ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
During a health history interview, the nurse listens to a patient relating the precipitating events that led to the onset of chest pain. She focuses her attention on the patient, makes eye contact, and acknowledges what the patient has to say. The nurse is exhibiting:
Correct Answer: B
Rationale: The correct answer is B: active listening. Active listening involves fully focusing on the speaker, making eye contact, acknowledging what they are saying, and showing genuine interest in their words. In this scenario, the nurse is attentively listening to the patient's account of the events leading to chest pain, demonstrating active listening skills by being present in the moment and engaging with the patient's narrative. A: Assertive communication involves expressing one's thoughts and feelings clearly and respectfully. This choice is incorrect because the nurse is not actively expressing her thoughts or feelings in this situation. C: Empathy involves understanding and sharing the feelings of another. While empathy is important in nursing care, the nurse in this scenario is primarily engaged in listening rather than specifically expressing empathy. D: Passive communication is characterized by a lack of assertiveness and active engagement in the conversation. This choice is incorrect because the nurse is actively listening and engaging with the patient's narrative.
Question 2 of 5
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 3 of 5
A nurse is delegating to the newly hired nursing unlicensed assistive personnel (UAP) the task of assisting with oral hygiene, knowing that this assignment "does not require decisions based on the nursing process." The nurse is correctly using which of the five rights of delegation?
Correct Answer: C
Rationale: Correct Answer: C - Person Rationale: - The five rights of delegation are Right Task, Right Circumstances, Right Person, Right Direction/Communication, and Right Supervision. - In this scenario, choosing the Right Person means delegating tasks to individuals with appropriate skills and abilities, such as UAP assisting with oral hygiene. - This choice is correct as the nurse is delegating a task that falls within the UAP's scope of practice without requiring nursing process decisions.
Question 4 of 5
An RN is counseled by the nurse manager regarding inappropriate delegation when the:
Correct Answer: C
Rationale: The correct answer is C because delegating the task of completing a plan of care to a float LPN/LVN for a stable patient is inappropriate. LPNs/LVNs have a different scope of practice compared to RNs and should not be assigned tasks related to developing care plans. This task requires critical thinking skills and assessment that are within the RN's scope of practice. A: A is incorrect because delegating the task of greeting and showing ambulatory surgery patients to their rooms is appropriate for a nursing assistant. B: B is incorrect because delegating the task of collecting a sputum specimen, once trained, is appropriate for a nursing assistant under the supervision of an RN. D: D is incorrect because delegating the task of performing a dressing change to a competent LPN/LVN is appropriate, as long as it falls within their scope of practice.
Question 5 of 5
An RN makes the following assignments at the beginning of the shift. Which assignment would be considered high-risk delegation?
Correct Answer: A
Rationale: The correct answer is A because it involves a high-risk delegation. Mixing insulin is a complex task that requires precise measurements and understanding of the patient's condition. A novice RN may lack the experience and knowledge to safely perform this task, leading to potential harm for the patient. Choice B involves wound care, which is within an LPN's scope of practice and not as high-risk as insulin administration. Choice C involves basic ambulation assistance, which is appropriate for an unlicensed assistive person under supervision. Choice D involves caring for a patient with low white blood cell count, which may be challenging but not as high-risk as insulin mixing for a novice RN.