ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?
Correct Answer: A
Rationale: The correct answer is A: Safety. The team of nurses developing algorithms and checklists aims to ensure standardization of procedures, which directly relates to patient safety. Safety is a fundamental competency in healthcare, as it involves minimizing harm to patients. Standardization through checklists helps reduce errors and promote consistency in care delivery. Timely care (B) focuses on providing care promptly, equitable care (C) emphasizes fairness and eliminating disparities, and patient-centered care (D) prioritizes individual preferences and needs. While these competencies are important in healthcare, in this scenario, the team's primary focus on standardization aligns with the safety competency.
Question 2 of 5
A patient is ordered a low-protein, low-calorie diet but the patient's family brings fish, lentils, and unleavened bread for a meal to observe a cultural practice. The nurse works with the dietitian to adjust the next few meals to accommodate for this variance. This situation would represent:
Correct Answer: C
Rationale: The correct answer is C: patient-centered care. Patient-centered care involves respecting and responding to individual patient preferences, needs, and values. In this scenario, the nurse and dietitian are adjusting the patient's meals to accommodate cultural practices, showing a commitment to providing care that is respectful and responsive to the patient's cultural beliefs. This approach promotes better patient outcomes and satisfaction. Summary of incorrect choices: A: a sentinel event - This refers to a serious, preventable adverse event, which does not apply in this situation. B: an adverse event - This typically refers to harm caused by medical care, which is not the case here. D: the communication technique of "call-out" - This refers to a technique used in healthcare to alert team members to unsafe situations, which is not relevant to the scenario provided.
Question 3 of 5
An interdisciplinary team is evaluating the hospital's care of patients admitted with a myocardial infarction (heart attack) compared to national standards. The team analyzes the hospital's clinical indicator, which would be: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: aspirin order within 24 hours of discharge. This is a key clinical indicator for evaluating care of heart attack patients as aspirin is a standard treatment to prevent further cardiac events. It is crucial for patient safety and adherence to national guidelines. Choice B is incorrect as patient teaching on smoking cessation, although important, is not a direct clinical indicator for evaluating care of heart attack patients. Choice C is incorrect as beta blocker administration upon arrival is important for heart attack patients, but it is not specific to evaluating the hospital's care compared to national standards. Choice D is incorrect as employer support for stress modification is not a clinical indicator relevant to evaluating care of heart attack patients.
Question 4 of 5
A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office. The nurse should contact the:
Correct Answer: B
Rationale: The correct answer is B: American Nurses Association Nurses Strategic Action Team (N-STAT). Rationale: 1. N-STAT is a strategic action team within the American Nurses Association, which is a reputable organization representing nurses' interests. 2. N-STAT focuses on political advocacy and provides information on political platforms of candidates running for national office. 3. Contacting N-STAT would provide the nurse with accurate and relevant information about the candidate's political platform. Summary of other choices: A: National Registry for Candidates - Not a known entity, unlikely to provide specific political platform information. C: National League of Nurses - Focuses on nursing education and standards, not political platforms. D: National Council of State Boards of Nursing - Focuses on regulatory aspects of nursing practice, not political platforms.
Question 5 of 5
A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:
Correct Answer: D
Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state." Rationale: 1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government. 2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states. 3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations. Summary: A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments. B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states. C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.