ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.
Question 2 of 9
A group of nurses are assembling outside a hospital protesting the use of foreign nurses after several nurses were terminated due to what the hospital called recurring "decreased census." The nurses carry signs with messages asking potential patients to seek care elsewhere. The local newspaper picked up the story, and the hospital is receiving negative press. The nurses are participating in:
Correct Answer: A
Rationale: The correct answer is A: picketing. Picketing involves protesting outside a workplace to draw attention to an issue, such as the use of foreign nurses in this case. The nurses are not actively refusing to work (strike), negotiating work conditions (collective bargaining), or submitting their dispute to a third party for resolution (arbitration). Picketing is the most appropriate term for their actions in this scenario.
Question 3 of 9
An RN makes the following assignments at the beginning of the shift. Which assignment would be considered high-risk delegation?
Correct Answer: A
Rationale: The correct answer is A because it involves a high-risk delegation. Mixing insulin is a complex task that requires precise measurements and understanding of the patient's condition. A novice RN may lack the experience and knowledge to safely perform this task, leading to potential harm for the patient. Choice B involves wound care, which is within an LPN's scope of practice and not as high-risk as insulin administration. Choice C involves basic ambulation assistance, which is appropriate for an unlicensed assistive person under supervision. Choice D involves caring for a patient with low white blood cell count, which may be challenging but not as high-risk as insulin mixing for a novice RN.
Question 4 of 9
A student nurse assigned to work with the charge nurse is given the opportunity to help revise the nursing assessment form. She receives several compliments from management and her nursing instructor for her creative suggestions. The student nurse enjoys the project and attention she is receiving and begins to prolong the conclusion of the project. Although she constantly adds new information, she filters this out slowly to others. The student nurse is subject to the time management obstacle of:
Correct Answer: D
Rationale: The correct answer is D: fear of completion. This is because the student nurse is prolonging the conclusion of the project despite constantly adding new information and filtering it out slowly to others. This behavior indicates a reluctance to finish the project, likely due to a fear of moving on to the next stage or fear of evaluation. The student nurse is enjoying the attention and positive feedback, leading to a delay in completing the task. A: The need for perfection is not the primary obstacle in this scenario as the student nurse is not necessarily striving for perfection but rather avoiding completion. B: Fear of losing creativity is not the main issue here as the student nurse is still adding new information, indicating creativity is not the concern. C: Unclear goals do not seem to be the obstacle as the student nurse is actively engaged in the project and receiving positive feedback.
Question 5 of 9
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
Question 6 of 9
A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study?
Correct Answer: D
Rationale: The correct answer is D: Rogers' science of unitary human beings. This theory emphasizes the interconnectedness between humans and their environment as energy fields. Step 1: The nurse's belief that humans use creativity and critical thinking aligns with Rogers' theory of constant interaction with the environment through energy fields. Step 2: This theory views humans as holistic beings, emphasizing the balance and harmony between individuals and their surroundings. Step 3: Peplau's theory focuses more on interpersonal relations, Roy's on adaptation to stressors, and Orem's on self-care deficits, which are not directly related to the nurse's hypothesis. Therefore, Rogers' theory best fits the study's focus on the dynamic interaction between humans and their environment through creativity and critical thinking.
Question 7 of 9
A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family. Palliative care will continue, and the approach will be discussed with the patient and family as needed and at change of shift. The care delivery model in this situation is termed:
Correct Answer: B
Rationale: The correct answer is B: patient-centered. This model focuses on meeting the individual patient's needs and preferences, involving them in decision-making, and providing care that is respectful and responsive to their values. In this scenario, the patient's decision to stop hemodialysis is respected, and palliative care is provided in alignment with his wishes. Partnerhsip (A) typically involves collaboration between healthcare providers and patients, which is not explicitly mentioned. Case management (C) focuses on coordinating services for complex cases, which is not the primary focus here. Total patient care (D) involves providing all aspects of care directly by the same nurse, which is not the main approach in this scenario.
Question 8 of 9
A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice. The practitioner responds, "I am inciting the acupuncture points and this is referred to as:
Correct Answer: B
Rationale: The correct answer is B: moxibustion. Moxibustion is a traditional Chinese medicine technique that involves burning dried herbs on or near acupuncture points to stimulate them. This practice helps to improve the flow of Qi and promote healing. Doshas (choice A) and kapha (choice D) are terms from Ayurveda, not related to acupuncture. Yoga (choice C) is a separate practice that involves physical postures and breathing exercises, not burning herbs on acupuncture points.
Question 9 of 9
As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?
Correct Answer: D
Rationale: The correct answer is D because as a patient approaches death, the focus of palliative care shifts towards providing comfort and symptom management to improve their quality of life. Identifying and addressing the patient's comfort needs becomes crucial in ensuring a peaceful and dignified end-of-life experience. A: While discussing spiritual needs can be important, the primary focus shifts towards physical comfort in the final stages of life. B: Educating the patient about physical changes is important, but it may not be the priority as the focus shifts towards comfort care. C: Advance care planning is essential but may have already been addressed before the patient reaches the impending death stage.