ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?
Correct Answer: C
Rationale: The correct answer is C: Expert. An RN with excellent assessment and psychomotor skills derives power from their expertise in the field. They are respected and trusted for their knowledge and abilities, giving them influence over others. Rewards (A) and coercion (B) are forms of power derived from external factors like incentives or threats, not skills. Legitimate power (D) comes from one's position or title, not necessarily from skills. In this case, the RN's power comes from their expertise, making choice C the most appropriate answer.
Question 2 of 9
A nurse is interested in practicing in a faith-based community; when researching the role of the parish nurse, the nurse finds that:
Correct Answer: B
Rationale: The correct answer is B because the role of a parish nurse primarily focuses on health promotion and disease prevention within a faith-based community. Parish nurses typically work to integrate spiritual care with traditional healthcare services. This choice aligns with the core responsibilities of a parish nurse and accurately reflects the primary focus of their practice. Summary of other choices: A: Incorrect. While certification may be available for parish nurses, the process and requirements are not solely defined by state regulations; it usually involves additional training in faith-based healthcare practices. C: Incorrect. The role of a parish nurse is typically guided by professional standards and organizational protocols rather than being solely dictated by the doctrines of a specific denomination. D: Incorrect. While the ANA may acknowledge the role of parish nursing, it does not have specific practice guidelines for this specialty.
Question 3 of 9
A nurse is heard making this comment, "I believe human dignity is based on perceived self-worth while caring is based on perceived role in society that forms the basis of nursing practice." This nurse is:
Correct Answer: D
Rationale: Step-by-step rationale for why answer choice D is correct: 1. The nurse's statement suggests a proposition concerning the constructs of nursing practice, linking human dignity and caring to nursing roles. 2. The nurse is not demonstrating a model of human dignity (A), as they are discussing the relationship between human dignity and nursing practice, not modeling it. 3. The nurse is not evaluating the relevance of Leininger's Theory (B), as the statement does not mention cultural care theory, which is central to Leininger's work. 4. The nurse is not applying Mishel's Theory of Disease Uncertainty (C), as the statement does not discuss uncertainty in illness situations, which is the focus of Mishel's theory. In summary, answer choice D is correct because the nurse is making a proposition regarding the constructs of nursing practice based on the relationship between human dignity and caring in nursing roles.
Question 4 of 9
A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because glaring at the nurse indicates potential aggression and hostility, which are red flags for violence risk. Glaring can be a non-verbal sign of anger or frustration, signaling a potential escalation. In contrast, nervousness and twisting of hands (choice B) may indicate anxiety or distress but not necessarily violence. Murmuring when talking (choice C) may suggest communication difficulties but does not directly indicate violence risk. Lastly, a diagnosis of a terminal illness (choice D) is not directly related to the immediate risk of violence in this scenario.
Question 5 of 9
A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?
Correct Answer: C
Rationale: The nurse's communication style of working independently, sharing ideas with the team, and suggesting a collaborative approach aligns with Generation X characteristics. Generation X values independence, work-life balance, and collaboration. Baby Boomers (A) tend to be more hierarchical, Traditionalists (B) prioritize loyalty and respect for authority, and Millennials (D) are known for their tech-savvy and collaborative nature, but the nurse's approach best fits Generation X.
Question 6 of 9
When the job applicant is asked to identify weaknesses, one appropriate reply for the novice nurse might be:
Correct Answer: C
Rationale: The correct answer is C: "Delegating to peers." This response shows self-awareness and willingness to improve by acknowledging a common weakness for novice nurses - difficulty in delegating tasks to peers. It demonstrates a willingness to learn and grow in the role. A: "I have no weaknesses." - This answer lacks self-awareness and does not show a willingness to improve. It comes across as overconfident. B: "Are you trying to set me up?" - This response is defensive and unprofessional. It does not address the question directly. D: "Caring requires weakness." - This answer is vague and does not provide a specific weakness or show a proactive approach to self-improvement.
Question 7 of 9
While performing a job search, a nurse reviews the list of Magnet hospitals of the American Nurses Credentialing Center because:
Correct Answer: B
Rationale: The correct answer is B because Magnet hospitals are recognized for their nursing excellence, empowering nurses with autonomy and self-governance. This fosters a positive work environment and improves patient outcomes. Choice A is incorrect because being a Magnet hospital does not guarantee revenue retention, but rather focuses on nursing excellence. Choice C is incorrect as Magnet hospitals do not require all RNs to have a master's degree. They do emphasize ongoing education and professional development, but not at a specific degree level. Choice D is incorrect because Magnet status is not related to the availability of diagnostic equipment but rather on nursing quality and excellence.
Question 8 of 9
A nurse is admitting a Mexican-American child, and the mother comments that the child was exposed to mal ojo. The nurse should expect to find which symptom associated with this exposure?
Correct Answer: B
Rationale: The correct answer is B: Nervous tension. Mal ojo, commonly known as the evil eye, is a belief in many Latin American cultures that certain people have the power to cause harm with their gaze. Symptoms associated with mal ojo typically include nervous tension, irritability, and restlessness. Fever (choice A) is not a common symptom of mal ojo. Bruising (choice C) is also not typically associated with mal ojo. Somnolence (choice D) refers to excessive sleepiness, which is not a common symptom of mal ojo. Therefore, the correct answer is B as it aligns with the cultural belief and expected symptoms of mal ojo.
Question 9 of 9
In the triad of health care, which would be considered the third-party payer?
Correct Answer: C
Rationale: The correct answer is C: Insurance company. In the triad of health care, the third-party payer refers to an entity outside of the patient and health care provider that pays for the health care services. Insurance companies typically serve as third-party payers by covering a portion or all of the costs associated with medical treatments. The other choices (A, B, D) are not considered third-party payers in this context. Choice A refers to the client/patient receiving the health care services, choice B refers to the health care provider delivering the services, and choice D refers to a government agency that sets reimbursement rules but does not directly pay for the services rendered.