ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
Each month data on admission assessments that are based on the following standard are entered: "All patients will be assessed by an RN within 2 hours of admission." The target goal for this standard is 97% compliance. Data are displayed on a graph that shows number and time of admission assessments and compliance variation limits. This pictorial representation is:
Correct Answer: B
Rationale: The correct answer is B: control chart. A control chart is used to display data over time and indicate variations within set limits, making it ideal for monitoring compliance with a standard like "All patients will be assessed by an RN within 2 hours of admission." The control chart allows for easy identification of trends, shifts, or patterns that may indicate a need for corrective action to maintain the 97% compliance goal. A: Pareto chart is used to identify the most significant factors contributing to a problem, not to monitor compliance over time. C: Deployment chart is not a standard tool in quality control or process monitoring. D: A top-down flowchart is used to depict the sequence of steps in a process, not to monitor compliance with a standard over time.
Question 2 of 5
The surgical team arrives in the operating room and one member states, "Everyone stop. Let's identify the patient and operative site. Now does anyone have any questions or concerns?" This process is known as:
Correct Answer: A
Rationale: The correct answer is A: time-out. A time-out is a crucial pre-operative safety practice where the surgical team pauses to verify the patient's identity, procedure, and surgical site to prevent errors. This step ensures everyone is on the same page and reduces the risk of wrong-site surgeries. Explanation: 1. Identify patient and operative site: By verifying the patient's identity and the correct surgical site, the team prevents potential mistakes. 2. Address questions or concerns: Encouraging team members to voice any uncertainties or issues promotes open communication and collaboration. 3. Safety measure: The time-out is a key component of the World Health Organization's Surgical Safety Checklist to enhance patient safety. Summary: B: A critical pathway is a predetermined sequence of steps in patient care, not specific to surgical safety. C: Special cause variation refers to statistical process control, unrelated to surgical safety. D: Lean methodology focuses on efficiency and waste reduction in processes, not directly related to pre-operative safety checks like a time
Question 3 of 5
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
Question 4 of 5
Time is becoming crucial for the nurse to address issues related to sponsoring programs to include hearing aid costs as part of Medicare coverage. The nurse involved in grassroots political actions realizes that the least timely method of reaching elected officials would be via:
Correct Answer: A
Rationale: The correct answer is A: letter. Writing a physical letter and sending it through traditional mail is the least timely method of reaching elected officials. It takes longer for letters to be delivered and processed compared to other electronic forms of communication like telephone, email, and fax. Elected officials may not receive and respond to letters in a timely manner, especially when time is crucial. Telephone, email, and fax offer quicker and more direct communication, allowing for faster responses and action. Therefore, choosing to reach out to elected officials via a letter would be the least timely method in this scenario.
Question 5 of 5
It is important for nurses to know the functions of the branches of the federal government. At a local meeting of the state nurses' association, an officer reminds members that the branch that is capable of originating major policy initiatives is thebranch.
Correct Answer: B
Rationale: The correct answer is B: legislative. The legislative branch, which consists of Congress, is responsible for creating and enacting laws, including major policy initiatives. This branch has the power to propose, debate, and pass legislation that shapes public policy. The executive branch (choice A) enforces laws, the judicial branch (choice C) interprets laws, and the administrative branch (choice D) oversees the implementation of laws. In this context, the legislative branch is the primary entity for originating major policy initiatives, making it crucial for nurses to understand its functions.