ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
Nurses entering the workforce at a large urban hospital soon began volunteering for excessive overtime. A focus group found that upon graduation, many of these nurses purchased expensive cars and furniture. They lacked skills in managing their checkbook and were often unable to pay recurring bills; this finding would be relevant to which component of the Workforce Advocacy Ecosystem Model?
Correct Answer: D
Rationale: The correct answer is D: Personal and social factors. This finding is relevant to personal and social factors because it highlights the individual behaviors and financial decisions of the nurses entering the workforce. The nurses' lack of financial management skills and tendency to overspend on luxury items indicate personal factors influencing their ability to handle their finances effectively. Additionally, their social environment, such as peer influences or societal pressure to display wealth, could also contribute to their financial struggles. Incorrect choices: A: Staffing - This choice focuses on the recruitment and deployment of staff, which is not directly related to the nurses' personal financial management issues. B: Workflow design - This choice pertains to how tasks are organized and coordinated within the workplace, which is not directly related to the nurses' personal financial challenges. C: Organizational factors - This choice refers to the broader context of the hospital's policies, culture, and structures, which may indirectly influence the nurses' financial behaviors but are not as directly related as personal and social factors
Question 2 of 5
A nonprofit organization that distributes to governmental agencies, the public, business, and health care professionals knowledge related to health care for the purpose of improving health is the:
Correct Answer: B
Rationale: The correct answer is B: Institute of Medicine. The Institute of Medicine is known for disseminating knowledge related to health care through government agencies, the public, business, and health care professionals to improve health outcomes. The organization conducts research and provides evidence-based recommendations to address health care challenges. A: Institute for Safe Medication Practices focuses specifically on promoting safe medication practices, not a broad range of health care knowledge dissemination. C: National Committee for Quality Assurance primarily focuses on accrediting and certifying health care organizations based on quality standards, rather than broadly distributing health care knowledge. D: The Joint Commission is responsible for accrediting health care organizations and institutions, ensuring they meet quality and safety standards, but not specifically for distributing health care knowledge to various stakeholders.
Question 3 of 5
An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs. Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.
Question 4 of 5
The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:
Correct Answer: C
Rationale: The correct answer is C: American Nurses Credentialing Center (ANCC). ANCC is the primary organization responsible for certifying advanced practice nurses in specialized areas. They provide information on requirements for practice, certification exams, and continuing education. ANA (A) focuses on promoting the profession of nursing. NLN (B) focuses on nursing education. NCSBN (D) oversees the state boards of nursing and does not specifically provide information on requirements for practice in specialized areas.
Question 5 of 5
During a seminar on ethics, the educator realizes that more information is needed when a participant describes which situation as a violation of the ethical principle of autonomy?
Correct Answer: A
Rationale: The correct answer is A because denying the older person with Alzheimer's disease the right to ambulate violates their autonomy by restricting their freedom to make choices about their own body and movement. Autonomy is the ethical principle that respects an individual's right to make decisions about their own health and well-being. In this situation, the person should have the autonomy to decide whether or not they want to ambulate, even if they have advanced Alzheimer's disease. Choice B is incorrect because the mentally competent adult has the right to refuse medical treatment based on their beliefs, which is an expression of autonomy. Choice C is incorrect because the mentally competent visitor has the right to refuse examination, which is also an expression of autonomy. Choice D is incorrect because the mentally competent adult has the right to refuse a local anesthetic, which is also an expression of autonomy.
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