ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
Correct Answer: B
Rationale: The correct answer is B: Veracity. Veracity refers to the principle of truthfulness and honesty in communication. In this scenario, the nurse knowingly provides false information to the daughter by stating that the mother is responding to her voice when the movement was actually involuntary. By not being truthful, the nurse violates the principle of veracity. Autonomy (A) is the right of individuals to make their own decisions. Utilitarianism (C) focuses on the greatest good for the greatest number of people. Deontology (D) is an ethical theory based on rules and duties. These principles are not directly related to the nurse's dishonesty in this situation.
Question 2 of 5
An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
Correct Answer: B
Rationale: The correct answer is B: Veracity. Veracity refers to the principle of truthfulness and honesty in communication. In this scenario, the nurse knowingly provides false information to the daughter by stating that the mother is responding to her voice when the movement was actually involuntary. By not being truthful, the nurse violates the principle of veracity. Autonomy (A) is the right of individuals to make their own decisions. Utilitarianism (C) focuses on the greatest good for the greatest number of people. Deontology (D) is an ethical theory based on rules and duties. These principles are not directly related to the nurse's dishonesty in this situation.
Question 3 of 5
Which type of theory most often guides present nursing practice?
Correct Answer: B
Rationale: The correct answer is B: Middle range theory. Middle range theories are more specific and applicable to everyday nursing practice compared to grand theories, which are broad and abstract. Developmental theory focuses on human growth and behavior, not specifically nursing practice. Values theory pertains to ethical values and principles, but may not directly guide nursing practice. Therefore, middle range theory is most commonly used in present nursing practice for its practical and relevant applications.
Question 4 of 5
The physician who insists on providing treatment in spite of the client's wishes because he "knows best" is reflecting:
Correct Answer: D
Rationale: The correct answer is D: paternalism. Paternalism occurs when a physician overrides a patient's autonomy in favor of what they believe is best for the patient. In this scenario, the physician is not respecting the client's wishes and is making decisions based on their own judgment, which is characteristic of paternalism. Autonomy (A) refers to respecting the patient's right to make their own decisions. Beneficence (B) is the principle of doing good for the patient, but in this case, it is being overshadowed by the physician's paternalistic approach. Justice (C) refers to fairness in healthcare distribution, which is not applicable in this context.
Question 5 of 5
Which situation would be considered a workforce advocacy issue that is reportable to the state nurses association or the Center for American Nurses if it is not resolved at the local level?
Correct Answer: D
Rationale: Step 1: Identification of the Issue - The situation described in option D directly impacts the safety of nurses by preventing them from changing the sharps container when needed, posing a risk for needlestick injuries. Step 2: Significance of the Issue - Needlestick injuries are a serious occupational hazard for healthcare workers and can result in exposure to bloodborne pathogens, leading to infections such as HIV and Hepatitis. Step 3: Advocacy Relevance - The inability to access the key to change the sharps container compromises the safety of nurses and violates their right to a safe work environment, making it a workforce advocacy issue. Step 4: Reporting to Higher Authorities - If the issue is not resolved at the local level, it should be reported to the state nurses association or the Center for American Nurses for intervention and resolution to ensure the safety of healthcare workers. Summary: Options A, B, and C do not directly relate to workforce advocacy issues that pose a significant risk to nurses' safety. Option
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