ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
A researcher conducts a survey to determine the perceived health status of elderly persons living independently at home. The same subjects participate in a telephone call in which they describe the lived experience of living with chronic illness. When writing up the research study, the nurse would describe using:
Correct Answer: B
Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.
Question 2 of 9
A patient who is pregnant has used the herb feverfew for a history of migraine headaches. The nurse should provide teaching related to a risk for:
Correct Answer: A
Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.
Question 3 of 9
A consumer is learning about electronic health records at a local health fair and states, "I am worried that someone can read my health information and I really don't understand the difference between privacy and confidentiality." The nurse explains that an example of confidentiality would be:
Correct Answer: D
Rationale: The correct answer is D because locking medical records in cabinets to prevent unauthorized users from accessing patient information exemplifies confidentiality. This practice ensures that only authorized individuals have access to sensitive health data, maintaining patient privacy. Choice A is about a pledge of confidentiality, not an actual practice. Choices B and C involve patients withholding information, which is related to privacy but not confidentiality.
Question 4 of 9
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse completes the following interventions: places the client on the examining table, completes a thorough history and physical, covers the client with a sheet, places the call button within reach, and goes out in the hall to speak with the client's physician. The client tries to get up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The nurse's actions reflect:
Correct Answer: D
Rationale: The correct answer is D: negligence. Negligence refers to a failure to provide the standard of care that a reasonably prudent person would have provided in a similar situation, resulting in harm to the client. In this scenario, the nurse failed to ensure the safety of the client by leaving them unattended on an examining table, leading to the client falling and sustaining injuries. This breach of duty to provide proper care and supervision constitutes negligence. Choice A (invasion of privacy) is incorrect because it does not relate to the nurse's failure to provide proper care and supervision. Choice B (libel) and Choice C (slander) are also incorrect as they pertain to defamation, which is not applicable in this situation. The nurse's actions primarily reflect negligence due to the failure to provide adequate supervision, resulting in harm to the client.
Question 5 of 9
A primary function of the budgeting process is to provide managers with an opportunity to:
Correct Answer: B
Rationale: The correct answer is B because the primary function of the budgeting process is to discuss concerns about resource allocation with leaders capable of resolving issues. This allows managers to make informed decisions on how to allocate resources effectively. Choice A is incorrect as the budgeting process is not primarily about insisting on specific salary increases. Choice C is incorrect as it focuses on changing budgeting methods rather than the purpose of budgeting itself. Choice D is incorrect as developing an educational program is not the primary purpose of the budgeting process.
Question 6 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 7 of 9
A nurse in a rehabilitation unit plans activities of daily living to prevent excessive fatigue, helps the patient dress before the family visits, assists with range of motion, and allows the patient to decide which clothes to wear during the visit. This nurse is best applying which theory to practice?
Correct Answer: A
Rationale: The correct answer is A: Watson's Theory of Caring. This theory emphasizes the importance of caring relationships in nursing practice. In this scenario, the nurse is demonstrating caring by helping the patient prevent fatigue, assisting with dressing, and respecting the patient's autonomy in choosing clothes. Watson's theory focuses on promoting holistic care and building a therapeutic nurse-patient relationship. Choices B, C, and D are incorrect: B: Rogers' Theory of Unitary Humans focuses on the interconnectedness of humans with their environment, which is not the primary focus of the nurse's actions in the scenario. C: Levine's Theory of Conservation emphasizes maintaining the patient's energy and structural integrity, which is not the main focus of the nurse's actions in the scenario. D: Leininger's Theory of Transcultural Nursing focuses on providing culturally competent care, which is not the central theme of the nurse's actions in the scenario.
Question 8 of 9
Throughout their careers, nurses are in an ongoing state of acculturation, gaining experience from formal nursing school classes, clinical experiences, and the ethical issues they encounter in their clinical practice. The ideal outcomes of these ongoing experiences with cultural decision making include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: increased trustworthiness. Acculturation in nursing involves gaining experience and knowledge from various sources, leading to increased credibility and trustworthiness among patients, colleagues, and the healthcare team. This ongoing process helps nurses build rapport and establish trust with diverse patient populations. Explanation for why the other choices are incorrect: B: While enhanced ability to consider many aspects of ethical situations is important in nursing, it is not directly related to the outcome of increased trustworthiness. C: Confidence in making decisions based on experience and ethical intelligence is valuable, but it does not directly lead to increased trustworthiness. D: Improved clinical decision making and advocacy for patient autonomy are crucial aspects of nursing practice, but they do not specifically address the outcome of increased trustworthiness that comes from acculturation.
Question 9 of 9
Which patient's decision-making capacity should be a concern for the palliative care nurse?
Correct Answer: B
Rationale: The correct answer is B because a patient with moderate Alzheimer's disease may have impaired decision-making capacity due to cognitive decline. Patients with Alzheimer's may struggle to understand, remember, and evaluate information needed to make informed decisions. Choice A shows the patient's curiosity, not necessarily a lack of capacity. Choice C indicates family involvement but does not directly address the patient's capacity. Choice D reflects anxiety about decision-making, not necessarily incapacity.