ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
In the near future, the largest segment of the population will be those over age 65 years. To advocate for this vulnerable population, a nurse was a strong supporter for the Medicare Modernization Act (Medicare Part D), which:
Correct Answer: C
Rationale: The correct answer is C because the Medicare Modernization Act (Medicare Part D) provided coverage for medications that constituted a huge expense for the elderly. This is crucial for the aging population as they often require multiple medications for chronic conditions. Choice A is incorrect because vision care benefits for legally blind individuals are usually covered under Medicare Part B. Choice B is incorrect as the act specifically focused on medication coverage, not mental health/substance abuse services. Choice D is incorrect as the act did not directly address expanding practice opportunities for APRNs, but rather focused on medication coverage for the elderly population.
Question 2 of 5
A novice nurse notices the medication nurse hurriedly gathering medications to be administered for the entire day, removing them from the packages, and placing them in a paper cup with the patient's name and room number on the cup. When one of the patients points at a pill and asks, "What is this?" and "What does this do?" the medication nurse is uncertain, because it has long since been removed from the packaging. The novice nurse speaks to the nurse manager about her observations and describes her concerns. The novice nurse has assumed the role of:
Correct Answer: C
Rationale: Correct Answer: C - Change agent Rationale: 1. A change agent is someone who identifies issues or concerns and takes action to implement positive changes. 2. In this scenario, the novice nurse recognized a potential problem with medication administration and spoke to the nurse manager to address it. 3. By seeking to improve medication safety practices, the novice nurse is actively working towards positive change within the healthcare setting. 4. The other choices are incorrect: - A "loner" implies someone who prefers to work alone, which is not relevant to the situation. - "Rutter" and "native" are not recognized terms in this context and do not apply to the nurse's actions.
Question 3 of 5
A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is known as:
Correct Answer: A
Rationale: The correct answer is A: mentoring. Mentoring involves an experienced individual guiding and supporting a less experienced individual to help them develop skills, confidence, and knowledge. In this scenario, the certified oncology nurse is providing guidance and support to the novice nurse, helping them gain confidence and improve decision-making and technical skills. Mentoring fosters a personalized and supportive relationship that allows for growth and development. Summary of other choices: B: Role modeling involves observing and emulating behaviors of others, but it does not necessarily involve the direct guidance and support seen in mentoring. C: Preceptorship typically refers to a structured program where a more experienced individual (preceptor) guides a less experienced individual (preceptee) for a specific period, which is more formalized than the relationship described in the scenario. D: Socialization refers to the process of adapting to the norms and values of a group or society, which is not directly related to the mentorship relationship described in the scenario.
Question 4 of 5
A novice nurse is stressed due to always being behind with her assignments. She is overheard saying, "No one here worries about checking nasogastric tube placement before they give medications and hang feedings. Skipping that step would save me an extra 30 minutes to be used for charting. If they can do it, so can I." This nurse is experiencing which stage of reality shock?
Correct Answer: D
Rationale: The correct answer is D, "native." In this scenario, the nurse is rationalizing skipping a crucial safety step by justifying it with the actions of others, indicating a lack of understanding regarding the importance of the procedure. The "native" stage of reality shock occurs when individuals start to adopt the norms and behaviors of their workplace without questioning or critically evaluating them. This nurse is displaying a mindset of conforming to unsafe practices to fit in with her colleagues, which aligns with the characteristics of the "native" stage. Incorrect choices: A: "loner" does not apply as the nurse is not isolating herself but rather seeking to emulate the actions of others. B: "rutter" does not fit as this stage involves feeling overwhelmed by the demands of the job, not justifying unsafe practices. C: "change agent" is not relevant as the nurse is not actively seeking to instigate change but rather conforming to existing practices.
Question 5 of 5
A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because glaring at the nurse indicates potential aggression and hostility, which are red flags for violence risk. Glaring can be a non-verbal sign of anger or frustration, signaling a potential escalation. In contrast, nervousness and twisting of hands (choice B) may indicate anxiety or distress but not necessarily violence. Murmuring when talking (choice C) may suggest communication difficulties but does not directly indicate violence risk. Lastly, a diagnosis of a terminal illness (choice D) is not directly related to the immediate risk of violence in this scenario.