ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
A person from an underrepresented background in nursing is interested in entering nursing school and researches the ethnicity, age, and gender make-up of the nursing profession and finds:
Correct Answer: C
Rationale: Step-by-step rationale for the correct answer (C): 1. The correct answer is C because the majority of registered nurses (RNs) in the US are indeed white or non-Hispanic according to statistical data. 2. This information is important for the person from an underrepresented background to understand the current demographic makeup of the nursing profession. 3. By knowing that the majority of RNs are white or non-Hispanic, the individual can better assess the existing diversity within the profession. 4. Understanding the demographics can help the individual navigate potential challenges related to representation and cultural competence. 5. It is crucial for the person to have accurate information to make informed decisions about pursuing a career in nursing. Summary of why other choices are incorrect: A: Nursing is not primarily made up of women younger than 30 years. B: The number of male RNs has not equalized with the number of female RNs. D: More than half of all RNs are not ages 55 through
Question 2 of 9
A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
Correct Answer: A
Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.
Question 3 of 9
Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. This practice is referred to as:
Correct Answer: B
Rationale: The correct answer is B: cost shifting. Cost shifting refers to the practice of healthcare providers charging higher prices to patients who have insurance or can pay in order to make up for the costs incurred from providing care to uninsured or underinsured individuals. This helps offset the financial burden caused by uncompensated care. A: Charity is incorrect because it refers to voluntary giving of help, typically in the form of money or goods, to those in need. Cost shifting involves charging more to certain patients to cover costs, rather than voluntary donations. C: Price sharing is incorrect as it does not accurately reflect the concept of redistributing costs among different groups of patients based on their ability to pay. D: Governmental reimbursement is incorrect because it specifically refers to payments made by the government to healthcare providers for services rendered to patients covered by government insurance programs, not the practice of cost shifting.
Question 4 of 9
A researcher is interested in quality of life and after an extensive literature review quantitatively integrates data from identified studies and describes the findings. This researcher is using which approach? (select all that apply)
Correct Answer: C
Rationale: The correct answer is C: Meta-analysis. In a meta-analysis, a researcher combines data from multiple studies to provide a quantitative summary of the findings. This approach allows for a more comprehensive and statistically powerful analysis of the research evidence on a particular topic. Survey (A) involves collecting data directly from individuals, which is not the same as integrating data from existing studies. Triangulation (B) refers to using multiple methods or data sources to validate findings, not necessarily integrating data from different studies. State of the science summary (D) typically involves summarizing the current state of knowledge on a topic but does not involve quantitative integration of data like in a meta-analysis.
Question 5 of 9
The forensic nurse would most likely be involved in:
Correct Answer: A
Rationale: The correct answer is A because forensic nurses specialize in caring for victims of violence and abuse, including sexual assault. They are trained to perform detailed assessments of rape victims, collect forensic evidence like DNA samples, and provide compassionate care. This role is crucial in helping the victim receive appropriate medical treatment and support, as well as ensuring the evidence is properly collected for legal proceedings. Choice B is incorrect because it involves triaging patients in an emergency department based on their presenting symptoms, which is typically done by emergency department staff, not forensic nurses. Choice C is incorrect as it describes a scenario more suited to a cardiac nurse or a telehealth nurse, not a forensic nurse. Choice D is incorrect because it involves providing pediatric life support at the scene of an accident, which is the role of emergency medical services personnel or emergency department staff, not forensic nurses.
Question 6 of 9
A group of nurses interested in unionizing decides to contact the largest union in the United States representing registered nurses, which is the:
Correct Answer: C
Rationale: The correct answer is C: National Nurses United. This is because National Nurses United is the largest union in the United States specifically representing registered nurses. They have a strong presence in advocating for nurses' rights and providing resources for unionizing efforts. A: American Nurses Association is a professional organization, not a union. B: United American Nurses was dissolved in 2009, so it is not the largest union. D: National Labor Relations Board is a government agency overseeing labor relations, not a union representing nurses.
Question 7 of 9
A nurse who has practiced for 1 year on a medical-surgical unit is very interested in a position in the operating room. She traces the nursing history of surgery to learn how nursing has evolved in this practice. To determine if, historically, surgery methods advanced the practice of nursing, select the correct statements. (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections. This statement is correct because during the Middle Ages, barbers often performed surgical procedures and used techniques like boiling water and alcohol to sterilize instruments, reducing the risk of wound infections. This practice contributed to advancing the field of surgery and indirectly influenced nursing practice by emphasizing the importance of infection control. Incorrect choices: A: The Ancient Egyptians were the first to use anesthesia in the operating room - This statement is incorrect as anesthesia was not used in surgery until the 19th century. C: The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses - This statement is incorrect as while Indian culture had early hospitals and female nurses, their practices were not comparable to modern nursing. D: During the Renaissance, advances in nursing education, including surgery, were nonexistent - This statement is incorrect as the Renaissance saw advancements in medical and surgical knowledge
Question 8 of 9
The nursing executive team met to review last year's productivity metric to strategize for the upcoming year's metric. The team wants to be certain the productivity metric shows productivity was:
Correct Answer: C
Rationale: The correct answer is C: balanced. In a professional setting, a balanced productivity metric indicates that productivity was at an optimal level, not too high or too low. This implies that the team wants to ensure that productivity was neither excessively high nor low, but rather appropriately managed. Option A (high) and B (low) are incorrect as they represent extreme ends of the spectrum, which may not accurately reflect the desired productivity level. Option D (iterative) is incorrect because it refers to a process of repetition and refinement, which is not directly related to the level of productivity achieved. Therefore, the most suitable choice in this context is C: balanced, as it aligns with the team's goal of maintaining an optimal level of productivity.
Question 9 of 9
A nurse has been asked to serve as the charge nurse on the evening shift. The agency where the nurse is employed is considering unionization. If the charge nurse position is accepted, this nurse:
Correct Answer: A
Rationale: Step 1: Charge nurses are typically considered part of the nursing staff, not part of the management team. Step 2: Since charge nurses are not considered part of the management team, they are eligible to be represented by the union. Step 3: Being part of the union means the charge nurse can benefit from collective bargaining activities and have a voice in workplace decisions. Step 4: Choice A is correct as it aligns with the general understanding of charge nurses' roles and their eligibility for union representation. Summary: Choice B is incorrect because charge nurses are not typically considered part of the management team, so union participation would not necessarily be a conflict of interest. Choice C is incorrect because union representation does not automatically mean filing grievances that will be arbitrated. Choice D is incorrect because charge nurses can participate in collective bargaining activities related to unfair labor practices if they are represented by the union.