ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
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 2 of 5
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.
Question 3 of 5
A daughter tells the nurse that, "Mom will be as good as new when we get this advanced cancer cured." How can the nurse best help the daughter in the role of caregiver?
Correct Answer: A
Rationale: The correct answer is A because setting realistic goals is crucial for managing expectations and promoting effective caregiving. By helping the daughter understand the reality of the situation and setting achievable goals, the nurse can support both the mother's care and the daughter's emotional well-being. Option B does not address the daughter's emotional needs or the importance of realistic expectations. Option C focuses on the patient's perspective rather than the daughter's role as a caregiver. Option D, while beneficial for emotional expression, does not directly address the need for realistic goal-setting in caregiving.
Question 4 of 5
Qualified nursing school applicants have continued to be turned away, limiting enrollment due to a shortage of faculty, which is attributed to several factors, including:
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the shortage of nursing faculty by highlighting the issue of burnout and job dissatisfaction, which leads to faculty turnover and limits enrollment. This explanation aligns with the initial statement that qualified applicants are being turned away due to the shortage of faculty. Choices B, C, and D are incorrect because they do not directly address the main issue of faculty shortage. B talks about the stability of faculty numbers in Associate Degree programs, which is irrelevant to the shortage. C discusses the decrease in the mean age of nursing faculty and the departure of older mentors, but this does not explain the shortage of faculty. D mentions increasing job competition from clinical sites, which is not the primary reason for the shortage of nursing faculty.
Question 5 of 5
Hospitals surveyed nurses who terminated their employment to determine why they chose to leave. One of the most common reasons for leaving was:
Correct Answer: B
Rationale: The correct answer is B: that the nurse/patient ratio prevents safe care. This answer is correct because inadequate nurse/patient ratios have been consistently identified as a major factor contributing to nurse dissatisfaction and burnout. When nurses are responsible for too many patients, they are unable to provide safe and effective care, leading to increased stress and job dissatisfaction. Explanation of other choices: A: Decreased pay for alternative shifts: While decreased pay may be a concern for some nurses, it is not typically cited as one of the most common reasons for leaving a position. C: Most facilities are choosing an all-RN staff, which decreases opportunities for advancement: While this may be a concern for some nurses, it is not as universally impactful as unsafe nurse/patient ratios. D: Agency and foreign nurses are favored by administration over full-time nursing staff: While favoritism may be an issue in some cases, it is not typically cited as one of the most common reasons for nurses leaving their employment.