ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
A nurse studied a community to determine if there were clients who would benefit from a hospice program if one were developed. This type of research is:
Correct Answer: C
Rationale: The correct answer is C: a needs assessment method. A needs assessment method is used to identify gaps or deficiencies in services, programs, or resources in a community. In this scenario, the nurse is determining if there is a need for a hospice program, which aligns with the purpose of a needs assessment. A survey (choice A) involves collecting data from a sample group to gather insights, but it doesn't necessarily focus on identifying specific needs. Quasi-experimental (choice B) and pilot study (choice D) are research designs used to test interventions or programs, which are not the primary goal in this case.
Question 2 of 5
A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?
Correct Answer: C
Rationale: The correct answer is C because it offers a practical solution. By accepting another nursing position and transferring to labor and delivery when a position is available, the nurse can gain experience, maintain employment, and potentially build a relationship with the organization. This approach shows flexibility and commitment. A: Continuing to study is important, but it may not guarantee a position in labor and delivery. B: Returning to college is unnecessary and may delay entering the workforce. D: Practicing skills in a simulation lab is beneficial, but it does not address the immediate need for employment in the desired field.
Question 3 of 5
A novice nurse notices the medication nurse hurriedly gathering medications to be administered for the entire day, removing them from the packages, and placing them in a paper cup with the patient's name and room number on the cup. When one of the patients points at a pill and asks, "What is this?" and "What does this do?" the medication nurse is uncertain, because it has long since been removed from the packaging. The novice nurse speaks to the nurse manager about her observations and describes her concerns. The novice nurse has assumed the role of:
Correct Answer: C
Rationale: Correct Answer: C - Change agent Rationale: 1. A change agent is someone who identifies issues or concerns and takes action to implement positive changes. 2. In this scenario, the novice nurse recognized a potential problem with medication administration and spoke to the nurse manager to address it. 3. By seeking to improve medication safety practices, the novice nurse is actively working towards positive change within the healthcare setting. 4. The other choices are incorrect: - A "loner" implies someone who prefers to work alone, which is not relevant to the situation. - "Rutter" and "native" are not recognized terms in this context and do not apply to the nurse's actions.
Question 4 of 5
A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?
Correct Answer: D
Rationale: The correct answer is D: Capitation. Capitation is a payment model where healthcare providers receive a fixed amount per patient per month to provide all necessary healthcare services. This aligns with the description of the plan in the question, offering services based on a monthly fee per participant. Capitation also emphasizes preventive care, diagnostic services, and treatment, making it the most suitable choice. A: Prospective payment system is a method where healthcare providers are paid a fixed amount per service in advance. This does not match the description of the plan in the question. B: Retrospective payment system involves reimbursing healthcare providers after services are delivered based on the actual costs incurred. This is not based on a monthly fee per participant. C: Single-payer system refers to a healthcare system where a single public or quasi-public agency organizes healthcare financing. This is not based on a monthly fee per participant.
Question 5 of 5
A new nurse researcher is interested in tracing the history of nursing research. The researcher learns that nursing research began with:
Correct Answer: A
Rationale: The correct answer is A because Florence Nightingale is widely recognized as the pioneer of modern nursing research. During the Crimean War, she collected and analyzed data on patient care outcomes, demonstrating the importance of evidence-based practice in nursing. This laid the foundation for the development of nursing research as a formal discipline. Choice B is incorrect as nursing research did not start between 1900 and 1940, but rather with Nightingale's work. Choice C is incorrect because the focus of nursing research was not solely on doctorally prepared nurses but on improving patient care in general. Choice D is incorrect as the naturalistic paradigm is just one approach to research and not the starting point for nursing research.
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