ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:
Correct Answer: A
Rationale: The correct answer is A: diagnosis-related groups (DRGs). This classification system assigns a fixed price to specific diagnoses or procedures, such as pneumonia, for reimbursement purposes. DRGs aim to standardize payment based on patient diagnosis and treatment, promoting efficiency and cost containment in healthcare. B: Subjective symptom management is not a classification system for reimbursement but rather a method of addressing patient symptoms. C: Acuity classification system refers to determining the level of care a patient needs based on severity, not reimbursement. D: Organized managed care involves coordination of healthcare services and providers, not specific classification for reimbursement.
Question 2 of 9
A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:
Correct Answer: C
Rationale: The correct answer is C: security. The scenario describes measures to protect the patient records system from unauthorized access, such as requiring consent, assigning passwords, and conducting audits. Security specifically refers to safeguarding information from unauthorized access, ensuring data integrity and availability. Privacy (A) is about controlling access to personal information, while confidentiality (B) is about keeping information private. Data capture (D) refers to the process of collecting data, not protecting it from unauthorized access. In this case, the focus is on security measures implemented to protect patient records, making it the most appropriate choice.
Question 3 of 9
A nurse has heard rumors that other nurses are interested in unionizing but knows little about the purpose of unions. The nurse's first action is to:
Correct Answer: D
Rationale: The correct answer is D because reviewing the National Nurses United website for collective bargaining information is the most appropriate first action. This option allows the nurse to educate themselves on the purpose of unions and understand the benefits of collective bargaining. It promotes informed decision-making and empowers the nurse with knowledge before taking any further actions. A: Contacting an arbitrator may be premature as the nurse needs to first understand the basics of unions. B: Picketing the agency is counterproductive and may create a hostile environment without proper information. C: Signing a union authorization card without understanding the implications is not advisable and may lead to unintended consequences. Summary: Option D is correct as it promotes education and informed decision-making, while the other choices are premature, potentially harmful, or lack necessary information.
Question 4 of 9
A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B because reviewing the dress code policy to give feedback before an appointment in the morning is time-sensitive and directly impacts the nurse's professional responsibilities. This task falls under the "B" category in the ABC prioritization approach, which prioritizes tasks that are important but not urgent. This task requires attention before the morning appointment to ensure professionalism and compliance. Tasks A, C, and D are not prioritized as "B" because they are either more urgent or less important compared to reviewing the dress code policy before the morning appointment. Task A is important but not urgent as the time sheet is not due immediately. Task C is categorized as "A" as it involves a critical patient situation that requires immediate attention. Task D is categorized as "C" as it is important and time-sensitive, needing completion before discharge in 2 hours.
Question 5 of 9
The nurse is preparing a plan of care for an black patient who has had a change of bowel habits from being constipated and having only two firm stools weekly to having three or more loose stools daily. Which comment is related to cultural variation for health information?
Correct Answer: A
Rationale: The correct answer is A because it reflects the patient's cultural variation in seeking health information from family members, specifically the grandmother. This shows respect for family opinions and involvement in decision-making. Option B is incorrect as it generalizes that the eldest male makes all health decisions, which may not be true for every cultural group. Option C is incorrect as nodding approvingly and not complying with instructions does not necessarily indicate cultural variations. Option D is incorrect as speaking quietly and reaching for the nurse's hand may simply indicate a patient's communication style rather than cultural variation in seeking health information.
Question 6 of 9
In the preparedness phase for disasters, the community plans for a possible terrorist attack using anthrax as the weapon of destruction. What treatments and/or preparations would be needed?
Correct Answer: A
Rationale: The correct answer is A: Vaccines and Level B Personal Protection Equipment (PPE). In the preparedness phase for a terrorist attack using anthrax, vaccines are crucial for prevention. Level B PPE provides respiratory protection and skin protection against anthrax spores. This is essential for healthcare workers and first responders. Choice B is incorrect as it mentions treatment for burns, which is not relevant to anthrax exposure. Decontamination and Level A PPE are not specifically needed for anthrax. Choice C is incorrect as it mentions radioactive fallout, which is not relevant to anthrax. Social distancing is also not effective in preventing anthrax exposure. Choice D is incorrect as it mentions incendiary devices and treatment for burns, which are not related to anthrax exposure. Identifying and detecting propellants is also not relevant to anthrax preparedness.
Question 7 of 9
A client who is reading a newspaper asks, "This article about health care states that many providers of health care lack effectiveness. What is the difference between effectiveness and efficiency?" The nurse explains that:
Correct Answer: A
Rationale: Step 1: Define effectiveness and efficiency - Effectiveness is achieving the intended outcome, while efficiency is achieving the outcome with minimal waste. Step 2: Analyze option A - It correctly defines effectiveness as performing the correct test or intervention and efficiency as the wise use of supplies and resources for the desired outcome. Step 3: Justification - The nurse explains that many healthcare providers lack effectiveness, indicating they are not achieving the desired outcomes, which aligns with the definition of effectiveness in option A. Step 4: Summary of incorrect choices - B incorrectly defines efficiency as quick completion of tasks, C confuses efficiency with wastage, and D incorrectly associates efficiency with speed rather than minimal waste.
Question 8 of 9
A nurse practicing in the early 1900s was awarded a permissive license. These licenses:
Correct Answer: A
Rationale: The correct answer is A because permissive licenses in the early 1900s were voluntary but required passing an examination to use the title RN. This ensured a basic level of competency. Choice B is incorrect as there was no specific requirement for the duration of formalized nurse training. Choice C is incorrect as failing the examination would disqualify nurses from practice. Choice D is incorrect as there was typically only one type of licensure examination, not a choice between written or oral.
Question 9 of 9
The number of reported medical errors demonstrates a need for what priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Simulation experiences. This intervention allows healthcare professionals to practice real-life scenarios in a controlled environment, improving skills and decision-making. It helps identify and address potential errors before they occur, enhancing patient safety. Other choices lack the hands-on, practical approach of simulations and may not adequately prepare professionals for real-world situations. Simulation experiences are crucial for enhancing clinical competence and reducing medical errors.