ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
A patient is ordered a low-protein, low-calorie diet but the patient's family brings fish, lentils, and unleavened bread for a meal to observe a cultural practice. The nurse works with the dietitian to adjust the next few meals to accommodate for this variance. This situation would represent:
Correct Answer: C
Rationale: The correct answer is C: patient-centered care. Patient-centered care involves respecting and responding to individual patient preferences, needs, and values. In this scenario, the nurse and dietitian are adjusting the patient's meals to accommodate cultural practices, showing a commitment to providing care that is respectful and responsive to the patient's cultural beliefs. This approach promotes better patient outcomes and satisfaction. Summary of incorrect choices: A: a sentinel event - This refers to a serious, preventable adverse event, which does not apply in this situation. B: an adverse event - This typically refers to harm caused by medical care, which is not the case here. D: the communication technique of "call-out" - This refers to a technique used in healthcare to alert team members to unsafe situations, which is not relevant to the scenario provided.
Question 2 of 5
A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office. The nurse should contact the:
Correct Answer: B
Rationale: The correct answer is B: American Nurses Association Nurses Strategic Action Team (N-STAT). Rationale: 1. N-STAT is a strategic action team within the American Nurses Association, which is a reputable organization representing nurses' interests. 2. N-STAT focuses on political advocacy and provides information on political platforms of candidates running for national office. 3. Contacting N-STAT would provide the nurse with accurate and relevant information about the candidate's political platform. Summary of other choices: A: National Registry for Candidates - Not a known entity, unlikely to provide specific political platform information. C: National League of Nurses - Focuses on nursing education and standards, not political platforms. D: National Council of State Boards of Nursing - Focuses on regulatory aspects of nursing practice, not political platforms.
Question 3 of 5
A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:
Correct Answer: D
Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state." Rationale: 1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government. 2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states. 3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations. Summary: A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments. B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states. C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.
Question 4 of 5
A group of nurses meet with a state representative to explain the importance of allowing registered nurses the right to sign death certificates for patients who were under their care. As constituents and nurses, they requested that the senator vote against the bill restricting this practice. These nurses are serving as:
Correct Answer: A
Rationale: The correct answer is A: lobbyists. The nurses are acting as lobbyists by advocating for a specific cause (allowing RNs to sign death certificates) to the state representative. They are not policymakers (B) because they are not directly making decisions or creating policies. They are also not officials with regulatory power (C) as they are not in a position to enforce regulations. Lastly, they are not advocating for the Patient Safety and Quality Improvement Act (D) specifically in this scenario.
Question 5 of 5
The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor, and is asked to participate in the next staff meeting. This introduction into nursing is appropriately termed:
Correct Answer: B
Rationale: The correct answer is B: socialization. Socialization is the process by which individuals learn and adapt to the values, norms, and behaviors of a particular group, in this case, the nursing profession. In this scenario, the novice nurse is being introduced to the staff, assigned a preceptor, and asked to participate in a staff meeting, all of which are key components of the socialization process in nursing. A: Biculturalism refers to the coexistence of two distinct cultures within one society, which is not applicable in this context. C: Transition is the process of changing from one state to another, which is a broader concept than just the introduction to a new profession. D: "Going native" is a colloquial term that refers to adopting the lifestyle or customs of a foreign culture, which is not relevant to the scenario of a novice nurse being introduced to the nursing profession.