ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
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 5
A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage. Which statements accurately portray professional nursing today and tomorrow? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the current trend in nursing education shows an increasing number of registered nurses (RNs) attaining a bachelor's degree compared to an associate degree or diploma. This shift is supported by research indicating that BSN-prepared nurses have better patient outcomes. Choice B is incorrect because while there is indeed a trend towards more outpatient and home health care, it does not necessarily mean that more RNs practice in these settings than in acute care. Choice C is incorrect as nurse practitioner is the most popular advanced practice specialty, not nurse anesthesia. Choice D is incorrect as it makes a broad and unsubstantiated statement based on ethnicity, which does not accurately represent the trends in nursing education and graduate studies.
Question 3 of 5
A patient who is interested in herbal medicine attends a seminar to learn more about complementary alternative medicine (CAM). The patient learns that a common belief related to all CAMs includes that: (select all that apply)
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Many different CAMs focus on specific body parts and the mind: This statement aligns with the holistic approach of CAM, which emphasizes treating the whole person, including physical, mental, emotional, and spiritual aspects. 2. CAMs are not limited to interventions for diseased body parts; they often aim to promote overall well-being and address underlying causes. 3. Individualized treatment is a common principle in CAM, but it is not the defining belief shared by all CAM practices. 4. The body's ability to repair itself is a fundamental concept in CAM, and natural remedies are often used to support and enhance this innate healing process. Summary: Choice A is incorrect because it contradicts the fundamental belief in the body's self-healing abilities in CAM. Choice C is incorrect because CAM often focuses on promoting health and preventing disease rather than just intervening in diseased body parts. Choice D is also incorrect as individualized treatment is not a universal belief among all
Question 4 of 5
A nurse is removing a saturated dressing from an abdominal incision and must cut the tape to remove the dressing. The nurse accidentally cuts the sutures holding the incision, and evisceration occurs. In quality improvement, this incident is best identified as a:
Correct Answer: B
Rationale: The correct answer is B: sentinel event. A sentinel event is an unexpected occurrence involving death or serious physical or psychological harm to a patient. In this scenario, the accidental cutting of sutures leading to evisceration constitutes a serious harm to the patient, making it a sentinel event. This event requires immediate investigation, analysis, and implementation of preventive measures to ensure patient safety. A: Root cause refers to the underlying reason for a problem, not the event itself. C: Variation in performance is related to inconsistencies in processes, not a specific critical incident like evisceration. D: Causal factor is a contributing element to an event, but it does not capture the severity and significance of a sentinel event like evisceration.
Question 5 of 5
A nurse is part of the policy committee for a hospital. The committee is provided with statistics indicating that patients participating in a satisfaction survey felt they lacked sufficient information about new drugs started while hospitalized and continued after discharge. In addition, charts noted high recidivism rates. The committee recommended that a formalized patient education plan be instituted to reconcile all medications and provide patient information about new medications. The committee is using which component of the Institute of Medicine (IOM) 2011 message?
Correct Answer: D
Rationale: The correct answer is D: Policy is based on data, which provides the groundwork for decision making. This is the correct answer because the scenario describes the policy committee using statistics about patient satisfaction and recidivism rates to make recommendations for a patient education plan. By utilizing data, the committee is following the IOM 2011 message of basing decisions on evidence and information. A: Nurses achieving higher levels of education is not directly related to the scenario and the committee's decision-making process. B: The requirement of a master's degree for nurses on policy committees is not mentioned in the scenario and is not relevant to the decision-making process described. C: Comparing nurse pay to physicians' pay is not relevant to the scenario or the IOM 2011 message of using data for decision making.