ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A patient wants to reduce health care costs by being a model for making wise decisions that both promote health and reduce cost. Which statement by the patient would indicate a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A because asking for the brand name drug Tylenol instead of the generic acetaminophen would likely increase healthcare costs without providing any additional benefit. Acetaminophen is the active ingredient in Tylenol, so choosing the brand name would be more expensive without improving health outcomes. This decision does not align with the goal of reducing healthcare costs while promoting health. Choice B is correct as looking up information on urinary tract infection prevention shows the patient is proactively seeking knowledge to improve health outcomes. Choice C is correct as getting health measurements at a health fair demonstrates an interest in monitoring health status. Choice D is correct as seeking advice from a pharmacist for allergies is a cost-effective and health-promoting decision.
Question 2 of 5
When can a nurse detain a client by using restraints?
Correct Answer: D
Rationale: The correct answer is D because the use of restraints on a client should only be done with proper authorization. Physician orders following a medical evaluation ensure that the decision is based on clinical necessity. Choices A, B, and C are incorrect because they do not provide valid reasons for using restraints. Insufficient staffing, confusion, and family requests are not appropriate justifications for restraining a client. It is essential to prioritize the client's safety and well-being while following proper protocols and guidelines.
Question 3 of 5
A physician orders a drug for a patient with a known allergy resulting in anaphylactic shock. The nurse:
Correct Answer: C
Rationale: The correct answer is C because disclosure is a key component of the national patient safety movement. By disclosing the error to the patient and involving them in the decision-making process, the nurse promotes transparency, trust, and patient-centered care. This approach also allows for timely interventions to address the allergic reaction effectively. Choice A is incorrect because prioritizing agency consequences over patient safety goes against ethical principles. Choice B is incorrect as it suggests disclosing before discussing with the physician or management, which could lead to confusion and potential miscommunication. Choice D is incorrect since reporting to the patient's insurance company does not address the immediate patient safety concern of the allergic reaction.
Question 4 of 5
A nurse is assigned to a unit other than the one she is normally assigned due to increased census on the alternate unit. She is assigned to care for seven patients and participates in walking rounds where the patient's condition and needs are discussed between oncoming and off-going shifts of the interdisciplinary team. The nurse carefully makes notes of all pending orders and prioritizes needs. The nurse enters the cafeteria later and the notes accidentally fall from her pocket, which contain the above information that contains patient sensitive datThe liabilities arising from this incident would be covered under:
Correct Answer: A
Rationale: Step-by-step rationale for why Choice A is correct: 1. The scenario involves the accidental disclosure of patient-sensitive data. 2. The Health Insurance Portability and Accountability Act (HIPAA) specifically addresses the protection of patient information. 3. HIPAA requires healthcare providers to safeguard patient data and maintain confidentiality. 4. In this case, the nurse's unintentional disclosure of patient information falls under HIPAA violations. 5. Therefore, the liabilities arising from this incident would be covered under HIPAA. Summary of why other choices are incorrect: B. The ANA Scope and Practice Act focuses on the scope of nursing practice and does not specifically address patient data protection like HIPAA. C. Affirmative duty failing to question order relates to a nurse's responsibility to question unsafe orders, not patient data protection. D. Personal liability with floating and cross-training does not cover the accidental disclosure of patient information, which falls under HIPAA.
Question 5 of 5
An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
Correct Answer: B
Rationale: The correct answer is B: Veracity. Veracity refers to the principle of truthfulness and honesty in communication. In this scenario, the nurse knowingly provides false information to the daughter by stating that the mother is responding to her voice when the movement was actually involuntary. By not being truthful, the nurse violates the principle of veracity. Autonomy (A) is the right of individuals to make their own decisions. Utilitarianism (C) focuses on the greatest good for the greatest number of people. Deontology (D) is an ethical theory based on rules and duties. These principles are not directly related to the nurse's dishonesty in this situation.