ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
A task force is considering factors that contribute to high-quality safe staffing. Which statement reflects an understanding of the American Nurses Association's (ANA) recommendations?
Correct Answer: B
Rationale: The correct answer is B because it aligns with the ANA's recommendations for high-quality safe staffing. The nursing process involves assessment, diagnosis, planning, implementation, and evaluation, which are essential for achieving safe patient outcomes. By allowing RNs enough time to apply this process, they can make informed decisions that promote quality care. Choice A is incorrect because patient needs can fluctuate throughout the shift, so staffing levels must be flexible to adapt to changing demands. Choice C is incorrect as patient acuity levels may require more RNs to provide complex care, rather than relying solely on unlicensed personnel. Choice D is incorrect as having adequate RN staffing is crucial for patient safety and outcomes, and cutting RN numbers for cost-effectiveness can compromise care quality.
Question 2 of 5
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely. Explanation of other choices: B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task. C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions. D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.
Question 3 of 5
Regardless of the term used to describe high-quality health care, the focus of quality is:
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Quality in healthcare should be consumer-centric, meeting their needs and preferences. 2. Consumer needs and wants drive patient satisfaction and outcomes. 3. Patient-centered care leads to better health outcomes and overall quality of care. 4. Focusing on consumer needs promotes individualized and effective care delivery. Summary of why other choices are incorrect: - Choice B (economical care) does not necessarily ensure high-quality care. - Choice C (technologic advancement) is important but not the sole focus of quality healthcare. - Choice D (equally distributed services) is important for equity but does not define quality in healthcare.
Question 4 of 5
A group of nurses is presenting the importance of high-quality care during a system- wide meeting of medical-surgical nurses. They point out a finding of the Quality Chasm that:
Correct Answer: D
Rationale: The correct answer is D: medication-related errors place a tremendous financial burden on the U.S. health care system. This answer is correct because medication errors contribute significantly to healthcare costs due to increased hospitalizations, prolonged treatments, and legal expenses. The Quality Chasm report highlights the economic impact of medication errors on the healthcare system, emphasizing the need for improved medication safety practices. Option A is incorrect because being insured does have a positive impact on a person's access to healthcare services and quality of care. Option B is incorrect as it does not relate to the Quality Chasm findings. Option C is incorrect as it focuses on the comparison of lawsuits and mortality rates related to medication errors and HIV/AIDS, which is not the primary focus of the Quality Chasm report.
Question 5 of 5
A hospital is concerned that the number of medication errors has increased significantly in the past year. A project revealed four causes of medication errors. The above chart was used to help staff and administration know where to focus efforts to reduce errors. Which process improvement tool is used in this situation?
Correct Answer: B
Rationale: The correct answer is B: Pareto chart. A Pareto chart is a quality improvement tool used to prioritize and focus efforts on the most significant causes of a problem. In this case, the hospital used the chart to identify the main causes of medication errors, helping them to allocate resources efficiently. The Pareto principle states that roughly 80% of effects come from 20% of causes, making it a powerful tool for process improvement. A: Run chart is used to track data over time but does not prioritize causes like a Pareto chart. C: Flowcharts are used to map out processes and are helpful for understanding the sequence of activities, not for prioritizing causes. D: Cause-and-effect diagrams (Fishbone or Ishikawa diagram) are used to identify and organize potential causes of a problem but do not prioritize them like a Pareto chart. In summary, the Pareto chart is the most appropriate tool in this situation because it helps focus efforts on the most significant causes