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 young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
Correct Answer: A
Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.
Question 3 of 5
A person who is recovering from a stroke is becoming more forgetful and is unable to recall people's names. A friend suggests the use of a natural ingredient, ginkgo bilobThe nurse is concerned about the most serious risk associated with this herb, which is:
Correct Answer: A
Rationale: The correct answer is A: thromboembolism due to increased clotting. Ginkgo biloba is known to have a blood-thinning effect, which can increase the risk of thromboembolism, especially for individuals recovering from a stroke. This can lead to potentially life-threatening complications such as blood clots. Choice B: Seizures due to interaction with anticonvulsants is incorrect because ginkgo biloba is not known to significantly interact with anticonvulsants to cause seizures. Choice C: Hypertension due to sodium retention is incorrect because ginkgo biloba is not known to cause sodium retention or lead to hypertension. Choice D: Photosensitivity due to increased melanin production is incorrect because ginkgo biloba is not associated with increased melanin production or photosensitivity reactions.
Question 4 of 5
A patient informs the nurse, "I burn a lavender-scented candle for an hour before bedtime to help me relax and sleep." The nurse realizes this patient is using:
Correct Answer: A
Rationale: The correct answer is A: the mind-body intervention of aromatherapy. Aromatherapy uses essential oils like lavender to promote relaxation and improve sleep. The scent of lavender can have calming effects on the mind and body, aiding in relaxation before bedtime. Qi gong (B) is a form of energy healing, Alexander technique (C) involves posture and movement, and conventional medicine (D) focuses on pharmaceutical or surgical interventions, none of which are directly related to using a lavender-scented candle for relaxation and sleep.
Question 5 of 5
A patient who is pregnant has used the herb feverfew for a history of migraine headaches. The nurse should provide teaching related to a risk for:
Correct Answer: A
Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.