ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
Certain groups of individuals are opposed to the Patient Protection and Affordable Care Act (PPACA) based on religious beliefs that prohibit circumcision and blood transfusions. These individuals believe the PPACA is unconstitutional because it:
Correct Answer: A
Rationale: The correct answer is A because the main argument against the PPACA in relation to religious beliefs is the mandate requiring all U.S. and legal residents to secure health insurance. This mandate conflicts with the religious beliefs of certain groups that oppose specific medical procedures like circumcision and blood transfusions. Choices B, C, and D are incorrect as they do not directly address the issue of religious opposition to specific healthcare practices mandated by the PPACA. B pertains to Medicare and Medicaid plans, C relates to preventive services participation, and D refers to health practices outside Western medicine, which are not the primary concern for the opposing groups.
Question 2 of 9
A nurse has been asked to serve as the charge nurse on the evening shift. The agency where the nurse is employed is considering unionization. If the charge nurse position is accepted, this nurse:
Correct Answer: A
Rationale: Step 1: Charge nurses are typically considered part of the nursing staff, not part of the management team. Step 2: Since charge nurses are not considered part of the management team, they are eligible to be represented by the union. Step 3: Being part of the union means the charge nurse can benefit from collective bargaining activities and have a voice in workplace decisions. Step 4: Choice A is correct as it aligns with the general understanding of charge nurses' roles and their eligibility for union representation. Summary: Choice B is incorrect because charge nurses are not typically considered part of the management team, so union participation would not necessarily be a conflict of interest. Choice C is incorrect because union representation does not automatically mean filing grievances that will be arbitrated. Choice D is incorrect because charge nurses can participate in collective bargaining activities related to unfair labor practices if they are represented by the union.
Question 3 of 9
Throughout the history of health care in our nation, one particular piece of federal legislation provided funds for hospital construction. As the number of hospitals rapidly increased, the need for nurses to staff hospitals also increased, and the shift from community-based nursing care to hospital-based nursing care began. This fundamental piece of legislation was the:
Correct Answer: B
Rationale: The correct answer is B: Hill-Burton Act. The Hill-Burton Act, passed in 1946, provided federal funds for hospital construction, leading to a significant increase in the number of hospitals. This increase in hospital facilities created a higher demand for nurses to staff them, thereby initiating the shift from community-based nursing care to hospital-based care. The Sheppard-Towner Act (A) focused on maternal and child health programs, not hospital construction. The Veterans Bill (C) primarily addresses healthcare benefits for veterans. The Access to Health Care Bill (D) is a generic term and does not refer to a specific piece of legislation related to hospital construction or nursing staffing.
Question 4 of 9
A group of nurses interested in unionizing decides to contact the largest union in the United States representing registered nurses, which is the:
Correct Answer: C
Rationale: The correct answer is C: National Nurses United. This is because National Nurses United is the largest union in the United States specifically representing registered nurses. They have a strong presence in advocating for nurses' rights and providing resources for unionizing efforts. A: American Nurses Association is a professional organization, not a union. B: United American Nurses was dissolved in 2009, so it is not the largest union. D: National Labor Relations Board is a government agency overseeing labor relations, not a union representing nurses.
Question 5 of 9
A researcher is interested in quality of life and after an extensive literature review quantitatively integrates data from identified studies and describes the findings. This researcher is using which approach? (select all that apply)
Correct Answer: C
Rationale: The correct answer is C: Meta-analysis. In a meta-analysis, a researcher combines data from multiple studies to provide a quantitative summary of the findings. This approach allows for a more comprehensive and statistically powerful analysis of the research evidence on a particular topic. Survey (A) involves collecting data directly from individuals, which is not the same as integrating data from existing studies. Triangulation (B) refers to using multiple methods or data sources to validate findings, not necessarily integrating data from different studies. State of the science summary (D) typically involves summarizing the current state of knowledge on a topic but does not involve quantitative integration of data like in a meta-analysis.
Question 6 of 9
While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
Correct Answer: A
Rationale: The correct answer is A: cultural competence. By enrolling in Spanish classes to better communicate with Mexican-Americans in Laredo, the nursing student is demonstrating an understanding and appreciation of different cultures. Cultural competence involves having the knowledge, skills, and attitudes to effectively interact with individuals from diverse backgrounds. This student's actions show a commitment to providing culturally sensitive care in a multicultural setting. Choices B, C, and D are incorrect: B: Ethnocentrism refers to the tendency to view one's own culture as superior to others. The student's actions of learning Spanish do not align with this mindset. C: Prejudice involves preconceived opinions or attitudes towards a group. The student's actions are aimed at improving cross-cultural understanding, not perpetuating negative stereotypes. D: Stereotyping involves making assumptions about individuals based on their group membership. The student's choice to learn Spanish is about building connections and understanding, not generalizing about an entire group.
Question 7 of 9
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 8 of 9
The first step in the nursing process and in the problem-solving process is to:
Correct Answer: B
Rationale: The correct answer is B: gather information. This step is essential as it allows nurses to collect data, assess the situation, and make informed decisions. Identifying the problem (A) comes after gathering information. Considering consequences (C) and implementing interventions (D) are later steps in the process once information has been gathered. Gathering information is foundational to problem-solving as it provides the necessary data to understand the situation fully and determine the appropriate course of action.
Question 9 of 9
A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the legislative branch determines which laws are constitutional by passing or rejecting proposed legislation. In the case of the PPACA, the legislative branch, specifically the Congress, passed the law. The Supreme Court's role is to interpret the constitutionality of laws (not determine which laws are constitutional), as seen in the case where the PPACA was upheld as a form of taxation. Choices B, C, and D are incorrect: B is incorrect because while the legislative branch appropriates funds, the actual allocation of federal dollars is determined through the budget process, not solely by the legislative branch. C is incorrect because the executive branch, not the legislative branch, consists of the President and executive departments that implement laws like the PPACA. D is incorrect because the legislative branch can override a presidential veto with a two-thirds majority vote, not vice versa. The President does not have the power to veto laws found constitutional by the Supreme Court.