ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life, serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?
Correct Answer: A
Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.
Question 2 of 5
A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
Correct Answer: C
Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health. Summary: A: Working in payroll does not directly connect the nurse to the unit's financial goals. B: Personal finance CEUs are not specific to the unit's budget goals. D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.
Question 3 of 5
When the nurse manager conducts a qualitative analysis of budget variances, he or she is:
Correct Answer: D
Rationale: The correct answer is D because when a nurse manager conducts a qualitative analysis of budget variances, they need to reconcile the underlying assumptions on which the budget was based with current conditions. This involves reviewing the initial budget assumptions to see if they still hold true and adjusting them accordingly. This step ensures that the budget remains relevant and accurate. A is incorrect because determining the percentage increase of supply usage does not involve a qualitative analysis of budget variances. B is incorrect because identifying the overall increase in the dollar amount of salaries paid for overtime is a quantitative analysis, not qualitative. C is incorrect because comparing productivity metrics across nursing units is a different type of analysis and not specifically related to budget variances.
Question 4 of 5
The nurse managers of an organization are meeting with administration to plan the budget. The above graph shows last year's 2011 expenditures, and the team will trend the upcoming budget knowing that, with the slowdown in the economy, patient census will be lower. Which budget approach is being used?
Correct Answer: B
Rationale: The correct answer is B: Zero-based. Zero-based budgeting requires starting from scratch each budget cycle, meaning all expenses must be justified regardless of previous budgets. In this scenario, the nurse managers are planning for a budget based on the expectation of lower patient census due to the economic slowdown. This aligns with the zero-based approach as they will need to re-evaluate and justify all expenses to accommodate the changes in patient volume. A: Incremental budgeting involves making adjustments to the previous budget, which is not suitable for significant changes like a decrease in patient census. C: Productivity metrics focus on measuring efficiency and performance, rather than the budgeting approach. D: Capital budgeting is related to long-term investments in assets, which is not the primary focus in this scenario.
Question 5 of 5
A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?
Correct Answer: A
Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues. Summary: B: Filtration is not relevant as it involves selectively presenting information. C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues. D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.