ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
A nurse who is participating in a health fair asks, "Other than nursing, what are some opportunities for careers in the health care professions, and what education is required?" The nurse informs participants that a baccalaureate degree is required as the minimum standard for the role of:
Correct Answer: D
Rationale: The correct answer is D: nurse anesthetist. Nurse anesthetists require a minimum of a baccalaureate degree in nursing as a prerequisite for their advanced practice role. They then need to complete a master's or doctoral program in nurse anesthesia. This advanced education and training enable nurse anesthetists to provide anesthesia care in various healthcare settings. Incorrect answers: A: Speech therapists require a master's degree in speech-language pathology. B: Occupational therapists require a master's degree in occupational therapy. C: Nurse-midwives require a master's degree in nurse-midwifery or a related field. In summary, the minimum education requirement of a baccalaureate degree aligns with the role of a nurse anesthetist, making choice D the correct answer.
Question 2 of 9
A graduate nurse should begin the job search knowing that:
Correct Answer: C
Rationale: The correct answer is C because efforts to reduce healthcare expenditures do not necessarily impact the need for RNs, which remains stable. This is supported by the ongoing demand for nurses in various healthcare settings. Choice A is incorrect as the demand for RNs is generally high. Choice B is incorrect because job availability depends on various factors beyond just the location of the hospital. Choice D is incorrect as the need for nurses in acute care hospitals remains significant despite the shift towards outpatient and ambulatory settings.
Question 3 of 9
A patient is admitted for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?
Correct Answer: B
Rationale: The correct answer is B: Primary nursing care delivery. In primary nursing, one nurse assumes 24-hour responsibility for planning, implementing, and evaluating the care of a patient. In this scenario, the RN developed and implemented the plan of care and delegated specific tasks to the LPN/LVN. The RN remains responsible for the overall care even while off duty, as evidenced by receiving a call regarding a change in the plan of care. The other choices are incorrect because: A: Modular nursing involves a team of healthcare providers working together, sharing responsibilities, and providing care collectively. C: Team nursing involves a team of healthcare providers with different levels of expertise working collaboratively to deliver patient care. D: Functional nursing divides tasks among different team members based on their skill sets, which is not the case in the scenario provided.
Question 4 of 9
During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
Correct Answer: A
Rationale: The nurse is experiencing the "Honeymoon" phase of reality shock. In this phase, individuals feel excited, optimistic, and idealistic about their new role and workplace. The nurse's positive visualization of enjoying the benefits of their hard work during orientation aligns with the honeymoon phase. This phase is characterized by a sense of satisfaction, fulfillment, and a belief that the sacrifices made, such as enduring nursing school, were worth it. The nurse's emotional state of smiling and feeling content reflects the honeymoon phase. Other choices are incorrect: B: Shock or rejection - This phase involves feeling overwhelmed, anxious, and doubting one's abilities. The nurse's positive emotions do not align with this phase. C: Recovery - This phase involves adjusting and finding ways to cope with the challenges of the new role. The nurse is not in a phase of recovery as they are not struggling or adapting to the new environment. D: Resolution - This phase involves accepting the reality of the new role and moving forward
Question 5 of 9
A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:
Correct Answer: A
Rationale: The correct answer is A: private health insurance. In this scenario, the nurse's insurance is provided by the state-owned hospital, meaning it is not a federal program like PPACA (B) or state-subsidized Medicaid (C). Additionally, it is not a single-payer system (D) since the employer is covering the majority of the premium cost, indicating a private insurance plan. Private health insurance typically involves a deductible paid by the employee, as mentioned in the question. Therefore, the nurse's insurance in this case aligns with the characteristics of private health insurance, making choice A the correct answer.
Question 6 of 9
A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
Correct Answer:
Rationale: Correct Answer: A: Zero-based Rationale: 1. Zero-based budgeting starts from scratch, evaluating each expense regardless of the prior year. 2. It helps eliminate inefficiencies and ensures resources are allocated to high-priority areas. 3. By not relying on past data, outdated information does not influence the budget decisions. Summary: B: Incremental budgeting builds on the previous year's budget, not starting from zero. C: Labor budget focuses specifically on labor costs, not the overall budgeting approach. D: Operational budget typically considers historical data and current operations, unlike zero-based budgeting.
Question 7 of 9
A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?
Correct Answer: A
Rationale: The correct answer is A. By actually observing the delegatee perform the assigned task, the nurse can directly assess the competency of the delegatee in real-time. This allows the nurse to evaluate the delegatee's skills, knowledge, and adherence to protocols. Asking the delegatee how many times they have performed the task (B) may not accurately reflect their competency level. Asking the patient if the care provided was satisfactory (C) may not provide an objective assessment of the delegatee's competency. Asking other nurses if they feel the delegatee is competent (D) introduces bias and may not reflect the delegatee's actual abilities.
Question 8 of 9
A new trend in nursing education that is consistent with real-world practice is focused on:
Correct Answer: A
Rationale: The correct answer is A: outcomes. Nursing education focused on outcomes aligns with real-world practice by emphasizing measurable results and the impact of nursing interventions on patient care. Objectives (B) are specific steps to achieve outcomes, while goals (C) are broader aims. Subjective appraisals (D) lack the objective, evidence-based focus required in nursing education. Therefore, focusing on outcomes ensures that nursing students are prepared for the demands of real-world practice.
Question 9 of 9
A patient who is just beginning to use homeopathy to treat depression is concerned because symptoms are actually becoming worse with increasing sadness, anxiety, and fatigue. The practitioner of homeopathy bases teaching on the Law of Cure and instructs the patient to:
Correct Answer: D
Rationale: Step 1: The Law of Cure in homeopathy states that symptoms improve in the reverse order of their appearance. Step 2: The worsening of symptoms initially is known as a healing crisis or aggravation. Step 3: By remaining on the current regimen, the patient allows the body to go through the healing process. Step 4: This indicates that the body is responding to the remedy and working towards a deeper level of healing. Step 5: Discontinuing therapy or increasing potency/dosage may disrupt this natural healing process.