ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
A nurse researcher determines whether findings are substantial by calculating the level of significance. Which aspect of the scientific inquiry is being conducted?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. In this scenario, the nurse researcher is determining the significance of findings, which falls under the evaluation phase of scientific inquiry. Evaluation involves assessing the results and determining their importance and relevance. It is crucial in determining the validity and impact of the research findings. A: Hypothesis - While formulating a hypothesis is an important step in the scientific method, it is not directly related to determining the significance of findings. B: Method - Refers to the procedures used to conduct the research study, not specifically related to evaluating the significance of findings. C: Data collection - Involves the process of gathering data, not directly related to determining the level of significance of findings.
Question 2 of 9
A nurse in a rehabilitation unit plans activities of daily living to prevent excessive fatigue, helps the patient dress before the family visits, assists with range of motion, and allows the patient to decide which clothes to wear during the visit. This nurse is best applying which theory to practice?
Correct Answer: A
Rationale: The correct answer is A: Watson's Theory of Caring. This theory emphasizes the importance of caring relationships in nursing practice. In this scenario, the nurse is demonstrating caring by helping the patient prevent fatigue, assisting with dressing, and respecting the patient's autonomy in choosing clothes. Watson's theory focuses on promoting holistic care and building a therapeutic nurse-patient relationship. Choices B, C, and D are incorrect: B: Rogers' Theory of Unitary Humans focuses on the interconnectedness of humans with their environment, which is not the primary focus of the nurse's actions in the scenario. C: Levine's Theory of Conservation emphasizes maintaining the patient's energy and structural integrity, which is not the main focus of the nurse's actions in the scenario. D: Leininger's Theory of Transcultural Nursing focuses on providing culturally competent care, which is not the central theme of the nurse's actions in the scenario.
Question 3 of 9
An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
Correct Answer: B
Rationale: The correct answer is B: Veracity. Veracity refers to the principle of truthfulness and honesty in communication. In this scenario, the nurse knowingly provides false information to the daughter by stating that the mother is responding to her voice when the movement was actually involuntary. By not being truthful, the nurse violates the principle of veracity. Autonomy (A) is the right of individuals to make their own decisions. Utilitarianism (C) focuses on the greatest good for the greatest number of people. Deontology (D) is an ethical theory based on rules and duties. These principles are not directly related to the nurse's dishonesty in this situation.
Question 4 of 9
A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Which type of leader accurately describes this nurse?
Correct Answer: A
Rationale: The correct answer is A: Transactional. This type of leader focuses on routine tasks, maintaining order, and ensuring tasks are completed efficiently. In this scenario, the nurse is primarily concerned with daily operational tasks like restocking supplies and checking orders, which align with transactional leadership. Situational leadership focuses on adapting to different situations, transformational leadership inspires change and innovation, and contemporary leadership encompasses various modern leadership styles.
Question 5 of 9
A nurse researcher determines whether findings are substantial by calculating the level of significance. Which aspect of the scientific inquiry is being conducted?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. In this scenario, the nurse researcher is determining the significance of findings, which falls under the evaluation phase of scientific inquiry. Evaluation involves assessing the results and determining their importance and relevance. It is crucial in determining the validity and impact of the research findings. A: Hypothesis - While formulating a hypothesis is an important step in the scientific method, it is not directly related to determining the significance of findings. B: Method - Refers to the procedures used to conduct the research study, not specifically related to evaluating the significance of findings. C: Data collection - Involves the process of gathering data, not directly related to determining the level of significance of findings.
Question 6 of 9
A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG). According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery. During surgery the patient's oxygen saturation decreased drastically as a result of chronic tobacco abuse. Subsequently, the patient remained on the ventilator an additional 2 days postoperatively. According to the clinical practice guideline for CABG, this situation represents a:
Correct Answer: B
Rationale: The correct answer is B: variance. In this scenario, the patient's extended time on the ventilator deviates from the expected clinical pathway of extubation and discharge the day after surgery. Variances are deviations from established protocols or guidelines. This situation highlights a deviation from the standard practice and requires further evaluation to understand the reasons for the delay in extubation. The other choices are incorrect because: A: Patient outcome refers to the result of care received by the patient, not the deviation from the expected process. C: Goal represents the desired outcome or target to achieve, not the deviation from the pathway. D: Standard is the established protocol or guideline to follow, not the deviation from it.
Question 7 of 9
Several novice nurses share lunch breaks and have comments such as, "I have insomnia from worrying about what I forgot to do for my patient," and "I have no energy," and "I can't believe I can't do my job correctly." These novice nurses are each experiencing different symptoms of:
Correct Answer: A
Rationale: The correct answer is A: burnout. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. In this scenario, the novice nurses are exhibiting symptoms such as insomnia, lack of energy, and self-doubt, which are commonly associated with burnout. Burnout is specifically related to work-related stressors and can lead to negative feelings about one's job performance. Incorrect choices: B: Low self-esteem - While low self-esteem could be a contributing factor, the symptoms described are more indicative of burnout. C: Lack of confidence - Lack of confidence may be a result of burnout, but it is not the primary issue in this scenario. D: Resilience - Resilience is the ability to bounce back from challenges, but the symptoms described suggest that the nurses are struggling with stress and exhaustion rather than demonstrating resilience.
Question 8 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 9 of 9
With the crisis in health care and the nursing shortage, why is the image of nursing still important?
Correct Answer: A
Rationale: The correct answer is A because during times of uncertainty in healthcare, patients rely on nurses for care and support. The image of nursing as trustworthy and competent can strengthen the nurse-patient relationship. This fosters a sense of security and confidence in patients. Option B is incorrect because nursing has its own distinct body of knowledge, including theories, principles, and skills that guide practice. Option C is incorrect because while presenting a unified image is important, it is not the sole factor in establishing nursing as a profession. Option D is incorrect because while technologic competence is essential in modern healthcare, the caring aspect of nursing remains crucial, especially during times of crisis.