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 nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice. 2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing. 3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client. 4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards. Summary: - Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them. - Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care. - Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.
Question 3 of 9
The demographics of the twenty-first century nursing population indicate that:
Correct Answer: C
Rationale: The correct answer is C because the highest level of nursing education for most RNs is an associate degree. This is supported by data showing that a significant proportion of registered nurses have obtained their education through associate degree programs. Additionally, pursuing an associate degree is a common pathway for individuals entering the nursing profession due to its accessibility and shorter duration compared to obtaining a bachelor's or graduate degree. Choice A is incorrect because while there may be second-degree nursing students entering the field, the average age of individuals entering nursing is typically younger than 45 years old. Choice B is incorrect as there is increasing diversity in the nursing workforce, with nurses from various ethnic backgrounds entering and obtaining graduate degrees. Choice D is incorrect as the majority of nurses are not practicing in hospitals, with many working in other healthcare settings such as clinics, long-term care facilities, and community health centers.
Question 4 of 9
A nurse is heard making this comment, "I believe human dignity is based on perceived self-worth while caring is based on perceived role in society that forms the basis of nursing practice." This nurse is:
Correct Answer: D
Rationale: Step-by-step rationale for why answer choice D is correct: 1. The nurse's statement suggests a proposition concerning the constructs of nursing practice, linking human dignity and caring to nursing roles. 2. The nurse is not demonstrating a model of human dignity (A), as they are discussing the relationship between human dignity and nursing practice, not modeling it. 3. The nurse is not evaluating the relevance of Leininger's Theory (B), as the statement does not mention cultural care theory, which is central to Leininger's work. 4. The nurse is not applying Mishel's Theory of Disease Uncertainty (C), as the statement does not discuss uncertainty in illness situations, which is the focus of Mishel's theory. In summary, answer choice D is correct because the nurse is making a proposition regarding the constructs of nursing practice based on the relationship between human dignity and caring in nursing roles.
Question 5 of 9
Medicare would be responsible for: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because Medicare covers hospital stays for individuals aged 65 and older, which would include a 70-year-old client. Choice B is incorrect because Medicare typically covers dialysis for individuals with end-stage renal disease, not nursing home costs. Choice C is incorrect because Medicare does not typically cover rehabilitation care for individuals under 65. Choice D is incorrect because AFDC is a separate program from Medicare that provides assistance for low-income families, and prescription costs for the young mother would likely be covered under a different program.
Question 6 of 9
A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
Correct Answer: A
Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion. Incorrect choices: B: Failure to delegate tasks is an internal issue, not an external distractor. C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor. D: Thinking about a vacation is also an internal distraction, not an external one. In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.
Question 7 of 9
A patient has fallen at home and complains that joints are very painful when trying to climb stairs. The patient desires to use an alternative complementary medicine rather than pain medication. The practitioner begins treatment with touch consisting of rocking, rhythmical motions to loosen tense, sore muscles and joints. The patient is receiving which type of treatment?
Correct Answer: C
Rationale: The correct answer is C: Trager approach. This treatment involves gentle rocking and rhythmic motions to release tension in muscles and joints. The goal is to improve mobility and reduce pain. The other choices are incorrect because: A: Swedish massage focuses on kneading and rubbing muscles, not specifically on rhythmic motions to release tension. B: Rolfing is a deep tissue manipulation technique aimed at realigning the body's structure, not specifically utilizing rocking and rhythmic motions. D: Reflexology involves applying pressure to specific points on the hands, feet, or ears to promote healing, not utilizing rocking and rhythmic motions.
Question 8 of 9
The nurse who presents a class on different methods of complementary alternative medicine (CAM) differentiates between imagery and hypnosis in which of the following ways?
Correct Answer: D
Rationale: The correct answer is D because it accurately differentiates between imagery and hypnosis. Imagery involves the patient formulating the impression in their mind, while hypnosis involves the hypnotist constructing the image for the patient. This is a key distinction as it highlights the active role of the patient in imagery compared to the more passive role in hypnosis. Choice A is incorrect because it inaccurately describes the process of hypnosis and imagery. Choice B is incorrect because both imagery and hypnosis can be performed by trained practitioners. Choice C is incorrect as both techniques can have varying durations of effectiveness, and it is not accurate to say that imagery only produces temporary well-being compared to hypnosis.
Question 9 of 9
A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on the unit." Which type of logical fallacy has influenced the nurse?
Correct Answer: B
Rationale: The correct answer is B: Appeal to common practice. The nurse's argument that "everyone just pushes the medicine slowly" and that "no one checks for compatibility" is based on the common practice in the unit rather than on scientific evidence or guidelines. This logical fallacy assumes that just because something is commonly done, it must be correct. In this case, the nurse is disregarding the importance of checking drug compatibility and following proper protocols. Incorrect choices: A: Ad hominem abusive - This choice involves attacking the person making the argument rather than addressing the argument itself, which is not evident in the scenario. C: Appeal to emotion - This choice would involve using emotions to manipulate the audience rather than relying on logic or evidence, which is not the case in the scenario. D: Appeal to tradition - This choice would involve arguing that something is right or good because it has been done that way for a long time, which is not explicitly stated in the scenario.