ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?
Correct Answer: D
Rationale: The correct answer is D: National Disaster Medical System (NDMS). This system is designed to provide medical care during disasters, including addressing mental health needs like posttraumatic stress syndrome in victims and compassion fatigue in care providers. NDMS coordinates federal medical response resources and personnel to support communities during disasters. A: Strategic National Stockpile focuses on providing medicines, vaccines, and medical supplies, but does not directly address mental health needs or provide medical care. B: Metropolitan Medical Response System (MMRS) focuses on local response capabilities for mass casualty incidents, but does not have the same scope as NDMS in providing comprehensive medical care. C: Commissioned Corps Readiness Force is a team of healthcare professionals within the U.S. Public Health Service, but it is not specifically designated for disaster medical response like NDMS.
Question 2 of 5
Health care professionals have been activated to respond to a disaster, and the registered nurse who is coordinating the effort realizes that: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because in a mass casualty incident, triage principles dictate that care should be prioritized to those with the greatest chance of survival to maximize overall survival rates. This ensures that limited resources are used efficiently. Choices B, C, and D are incorrect: B: Using only community resources first may not be sufficient in a large-scale disaster and could delay the response, leading to unnecessary loss of life. C: State assistance may not be automatically available in every disaster situation and is typically coordinated based on the severity and impact of the disaster. D: Emergency operating plans should be tailored to individual facilities' needs and capabilities, as a one-size-fits-all approach may not be effective in all scenarios.
Question 3 of 5
An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?
Correct Answer: C
Rationale: The correct answer is C: Expert. An RN with excellent assessment and psychomotor skills derives power from their expertise in the field. They are respected and trusted for their knowledge and abilities, giving them influence over others. Rewards (A) and coercion (B) are forms of power derived from external factors like incentives or threats, not skills. Legitimate power (D) comes from one's position or title, not necessarily from skills. In this case, the RN's power comes from their expertise, making choice C the most appropriate answer.
Question 4 of 5
A nurse is reading about positive reinforcement with the goal of increasing staff motivation. Which action would demonstrate positive reinforcement?
Correct Answer: D
Rationale: The correct answer is D because giving spur-of-the-moment recognition to an employee who has accomplished a goal is an example of positive reinforcement. This action immediately follows the desired behavior, increasing the likelihood of it being repeated. This instant feedback helps reinforce the employee's behavior positively. A: Thanking each employee every morning is a form of positive feedback, but it lacks the immediacy of reinforcement. B: Rotating a monthly recognition award does not provide immediate reinforcement for specific behaviors. C: Waiting for an annual review to recognize accomplishments does not provide timely feedback to reinforce desired behaviors.
Question 5 of 5
A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life, serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?
Correct Answer: A
Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.