ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
A potential applicant reviews the application process and learns that preemployment physicals often include:
Correct Answer: C
Rationale: The correct answer is C: urine drug screening. Preemployment physicals commonly include urine drug screening to ensure that job applicants are free from illegal substances. This step is crucial for workplace safety and productivity. Cholesterol screening (A) is not typically part of preemployment physicals unless specifically required by the employer. Pregnancy testing (B) is considered discriminatory and is not standard practice. Vision and hearing tests (D) may be included in preemployment physicals, but they are not as common as urine drug screening for ensuring a drug-free workplace.
Question 2 of 9
Which statement about qualitative research is correct?
Correct Answer: D
Rationale: The correct answer is D because interviews are a common and effective method in qualitative research to gather in-depth insights and descriptions of complex phenomena. Interviews help researchers understand participants' perspectives and experiences, allowing for a rich and nuanced exploration of the research topic. In contrast, options A, B, and C are incorrect because qualitative research can still be time-consuming, does not require large sample sizes for statistical significance, and focuses on in-depth understanding rather than generalizability to a larger population.
Question 3 of 9
A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the legislative branch determines which laws are constitutional by passing or rejecting proposed legislation. In the case of the PPACA, the legislative branch, specifically the Congress, passed the law. The Supreme Court's role is to interpret the constitutionality of laws (not determine which laws are constitutional), as seen in the case where the PPACA was upheld as a form of taxation. Choices B, C, and D are incorrect: B is incorrect because while the legislative branch appropriates funds, the actual allocation of federal dollars is determined through the budget process, not solely by the legislative branch. C is incorrect because the executive branch, not the legislative branch, consists of the President and executive departments that implement laws like the PPACA. D is incorrect because the legislative branch can override a presidential veto with a two-thirds majority vote, not vice versa. The President does not have the power to veto laws found constitutional by the Supreme Court.
Question 4 of 9
Six cultural phenomena that vary among cultural groups are known to affect health care. The influence of the consequences of these phenomena can be seen in which of the following? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B. Some cancers such as stomach cancer occur less frequently among blacks due to genetic factors. Stomach cancer is more common in Asian populations due to dietary and lifestyle factors. This variation in cancer incidence among different racial groups is influenced by genetic predisposition and environmental factors. Therefore, the influence of cultural phenomena on health care can be observed in the differing rates of specific diseases among various cultural groups. Other choices are incorrect: A: This choice does not directly relate to the influence of cultural phenomena on health care, but rather discusses medication adherence based on beliefs about fate and the environment. C: Direct eye contact is a cultural behavior that may vary among different cultural groups, but it does not directly relate to the influence of cultural phenomena on health care. D: Standing close and touching health care providers is a cultural behavior that may be more common among certain cultural groups like Mexican Americans, but it does not directly demonstrate the influence of cultural phenomena on health care in the context of disease incidence
Question 5 of 9
When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing care?
Correct Answer: A
Rationale: The correct answer is A: Safe and effective care environment. The rationale is that assigning different nurses to care for a patient with shingles and a patient with HIV/AIDS is an example of maintaining infection control and preventing the spread of communicable diseases. This falls under the category of safe and effective care environment because it ensures proper isolation precautions are followed to protect both patients and healthcare workers. Summary: - Option A is correct because it relates to infection control and maintaining a safe care environment. - Option B, health promotion and maintenance, is not relevant to the scenario described. - Option C, psychosocial integrity, does not address the primary concern of preventing the spread of infection. - Option D, teaching/learning, is not the focus of the scenario, which is more about infection control and safety.
Question 6 of 9
The physician who insists on providing treatment in spite of the client's wishes because he "knows best" is reflecting:
Correct Answer: D
Rationale: The correct answer is D: paternalism. Paternalism occurs when a physician overrides a patient's autonomy in favor of what they believe is best for the patient. In this scenario, the physician is not respecting the client's wishes and is making decisions based on their own judgment, which is characteristic of paternalism. Autonomy (A) refers to respecting the patient's right to make their own decisions. Beneficence (B) is the principle of doing good for the patient, but in this case, it is being overshadowed by the physician's paternalistic approach. Justice (C) refers to fairness in healthcare distribution, which is not applicable in this context.
Question 7 of 9
A nurse who is applying for a position contacts an expert on writing résumés and cover letters and is told:
Correct Answer: D
Rationale: The correct answer is D because being concise and limiting the resume to a single page is important in grabbing the attention of potential employers and ensuring that the most relevant information is highlighted. It shows professionalism and respect for the employer's time. Option A is incorrect as correction fluid may make the resume look messy. Option B is incorrect as using a single line to cross through an error and inserting initials is not standard practice in resume writing. Option C is incorrect as limiting margins to one half inch can make the resume look cluttered and difficult to read.
Question 8 of 9
A nurse has recently been appointed to the position of nurse manager. To become successful in managing the unit's budget, the new nurse manager should: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because reading the financial policy manual will provide the new nurse manager with a comprehensive understanding of the organization's budgeting process, which is crucial for successful budget management. This will help the nurse manager make informed decisions and align their actions with the organization's budgeting guidelines. Choice B is incorrect as it suggests delegating budget management to the nursing administration office, which does not promote the nurse manager's development of budgeting skills and knowledge. Choice C is incorrect because while it is important to communicate with the hospital's finance office for guidance, solely relying on this communication may not provide the nurse manager with a deep understanding of the budgeting process. Choice D is incorrect because focusing only on bottom-line numbers without understanding the details of each line in budget reports can lead to oversight of important budget components and hinder effective budget management.
Question 9 of 9
According to the Needlestick Safety and Prevention Act (2000):
Correct Answer: D
Rationale: The correct answer is D. The Needlestick Safety and Prevention Act (2000) mandates that employers must document how and where a sharps injury occurred, including the brand of device involved. This helps in identifying patterns of injuries and evaluating the effectiveness of safety devices. Choice A is incorrect because the Act does not specifically mention nurses in managerial positions evaluating safe needle devices. Choice B is incorrect as there is no requirement for registered nurses to pass a test after sustaining a needle stick. Choice C is incorrect as the Act sets federal standards for safe needle devices, not leaving it up to individual states to determine.