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
After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?
Correct Answer: A
Rationale: The correct answer is A because responding to recurring crises at work or in one's personal life is an internal distraction. Internal distractions originate from within the individual, affecting focus and productivity. In this scenario, the nurse's response to crises is within their control and can be managed through personal strategies. Choices B, C, and D are external distractions as they involve interactions with others or unclear job responsibilities imposed from outside sources, making them not directly related to the individual's internal state of mind. Hence, option A is the correct classification of an internal distraction in this context.
Question 3 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 4 of 9
When can a nurse detain a client by using restraints?
Correct Answer: D
Rationale: The correct answer is D because the use of restraints on a client should only be done with proper authorization. Physician orders following a medical evaluation ensure that the decision is based on clinical necessity. Choices A, B, and C are incorrect because they do not provide valid reasons for using restraints. Insufficient staffing, confusion, and family requests are not appropriate justifications for restraining a client. It is essential to prioritize the client's safety and well-being while following proper protocols and guidelines.
Question 5 of 9
Institutional review boards determine whether research studies involving human subjects will:
Correct Answer: C
Rationale: The correct answer is C because institutional review boards (IRBs) are responsible for ensuring that research studies involving human subjects do not cause harm. IRBs evaluate the potential risks and benefits of the study to protect participants' rights and well-being. Choice A is incorrect because publication is not within the primary scope of IRBs. Choice B is incorrect as adding to nursing knowledge is not the main focus of IRBs. Choice D is also incorrect as funding approval is typically handled by separate entities and is not the primary role of IRBs.
Question 6 of 9
When reading Peplau's theory, a nurse was unable to determine the relationships among concepts. The nurse listed each concept and drew lines denoting relationships to be able to understand the effect of each element. The nurse created a:
Correct Answer: B
Rationale: The correct answer is B: model. In this scenario, the nurse used visual representation to illustrate the relationships among concepts in Peplau's theory. A model is a simplified representation of a real-world system that helps understand complex relationships. By listing concepts and drawing lines to denote relationships, the nurse created a visual model to clarify the interconnections between elements. A hypothesis (A) is a testable prediction, not a visual representation. A construct (C) is an abstract concept, not a visual representation of relationships. A variable (D) is a measurable factor that can change, not a visual representation of relationships.
Question 7 of 9
A primary function of the budgeting process is to provide managers with an opportunity to:
Correct Answer: B
Rationale: The correct answer is B because the primary function of the budgeting process is to discuss concerns about resource allocation with leaders capable of resolving issues. This allows managers to make informed decisions on how to allocate resources effectively. Choice A is incorrect as the budgeting process is not primarily about insisting on specific salary increases. Choice C is incorrect as it focuses on changing budgeting methods rather than the purpose of budgeting itself. Choice D is incorrect as developing an educational program is not the primary purpose of the budgeting process.
Question 8 of 9
One workplace issue "the nursing shortage" is caused by several complex issues, including:
Correct Answer: D
Rationale: The correct answer is D: an aging nursing workforce. This is because as nurses age, many are retiring or reducing their work hours, leading to a shortage of experienced nurses in the workforce. This issue is further exacerbated by the increasing demand for healthcare services due to population growth and aging populations. The other choices are incorrect because: A: Movement of nurses into acute care settings may shift the distribution of nurses but does not directly cause a shortage. B: The use of unlicensed assistive personnel may impact the workload of RNs but is not the primary cause of the nursing shortage. C: While Baby Boomers may have contributed to the overall number of nurses, it does not directly explain the current shortage.
Question 9 of 9
A group of nurses interested in unionizing decides to contact the largest union in the United States representing registered nurses, which is the:
Correct Answer: C
Rationale: The correct answer is C: National Nurses United. This is because National Nurses United is the largest union in the United States specifically representing registered nurses. They have a strong presence in advocating for nurses' rights and providing resources for unionizing efforts. A: American Nurses Association is a professional organization, not a union. B: United American Nurses was dissolved in 2009, so it is not the largest union. D: National Labor Relations Board is a government agency overseeing labor relations, not a union representing nurses.