LPN/LVN if the patient's condition is stable and competence in the task has been established?
Correct Answer: D
Rationale: The correct answer is D. Teaching a patient how to instill eye drops for glaucoma is a task that can be appropriately delegated to an LPN/LVN when the patient is stable and competence has been established. Here's the rationale: 1. Teaching is within the scope of practice for LPN/LVNs as it involves providing education and instructions to patients. 2. Administering medications IV (option B) requires a higher level of assessment and monitoring skills, making it inappropriate for delegation to an LPN/LVN. 3. Developing a plan of care (option C) involves critical thinking and decision-making skills beyond the scope of an LPN/LVN. 4. Administering an enema (option A) may involve assessing the patient's condition and response, which is beyond the typical scope of an LPN/LVN.