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 informs the nurse, "I burn a lavender-scented candle for an hour before bedtime to help me relax and sleep." The nurse realizes this patient is using:
Correct Answer: A
Rationale: The correct answer is A: the mind-body intervention of aromatherapy. Aromatherapy uses essential oils like lavender to promote relaxation and improve sleep. The scent of lavender can have calming effects on the mind and body, aiding in relaxation before bedtime. Qi gong (B) is a form of energy healing, Alexander technique (C) involves posture and movement, and conventional medicine (D) focuses on pharmaceutical or surgical interventions, none of which are directly related to using a lavender-scented candle for relaxation and sleep.
Question 3 of 9
During orientation, an RN learns that LPN/LVNs in the facility receive additional training to perform some tasks such as hanging continuously infusing intravenous fluids that have no additives. It is important for the RN to understand that:
Correct Answer: B
Rationale: Rationale for Correct Answer (B - LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN): 1. LPN/LVNs are licensed professionals, accountable for their own scope of practice as outlined by the state nursing board. 2. Accountability ensures that LPN/LVNs are responsible for their actions and decisions in providing patient care. 3. LPN/LVNs must adhere to the state's nursing practice act and regulations, ensuring safe and competent care delivery. Summary of Incorrect Choices: A: The health care facility cannot override the state practice act as licensure requirements are set by the state nursing board. C: UAPs, although important in the care team, do not have the same level of accountability as licensed nurses. D: The nurse practice act and state regulations related to delegation are essential in guiding delegation practices, but they do not necessarily override organization policies.
Question 4 of 9
A nurse is part of the policy committee for a hospital. The committee is provided with statistics indicating that patients participating in a satisfaction survey felt they lacked sufficient information about new drugs started while hospitalized and continued after discharge. In addition, charts noted high recidivism rates. The committee recommended that a formalized patient education plan be instituted to reconcile all medications and provide patient information about new medications. The committee is using which component of the Institute of Medicine (IOM) 2011 message?
Correct Answer: D
Rationale: The correct answer is D: Policy is based on data, which provides the groundwork for decision making. This is the correct answer because the scenario describes the policy committee using statistics about patient satisfaction and recidivism rates to make recommendations for a patient education plan. By utilizing data, the committee is following the IOM 2011 message of basing decisions on evidence and information. A: Nurses achieving higher levels of education is not directly related to the scenario and the committee's decision-making process. B: The requirement of a master's degree for nurses on policy committees is not mentioned in the scenario and is not relevant to the decision-making process described. C: Comparing nurse pay to physicians' pay is not relevant to the scenario or the IOM 2011 message of using data for decision making.
Question 5 of 9
A graduate of a nursing school in the United States plans to practice nursing in Paris, France. To request licensure to practice in Paris, the nurse:
Correct Answer: D
Rationale: The correct answer is D because the nurse should contact the International Council of Nurses or the nursing regulatory board of the country where they plan to practice to understand the licensure requirements. This is important as each country has its own specific regulations for foreign nurses. Option A is incorrect as not all countries require a special examination for foreign graduates. Option B is incorrect as nursing education in the United States does not automatically qualify a nurse to practice in other countries without meeting their specific requirements. Option C is incorrect because it assumes that only language and cultural assessments are necessary for licensure, overlooking other regulatory requirements.
Question 6 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.
Question 7 of 9
An acute care facility values job satisfaction among its registered nurses.by implementing a shared governance model. Which element is a fundamental characteristic of this model?
Correct Answer: D
Rationale: The correct answer is D because shared governance involves empowering nurses to participate in decision-making related to patient care. This element is fundamental as it promotes autonomy, collaboration, and professional growth among nurses. Option A is incorrect as an open-door policy does not necessarily imply shared governance. Option B, dispute resolution, is important but not a fundamental characteristic of shared governance. Option C, mandatory reporting, does not align with the collaborative nature of shared governance. In summary, nurses having an active role in patient care decision making is crucial for the successful implementation of a shared governance model.
Question 8 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.
Question 9 of 9
In orientation, a new graduate is surprised to learn of workplace violence in health care agencies and asks, "What kind of violence is common in hospitals?" The educator describes workplace violence as: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because workplace violence in health care agencies commonly includes violence towards staff by patients or visitors, especially in cases where patients are victims of domestic violence. This type of violence can manifest as physical aggression, verbal abuse, or threatening behavior. The other choices are incorrect because B describes workplace sabotage, C focuses on personal development unrelated to workplace violence, and D describes a scenario unrelated to violence towards staff in a healthcare setting.