ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
A patient with kyphosis is visiting a practitioner of chiropractic medicine for the first time and asks, "How does this therapy work?" The practitioner replies, "I will use my hands along with heat to correct the misalignment of your spine by placing pressure on the nerves that have produced pain. The misalignment of your spine is referred to as:
Correct Answer: A
Rationale: The correct answer is A: subluxation. Subluxation in chiropractic terms refers to the misalignment of the vertebrae in the spine, which can put pressure on nerves and cause pain. Chiropractors believe that by using manual adjustments, they can correct these subluxations and restore proper alignment, which can alleviate pain and improve overall health. The other choices, B: a sprain, C: a fracture, and D: epicondylitis, do not accurately describe the misalignment of the spine that is being addressed in chiropractic care. Sprain refers to ligament injury, fracture refers to bone breakage, and epicondylitis refers to inflammation of the tendons.
Question 2 of 5
Despite the presence of safety aids such as handrails in the bathrooms at an assisted living facility, the number of fractures due to unsteady ambulation upon arising from the bed and when attempting to perform activities of daily living has increased. Which complementary alternative medicine (CAM) would be an effective intervention for this population?
Correct Answer: C
Rationale: Rationale: Tai chi is the correct answer because it focuses on improving balance, strength, and flexibility, which are essential for preventing falls in the elderly. Tai chi's slow, controlled movements can help improve stability and reduce the risk of fractures. Summary: A (Yoga) focuses more on flexibility and relaxation, not specifically on balance and stability. B (Acupuncture) is not a physical activity and does not directly address the issue of unsteady ambulation. D (Magnet therapy) lacks scientific evidence to support its effectiveness in improving balance and preventing falls.
Question 3 of 5
During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:
Correct Answer: B
Rationale: The correct answer is B: kidney stones. High calcium intake increases the risk of kidney stones due to excess calcium being excreted in the urine. The nurse should assess for symptoms like flank pain, hematuria, and frequent urination. Excessive bleeding (choice A) is not directly related to high calcium intake. Lower blood sugar (choice C) and jaundice (choice D) are not typically associated with calcium intake.
Question 4 of 5
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 5 of 5
A peaceful death is best characterized by which terminally ill patient?
Correct Answer: A
Rationale: The correct answer is A because being surrounded by family provides emotional support, comfort, and a sense of closure. Family presence can alleviate fear, anxiety, and loneliness, contributing to a peaceful death experience. Choice B focuses on pain management but does not address emotional well-being. Choice C, while important for end-of-life care, does not directly impact the patient's immediate comfort. Choice D indicates a decline in consciousness, which may not necessarily lead to a peaceful death experience as the patient may not be aware of their surroundings or loved ones.