ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
Current trends in telecommunications and increased mobility of nurses have led to the approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states?
Correct Answer: B
Rationale: The correct answer is B: National Council of State Boards of Nursing (NCSBN). NCSBN manages the Nurse Licensure Compact (NLC), which allows nurses to practice in compact states without obtaining additional licenses. Nurses can find a list of current compact states on the NCSBN website. NLN (A) focuses on nursing education, not regulation. AACN (C) is an organization for academic nursing programs. CCNE (D) accredits nursing education programs, not regulatory information.
Question 2 of 5
Who establishes the "rules" for nursing practice?
Correct Answer: A
Rationale: The correct answer is A: Individual state boards of nursing. State boards of nursing are responsible for regulating nursing practice within their respective states, including establishing rules and regulations to ensure safe and competent care. They set standards for licensure, education, and practice, as well as enforce disciplinary actions when necessary. State boards have the authority to govern nursing practice based on state laws and regulations. Employers, the US Department of Health and Human Services, and local health officials do not have the regulatory power to establish the rules for nursing practice at a state level.
Question 3 of 5
A group of graduates were just notified that they had successfully passed the licensure examination. During the orientation process at the hospital, one asks, "I am looking at my license, but I don't really know the duties performed by the board of nursing." The staff development nurse explains that the board of nursing: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: grants nursing licensure. The board of nursing is responsible for overseeing the licensure process for nurses, ensuring that they meet the necessary qualifications to practice. They review applications, conduct background checks, and issue licenses to qualified individuals. This is a fundamental duty of the board of nursing, as it regulates the nursing profession and ensures public safety. Explanation for why other choices are incorrect: B: Constructs the licensure examination - While the board of nursing may have input in the development of the licensure examination, their primary role is not the construction of the exam itself. C: Assigns disciplinary action when the nurse acts in a manner that results in harm to a patient - While the board of nursing does have the authority to investigate and take disciplinary action against nurses who violate the nursing practice act, this is not their primary function. D: Members are appointed - This choice is irrelevant to the duties performed by the board of nursing and does not directly relate to their responsibilities in granting
Question 4 of 5
A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
Correct Answer: C
Rationale: The correct answer is C: case manager, according to Peplau's interpersonal relations model. In this scenario, the nurse is coordinating resources and services for the client, which aligns with the role of a case manager. Peplau's model emphasizes the therapeutic relationship between the nurse and client, focusing on understanding the client's needs and providing support. The nurse in this situation is not just providing direct care (caregiver), advocating for change (change agent), or focusing solely on cultural aspects (translator). The nurse's role as a case manager involves addressing the client's complex needs, coordinating care, and advocating for the client's well-being, making it the most appropriate choice in this context.
Question 5 of 5
A client involved in a motor vehicle accident is blinded. The nurse helps the client obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?
Correct Answer: A
Rationale: The correct answer is A: Watson's philosophy and science of caring and humanistic nursing. This theory emphasizes the importance of the nurse-client relationship, caring, and holistic care. In this scenario, obtaining a guide dog for the client reflects the nurse's caring actions to promote the client's independence and well-being. By helping the client cope with the handicap and continue daily activities, the nurse embodies the essence of caring and humanistic nursing. Incorrect Choices: B: Mishel's uncertainty in illness - This theory focuses on how individuals respond to uncertainty in illness situations, which does not directly apply to the scenario of obtaining a guide dog for a blinded client. C: Orem's self-care deficit - This theory emphasizes the nurse's role in assisting clients with self-care activities when they are unable to do so independently. While related to the scenario, it does not capture the essence of caring and humanistic nursing demonstrated in the client's situation. D: Rogers' science of unitary human beings - This