ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
Correct Answer: A
Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.
Question 2 of 9
An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?
Correct Answer: B
Rationale: The most effective nursing leadership style in a crisis like this is democratic. In this situation, collaboration and input from all team members are essential for quick decision-making and effective communication. Democratic leadership promotes teamwork, empowers staff, and fosters open communication, leading to better coordination and outcomes. Autocratic leadership may hinder staff engagement and morale. Laissez-faire lacks direction and may result in chaos during a crisis. Referent leadership focuses on personal relationships rather than team dynamics, not the most effective approach in this urgent situation.
Question 3 of 9
A new graduate nurse is preparing for an interview for her first position and knows that: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the primary goal for a new graduate nurse in their first job is to successfully complete the orientation process. This is crucial for transitioning from the academic setting to the professional nursing environment. Completing orientation ensures that the nurse is equipped with the necessary knowledge and skills to provide safe and effective patient care. Choice B is incorrect because scheduling interviews immediately after graduation may not allow the nurse enough time to prepare adequately for the interview process. Choice C is incorrect because while self-confidence is important, relying solely on past achievements of peers may not be a sustainable source of confidence in a new work environment. Choice D is incorrect because while work history and letters of recommendation can be valuable, they may not necessarily be the primary focus during the initial stages of a new nurse's career.
Question 4 of 9
A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?
Correct Answer: B
Rationale: The correct answer is B: Clinical consultant. In this scenario, the DON is providing guidance and expertise to the ad hoc committee in developing strategies to meet the organization's goal of providing quality patient care. As a clinical consultant, the DON utilizes their clinical knowledge and experience to coach and support the committee in achieving desired outcomes related to patient care. The other choices are incorrect because: A: Transactional leadership focuses on exchanging rewards for performance and does not align with the DON's role in providing clinical guidance. C: Corporate supporter role involves advocating for organizational goals at a higher level and is not directly related to coaching a committee on clinical matters. D: Autocratic leadership style is characterized by making decisions without input from others, which is not demonstrated in the scenario where the DON is coaching and guiding the committee.
Question 5 of 9
To determine basic competency, the interview for a nursing position may include a test in:
Correct Answer: A
Rationale: The correct answer is A: pathophysiology. This is because understanding pathophysiology is fundamental for a nurse to comprehend how diseases affect the body. It helps nurses provide appropriate care and make critical decisions. Incorrect choices: B focuses on documentation, C on medication knowledge, and D on technical skills, which are important but not as essential as understanding the physiological mechanisms of diseases.
Question 6 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 7 of 9
Nurse practice acts:
Correct Answer: A
Rationale: The correct answer is A: Nurse practice acts are written and passed by legislators. This is because nurse practice acts are laws that govern the scope of practice for nurses, outlining their responsibilities, licensure requirements, and standards of care. Legislators create and pass these acts to ensure public safety and regulate the nursing profession. Choice B is incorrect because special interest groups can influence legislation. Choice C is incorrect as nurse practice acts also apply to other types of nurses, not just RNs. Choice D is incorrect as dentist practices are governed by separate laws and regulations.
Question 8 of 9
A nurse who has practiced on an orthopedic unit for 10 years unexpectedly becomes pregnant. At delivery the physician informs the mother, "Your baby has Alport syndrome, but then I don't have to explain what that means with your medical background." The mother is unfamiliar with this disease and withdraws as a coping mechanism. Which nursing theory would provide a framework to guide nursing care for this mother?
Correct Answer: A
Rationale: The correct answer is A: Mishel's uncertainty of illness. This theory focuses on how individuals cope with uncertainty related to illness or health events. In this scenario, the mother is facing unexpected news about her baby's condition, causing her to withdraw as a coping mechanism due to the uncertainty she is experiencing. By utilizing Mishel's theory, nurses can provide support and guidance to help the mother navigate her feelings of uncertainty and develop coping strategies. Choice B (Orem's self-care deficit model) is not the best fit as it primarily focuses on the individual's ability to perform self-care activities, which may not directly address the mother's emotional response to uncertainty. Choice C (Nightingale's canons of nursing) is more focused on the environmental factors impacting health and may not address the mother's coping needs. Choice D (Levine's conservation model) emphasizes maintaining stability and balance in the body systems, which may not directly address the mother's emotional needs in coping with uncertainty.
Question 9 of 9
A new trend in nursing education that is consistent with real-world practice is focused on:
Correct Answer: A
Rationale: The correct answer is A: outcomes. Nursing education focused on outcomes aligns with real-world practice by emphasizing measurable results and the impact of nursing interventions on patient care. Objectives (B) are specific steps to achieve outcomes, while goals (C) are broader aims. Subjective appraisals (D) lack the objective, evidence-based focus required in nursing education. Therefore, focusing on outcomes ensures that nursing students are prepared for the demands of real-world practice.