ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
A recruiter is explaining benefits to a group of nursing externs who are highly sought for employment. The recruiter states, "We are the only hospital in town that offers a residency program." The recruiter further explains that a residency program:
Correct Answer: D
Rationale: The correct answer is D because a residency program offers extended time for both theory and clinical activities that promote problem-solving and clinical decision-making skills. This is important for new graduates to enhance their clinical skills and transition into practice effectively. A: Providing housing for the graduate nurse is not typically a component of a residency program. B: Partnering a medical resident with a nurse resident for interprofessional care is not a defining feature of a nursing residency program. C: Allowing new graduates to work on a higher degree in nursing while being paid full-time is not the primary focus of a nursing residency program, which is more about developing clinical skills.
Question 2 of 9
A nurse who has practiced on an orthopedic unit for 10 years unexpectedly becomes pregnant. At delivery the physician informs the mother, "Your baby has Alport syndrome, but then I don't have to explain what that means with your medical background." The mother is unfamiliar with this disease and withdraws as a coping mechanism. Which nursing theory would provide a framework to guide nursing care for this mother?
Correct Answer: A
Rationale: The correct answer is A: Mishel's uncertainty of illness. This theory focuses on how individuals cope with uncertainty related to illness or health events. In this scenario, the mother is facing unexpected news about her baby's condition, causing her to withdraw as a coping mechanism due to the uncertainty she is experiencing. By utilizing Mishel's theory, nurses can provide support and guidance to help the mother navigate her feelings of uncertainty and develop coping strategies. Choice B (Orem's self-care deficit model) is not the best fit as it primarily focuses on the individual's ability to perform self-care activities, which may not directly address the mother's emotional response to uncertainty. Choice C (Nightingale's canons of nursing) is more focused on the environmental factors impacting health and may not address the mother's coping needs. Choice D (Levine's conservation model) emphasizes maintaining stability and balance in the body systems, which may not directly address the mother's emotional needs in coping with uncertainty.
Question 3 of 9
Faculty comes to class to present information about joining the Student Nurses Association (SNA). A student is heard saying, "Why join this organization? It is just a bunch of students like us. I'll wait and join the real nursing organization after graduation." This student is not aware of which benefits of SNA? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: Members are eligible to sit for the licensure examination at a reduced rate. This benefit is specific to the Student Nurses Association (SNA) and is not available in other nursing organizations. It provides a tangible advantage for members to pursue licensure after graduation, which is a critical step in their nursing career. Incorrect choices: B: While leadership skills can be refined by working with other schools of nursing through SNA, this is not a unique benefit that distinguishes SNA from other organizations. C: The National SNA providing discounted rates for study abroad opportunities is a beneficial offering, but it does not address the immediate benefit of reduced licensure examination rates. D: Obtaining a global view of nursing through networking internationally is a valuable experience, but it does not directly relate to the licensure examination benefit provided by SNA.
Question 4 of 9
Clara Barton is known for+2:505:
Correct Answer: C
Rationale: The correct answer is C: founding the American Red Cross. Clara Barton is renowned for establishing the American Red Cross in 1881, providing humanitarian aid during times of war and disaster. This is the most accurate choice as it aligns with her significant contribution to society. Choice A is incorrect as Clara Barton was not the first black public health nurse. Choice B is incorrect as the Henry Street Settlement was founded by Lillian Wald. Choice D is incorrect as while Clara Barton did advocate for improvements in nursing education, her most notable accomplishment was the establishment of the American Red Cross.
Question 5 of 9
A nurse is evaluating Levin's Theory of Conservation to determine if it can be applied to patients in the initial phases of chemotherapy treatment. During this phase of theory acceptance, the nurse wants to determine if all the concepts of energy, structural integrity, personal integrity, and social integrity are included in the care of cancer treatment. The nurse is applying which criteria of theory acceptance?
Correct Answer: A
Rationale: The correct answer is A: Inclusiveness. In this scenario, the nurse is evaluating if Levin's Theory of Conservation includes all the concepts related to energy, structural integrity, personal integrity, and social integrity in the care of cancer treatment. Inclusiveness as a criterion of theory acceptance involves determining if a theory encompasses all relevant concepts and variables within a certain domain. By ensuring that all key components are addressed, the theory can be considered comprehensive and applicable to various situations. Choice B: Consistency, refers to the internal logical coherence of a theory, which is not the focus of the nurse's evaluation in this case. Choice C: Accuracy, pertains to the degree to which a theory accurately reflects reality, which is not directly related to the nurse's current evaluation. Choice D: Fruitfulness, involves the ability of a theory to generate new research and insights, which is not the primary concern for the nurse's assessment of the theory's applicability to cancer treatment.
Question 6 of 9
A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style?
Correct Answer: D
Rationale: The correct answer is D, passive-aggressive. The nurse is indirectly expressing her displeasure and resistance to floating by smiling and agreeing to come back for lunch, but then displaying negative body language and muttering under her breath. This behavior is passive on the surface but aggressive in the underlying tone. The nurse is not openly confronting the issue but is still showing resistance and frustration. A: Assertive communication involves expressing one's needs and feelings in a direct and respectful manner. The nurse is not openly communicating her feelings or needs in this scenario. B: Aggressive communication involves expressing needs and feelings in a forceful and hostile manner. The nurse's behavior is not openly hostile towards others. C: Passive communication involves avoiding conflict and not expressing one's needs or feelings. The nurse is indirectly expressing her displeasure, so it's not purely passive.
Question 7 of 9
A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation. Which action by the nurse should have the greatest impact on passage of the bill?
Correct Answer: B
Rationale: The correct answer is B: Contact the elected representative's office by telephone to request support for the bill. This action is the most direct and effective way to influence the passage of the bill. By directly contacting the elected representative, the nurse can advocate for the importance of the bill and provide relevant information to garner their support. This direct communication with the decision-maker holds significant weight in influencing their vote on the bill. A: Explaining the rationale to the school board may be informative, but the school board may not have direct influence on the state legislature. C: Supporting a health advocate to run for election is a long-term strategy and may not have an immediate impact on the passage of the bill. D: Telling all students about the bill may raise awareness but may not directly influence the lawmakers' decisions.
Question 8 of 9
To determine basic competency, the interview for a nursing position may include a test in:
Correct Answer: A
Rationale: The correct answer is A: pathophysiology. This is because understanding pathophysiology is fundamental for a nurse to comprehend how diseases affect the body. It helps nurses provide appropriate care and make critical decisions. Incorrect choices: B focuses on documentation, C on medication knowledge, and D on technical skills, which are important but not as essential as understanding the physiological mechanisms of diseases.
Question 9 of 9
A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?
Correct Answer: C
Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data. Incorrect choices: A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation. B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions. D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.