ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
In distinguishing between evaluation methods used in school versus those used in the work environment, it is noted that the work environment evaluation includes:
Correct Answer: D
Rationale: Step 1: In the work environment, evaluation focuses on appraising outcomes to assess effectiveness and compliance with policies. Step 2: Appraising outcomes according to policy ensures that results align with organizational objectives. Step 3: This process helps identify areas for improvement and ensures accountability. Step 4: Choices A, B, and C do not directly address the evaluation of outcomes based on policy, making them incorrect. Step 5: Therefore, the correct answer is D as it aligns with the purpose of evaluation in the work environment.
Question 2 of 9
A group of local volunteers respond to a tornado. Volunteers have completed an emergency response course and are able to assist with triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of the:
Correct Answer: A
Rationale: The correct answer is A: Medical Reserve Corps (MRC). Step 1: The MRC is a community-based program of volunteers who are trained to respond to public health emergencies. Step 2: The volunteers in the scenario have completed an emergency response course and are assisting with triage and educating the public, aligning with the MRC's mission. Step 3: The MMRS focuses on responding to mass casualty incidents, not necessarily public health emergencies like tornadoes. NDMS is a federally coordinated system for medical response in disasters, not typically focused on community-based responses. CCRF is a reserve force within the U.S. Public Health Service, not specifically focused on community emergency response.
Question 3 of 9
The physician who insists on providing treatment in spite of the client's wishes because he "knows best" is reflecting:
Correct Answer: D
Rationale: The correct answer is D: paternalism. Paternalism occurs when a physician overrides a patient's autonomy in favor of what they believe is best for the patient. In this scenario, the physician is not respecting the client's wishes and is making decisions based on their own judgment, which is characteristic of paternalism. Autonomy (A) refers to respecting the patient's right to make their own decisions. Beneficence (B) is the principle of doing good for the patient, but in this case, it is being overshadowed by the physician's paternalistic approach. Justice (C) refers to fairness in healthcare distribution, which is not applicable in this context.
Question 4 of 9
Certain groups of individuals are opposed to the Patient Protection and Affordable Care Act (PPACA) based on religious beliefs that prohibit circumcision and blood transfusions. These individuals believe the PPACA is unconstitutional because it:
Correct Answer: A
Rationale: The correct answer is A because the main argument against the PPACA in relation to religious beliefs is the mandate requiring all U.S. and legal residents to secure health insurance. This mandate conflicts with the religious beliefs of certain groups that oppose specific medical procedures like circumcision and blood transfusions. Choices B, C, and D are incorrect as they do not directly address the issue of religious opposition to specific healthcare practices mandated by the PPACA. B pertains to Medicare and Medicaid plans, C relates to preventive services participation, and D refers to health practices outside Western medicine, which are not the primary concern for the opposing groups.
Question 5 of 9
A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
Correct Answer: A
Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.
Question 6 of 9
A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which question would retrieve the most valuable information about health practices?
Correct Answer: D
Rationale: The correct answer is D because it specifically asks about the exercise practices the older adults participate in, providing detailed information on their current exercise routines. This question is valuable as it helps the nurse understand the type, intensity, and frequency of exercises being performed by the individuals with osteoporosis. Choice A is too broad and doesn't focus on specific exercise practices. Choice B is about personal preferences rather than actual exercise practices. Choice C focuses on the timing of exercise but does not delve into the types of exercises being performed. Thus, D is the most valuable question for gathering pertinent information regarding the exercise practices of older adults with osteoporosis.
Question 7 of 9
A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is:
Correct Answer: B
Rationale: The correct answer is B: moving. In Lewin's change management model, the process involves three stages: unfreeze, move, and refreeze. In this scenario, the hospital has already identified the need for change (unfreeze) by recognizing the issue with patient satisfaction scores. The change agent's recommendations and the implementation of interdisciplinary walking rounds and involving patients and families in rounds indicate the active phase of making changes and transitioning to new practices (moving). The actions taken, such as rounding every shift, updating the team through huddles, monitoring nurse participation, and interviewing patients, all demonstrate movement towards the desired change. Refreeze would come after the changes have been successfully implemented to stabilize and institutionalize the new practices. The options A (unfreeze) and C (refreeze) are incorrect as the hospital is currently in the implementation phase of change, and option D (resistance) does not apply as there is no indication of significant resistance to the proposed changes in the scenario provided.
Question 8 of 9
A registered nurse (RN) is assigned as charge nurse for the first time. She knows to consult the state board of nursing to determine scope of practice for licensed practical nurses (LPN) and unlicensed assistive personnel (UAP). She also realizes there are common policies which exist in most state practice acts that include:
Correct Answer: D
Rationale: The correct answer is D because when delegating tasks, the RN must first assess the patient to determine their needs and condition. This assessment is crucial in deciding which tasks can be safely delegated to the LPN or UAP. By assessing the patient, the RN can ensure that the delegated tasks are appropriate, match the competency of the delegatee, and are within the scope of practice for each individual. This step is essential to maintain patient safety and quality of care. Choice A is incorrect because while the RN is accountable for the decision to delegate, both accountability and responsibility rest with the RN, not just the delegatee. Choice B is incorrect because tasks should only be delegated within the scope of practice of the delegatee, not based on the delegatee's personal certainty of competence. Choice C is incorrect as LPNs have a distinct scope of practice that is separate from professional nursing, and they do not practice professional nursing.
Question 9 of 9
A nurse wants to become an advanced practice nurse and investigates the requirements for a: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: nurse practitioner. Nurse practitioners are advanced practice nurses who provide comprehensive healthcare services, including diagnosing and managing common acute and chronic illnesses. They require additional education and certification beyond basic nursing. Nurse executives focus on leadership and management roles in healthcare organizations, not direct patient care. Certified nurse-midwives specialize in providing prenatal, postpartum, and gynecological care to women. Certified registered nurse anesthetists specialize in administering anesthesia but do not provide the same scope of primary care as nurse practitioners.