ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 9
A patient experiences migraine headaches that are not relieved by traditional Western medical practices. The family physician suggests acupuncture, which: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because acupuncture is indeed based on the belief that meridians, energy pathways in the body, are vital for life and when they are out of balance, pain occurs. Acupuncture aims to restore the balance of these meridians to alleviate pain. Explanation: 1. Acupuncture theory is rooted in Traditional Chinese Medicine, which emphasizes the flow of energy (Qi) along meridians. 2. By inserting needles at specific points along the meridians, acupuncturists aim to restore the balance of Qi and alleviate pain. 3. Meridian theory is fundamental to the practice of acupuncture and differentiates it from other pain relief modalities. 4. Choices B, C, and D are incorrect as they do not accurately represent the core principles of acupuncture and how it works. Summary: Option A is correct because it aligns with the foundational principles of acupuncture, focusing on meridians and energy balance. Options B, C, and D are
Question 2 of 9
The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:
Correct Answer: C
Rationale: The correct answer is C: American Nurses Credentialing Center (ANCC). ANCC is the primary organization responsible for certifying advanced practice nurses in specialized areas. They provide information on requirements for practice, certification exams, and continuing education. ANA (A) focuses on promoting the profession of nursing. NLN (B) focuses on nursing education. NCSBN (D) oversees the state boards of nursing and does not specifically provide information on requirements for practice in specialized areas.
Question 3 of 9
A novice nurse is in the "rejection phase" of stress and wonders if she made the right decision when deciding nursing was her chosen career. Which strategy would help the novice nurse cope with transition into practice and reduce stress?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a proactive and thoughtful approach to decision-making. By stopping to consider the request and assessing its safety implications before accepting it based on patient acuity levels, the novice nurse is prioritizing patient safety and her own capabilities. This strategy helps her cope with the transition into practice by promoting critical thinking and confidence in her decision-making skills. Summary of why the other choices are incorrect: B: Refusing to eat anywhere but the hospital cafeteria may lead to social isolation and restrict the novice nurse's ability to engage with others outside of work. C: Ignoring coworkers' problems or staffing ideas can create a negative work environment and hinder teamwork, potentially increasing stress levels for the novice nurse. D: Focusing on winning over hostile coworkers may detract from the novice nurse's professional growth and cause unnecessary stress from seeking validation from others.
Question 4 of 9
An experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management. However, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. Which source of energy is missing in this nurse?
Correct Answer: B
Rationale: The correct answer is B: Mental. The nurse's inability to concentrate and view the healthcare milieu sensibly indicates a lack of mental energy. Mental energy is crucial for focus, problem-solving, decision-making, and critical thinking skills necessary for quality management. Physical energy (A) is related to physical stamina, spiritual energy (C) to inner peace and purpose, and emotional energy (D) to emotional resilience. However, in this case, the nurse's issue is primarily cognitive, highlighting the absence of mental energy.
Question 5 of 9
An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in nursing.
Correct Answer: B
Rationale: The correct answer is B: forensic. In this scenario, the nurse's involvement in specimen collection and assessment of the victim relates to forensic nursing, which involves providing healthcare in legal contexts like investigations and court proceedings. Triage (A) is the process of prioritizing patient care based on severity. Flight (C) and entrepreneurial (D) have no relevance to the situation described.
Question 6 of 9
The occupational health and safety nurse would like to develop programs designed to decrease mortality and morbidity among the workforce. When considering factors related to mortality among health care workers, the nurse should focus efforts on prevention of:
Correct Answer: C
Rationale: The correct answer is C: bloodborne disease. Health care workers are at risk for exposure to bloodborne pathogens such as HIV and hepatitis B and C. Prevention strategies include proper use of personal protective equipment and adherence to infection control protocols. Bloodborne diseases can have serious consequences on the health and well-being of healthcare workers, leading to mortality and morbidity if not properly prevented. Explanation for incorrect choices: A: Suicide - While mental health is an important concern, it is not specifically related to mortality among healthcare workers. B: Violence related injury - While workplace violence is a concern, it may not be the leading cause of mortality among healthcare workers. D: Ergonomic hazards - While important for preventing injuries, it may not directly relate to mortality among healthcare workers compared to bloodborne diseases.
Question 7 of 9
A nurse entering the job market wants to be certain that the first position is rewarding and allows for growth as a registered nurse. According to the Hallmarks of the Professional Nursing Environment, the nurse should ask:
Correct Answer: B
Rationale: The correct answer is B because professional development opportunities supported through paid leave and tuition reimbursement are crucial for a nurse's growth. This allows for continuous learning, skill enhancement, and career advancement. It indicates that the organization values its nurses and invests in their development. The other choices, A, C, and D, while important in their own right, do not directly address the nurse's growth and professional development. Choice A focuses on the philosophy of care, not personal growth. Choice C is mainly about compensation, not professional development. Choice D pertains to workforce planning, not individual career advancement.
Question 8 of 9
What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?
Correct Answer: A
Rationale: The correct answer is A: Theories. Theories are comprehensive explanations that scholars use to understand commonly occurring events by organizing and explaining a set of principles or laws. Theories help in predicting and controlling events based on established frameworks. Constructs (B) refer to abstract concepts within theories, systems (C) are organized structures of elements, and propositions (D) are statements that describe relationships between concepts, but they do not provide the comprehensive explanations that theories do.
Question 9 of 9
A patient is placed on reserpine (Serpalan) to decrease mild anxiety and treat hypertension. The patient researches the medication on the Internet and finds that this medication comes from which plant?
Correct Answer: C
Rationale: The correct answer is C: Rauwolfia serpentina. Reserpine is derived from the Rauwolfia serpentina plant. This plant contains alkaloids that act as a central nervous system depressant, reducing anxiety and lowering blood pressure. Atropa belladonna (A) contains toxic alkaloids, Digitalis purpurea (B) contains cardiac glycosides used for heart conditions, and Cephaelis ipecacuanha (D) contains emetine used for inducing vomiting, none of which are related to reserpine's effects.