ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 9
A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which is a correctly written outcome?
Correct Answer: A
Rationale: The correct answer is A because it specifies a measurable and achievable goal related to improving cardiac function through physical activities. It follows the SMART criteria (Specific, Measurable, Achievable, Relevant, Time-bound). Option B does not provide a specific outcome, while Option C focuses on pharmaceutical approaches rather than outcomes. Option D is unrelated to the goal of improving outcomes for heart failure patients. Thus, option A is the most appropriate choice for a well-defined and relevant outcome for the care of heart failure patients.
Question 2 of 9
The nurse manager is planning staffing levels and realizes that the first step is to:
Correct Answer: A
Rationale: The correct answer is A because knowing the intensity of care needed by patients based on physical and psychosocial factors is essential to determine appropriate staffing levels. Understanding patient needs ensures adequate staff allocation for quality care delivery. Examining staff education (B) and skill level (C) is important but comes after assessing patient needs. Reviewing the budget (D) is necessary but should not be the first step in staffing planning.
Question 3 of 9
Which organization provides federal funding for research?
Correct Answer: A
Rationale: The correct answer is A: National Institute of Nursing Research. This organization is part of the National Institutes of Health (NIH) and specifically focuses on funding nursing research. The NIH is a federal agency that provides funding for various scientific research areas, including nursing. The other choices, B: Robert Wood Johnson Foundation, C: W. K. Kellogg Foundation, and D: Sigma Theta Tau International, are not federal organizations and do not provide federal funding. Robert Wood Johnson Foundation is a private philanthropic organization, W. K. Kellogg Foundation is a private foundation focused on children's wellbeing, and Sigma Theta Tau International is an honor society for nursing professionals.
Question 4 of 9
The nurse caring for a patient states, "Your blood pressure is dangerously high. Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse states "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and places a note on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. I can't believe they don't provide insurance. I can't give her money but you all can help." This nurse:
Correct Answer: B
Rationale: The correct answer is B because the nurse is at risk for HIPAA violations by sharing patient information on social media. The Health Insurance Portability and Accountability Act (HIPAA) protects patients' privacy and prohibits healthcare providers from disclosing their health information without consent. In this scenario, the nurse shared specific details about the patient's health condition, visit to the ED, and financial situation, which could easily identify the patient. This violates the patient's right to privacy and confidentiality. Choices A, C, and D are incorrect because the focus should be on the HIPAA violation rather than empathy, policy following, or logical fallacies. The nurse should have found alternative ways to help the patient without compromising their privacy.
Question 5 of 9
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
Correct Answer: D
Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale: 1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate. 2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication. 3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources. 4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A. In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.
Question 6 of 9
Which nursing model is referred to as the "class without walls"?
Correct Answer: A
Rationale: The correct answer is A: Articulation. This nursing model is referred to as the "class without walls" because it focuses on seamless academic progression and collaboration between educational institutions. Articulation promotes a smooth transition of nursing students from one level of education to another, eliminating barriers and creating a cohesive learning experience. The other choices (B, C, D) do not specifically emphasize the concept of breaking down walls or barriers in education like the Articulation model does.
Question 7 of 9
A nurse manager has calculated that providing 75 hours of direct nursing care per day requires that 120 hours must actually be worked by nursing staff. The manager is involved in: (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: applying productivity metric. The nurse manager is calculating the ratio of direct nursing care hours to total hours worked, which is a productivity metric. This metric helps assess the efficiency of the nursing staff in delivering care. Developing the capital budget (A) involves planning for long-term investments, not daily staffing calculations. Monitoring the labor budget (C) involves tracking expenses related to staff salaries and benefits, but not necessarily productivity metrics. Incremental budgeting processes (D) refer to budgeting based on past budgets with incremental changes, not specific productivity metrics. Therefore, the nurse manager is primarily involved in applying a productivity metric to assess nursing staff efficiency.
Question 8 of 9
A nurse is seeking to become culturally competent in regard to obtaining information during health history and when performing physical diagnosis. The nurse is aware that which biologic variation is found in all of the following ethnicities: blacks, Asians, Hispanics, and American Indians?
Correct Answer: B
Rationale: The correct answer is B: Sickle cell anemia. This genetic disorder is found in individuals of African, Asian, Hispanic, and American Indian descent. Sickle cell anemia is caused by a mutation in the hemoglobin gene, leading to the production of abnormal hemoglobin. This condition is more prevalent in these ethnic groups due to historical reasons and natural selection against malaria. A: Mongolian spots are common in Asian infants but not in all the mentioned ethnicities. C: Lactose intolerance is more common in individuals of African, Asian, and Hispanic descent but not specifically in American Indians. D: Thalassemia is more prevalent in individuals of Mediterranean, African, and Southeast Asian descent, not in all the mentioned ethnicities.
Question 9 of 9
Which statement accurately describes communication?
Correct Answer: D
Rationale: The correct answer is D because feedback is an essential component of the communication process. Feedback allows the receiver to respond to the sender, indicating understanding or seeking clarification. This two-way interaction is crucial for effective communication. In contrast, choice A is incorrect as communication components are interdependent, not mutually exclusive. Choice B is also incorrect as communication is often non-linear and involves feedback loops. Choice C is incorrect because communication involves various elements beyond just the sender and the receiver, such as context, message, and noise.