ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?
Correct Answer: B
Rationale: The correct answer is B: Pilot. A pilot study involves testing a new intervention on a small scale to assess feasibility and potential outcomes before implementing it on a larger scale. In this case, the unit is planning to use an Electronic Medical Record for a limited time to evaluate its impact on documentation time and patient care. This approach allows for targeted feedback and adjustments based on the outcomes observed during the trial period. A: Ethnography involves in-depth observation and analysis of a specific culture or group, which is not the focus of the scenario. C: Secondary data analysis involves the use of existing data for research purposes, not the implementation of a new intervention. D: Phenomenology focuses on understanding individuals' subjective experiences, which is not the primary goal of implementing an Electronic Medical Record in this case.
Question 2 of 9
An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients. The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to:
Correct Answer: B
Rationale: The correct answer is B: stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner. This is the priority intervention because it addresses the immediate issue of potentially incorrect documentation and allows for clarity and understanding between the RN and LPN/LVN. It promotes open communication and a chance to correct any errors that may have occurred. Choice A is incorrect because checking the drug packages after the fact does not address the issue of potentially incorrect documentation and missed medications. Choice C is incorrect as it is an extreme response that does not promote a collaborative and educational approach to resolving the situation. Choice D is incorrect as calling the pharmacy for replacement medications is not necessary at this stage and does not address the immediate concern of potentially incorrect documentation.
Question 3 of 9
When paper-and-pencil medical records are compared with computer-based records:
Correct Answer: A
Rationale: Rationale: A is correct as paper-and-pencil records can physically track who accessed them, ensuring privacy and security. B is incorrect as computer-based records can also be detailed. C is irrelevant to the comparison. D is incorrect as signing for each item is not a standard practice in computer-based records.
Question 4 of 9
Who establishes the "rules" for nursing practice?
Correct Answer: A
Rationale: The correct answer is A: Individual state boards of nursing. State boards of nursing are responsible for regulating nursing practice within their respective states, including establishing rules and regulations to ensure safe and competent care. They set standards for licensure, education, and practice, as well as enforce disciplinary actions when necessary. State boards have the authority to govern nursing practice based on state laws and regulations. Employers, the US Department of Health and Human Services, and local health officials do not have the regulatory power to establish the rules for nursing practice at a state level.
Question 5 of 9
In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change?
Correct Answer: A
Rationale: The correct answer is A: Unfreeze. In this scenario, the handout is aimed at creating dissatisfaction with the current state of health insurance among employees, which aligns with the unfreezing stage of Lewin's planned change model. Unfreezing involves creating awareness of the need for change by highlighting deficiencies in the current state. The handout is triggering employees to reevaluate their current health insurance and consider alternative options. Choices B, C, and D are incorrect because they do not capture the initial stage of creating dissatisfaction and readiness for change, as seen in the unfreezing phase.
Question 6 of 9
A nurse plans care knowing when specific recovery milestones are expected. The nurse is providing care via:
Correct Answer: B
Rationale: The correct answer is B: clinical pathways. Clinical pathways are structured, evidence-based plans of care that outline the expected recovery milestones and interventions for a specific condition or procedure. By following a clinical pathway, nurses can effectively plan care and monitor progress based on established guidelines. Patient classification systems (A) categorize patients based on acuity levels, not recovery milestones. Functional nursing (C) involves delegating specific tasks to different staff members. Case management (D) focuses on coordinating care across multiple providers, not specifically on recovery milestones.
Question 7 of 9
A nurse is responsible for determining the incidence rates of hospital-acquired diarrhea on a pediatric ward after receiving reports that five children admitted with uncontrolled asthma had developed diarrhea while hospitalized. The nurse is working in the role of:
Correct Answer: B
Rationale: The correct answer is B: infection control. In this scenario, the nurse is focusing on preventing and controlling the spread of hospital-acquired diarrhea among pediatric patients. By investigating the incidence rates and implementing measures to reduce the risk of infection transmission, the nurse is fulfilling the role of infection control. Quality management (A) focuses on improving processes and outcomes, not specifically on infection prevention. Occupational health (C) involves ensuring workplace safety for employees, not patient infection control. Forensics (D) involves investigating and analyzing evidence related to crimes or legal matters, not infection control in a healthcare setting.
Question 8 of 9
A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementiThe nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:
Correct Answer: C
Rationale: Step-by-step rationale for why choice C (case manager) is correct: 1. A case manager coordinates referrals and services for patients with complex needs, such as this patient with diabetes and dementia. 2. In this scenario, the nurse is coordinating referrals to an endocrinologist and organizing physical therapy, which aligns with the role of a case manager. 3. Case managers ensure continuity of care and facilitate communication between different healthcare providers. 4. The nurse's role in organizing follow-up care and services for the patient falls under the responsibilities of a case manager. Summary of why other choices are incorrect: A: Informatics specialist - This role focuses on managing health information systems, not coordinating referrals and services for patients. B: Educator - While education may be a component of the nurse's role, the primary focus in this scenario is on coordinating referrals and services, which is more in line with a case manager's responsibilities. D: Quality manager - Quality managers focus on ensuring healthcare services meet quality standards
Question 9 of 9
An older adult has atrial fibrillation, which causes the heart to have an irregular rhythm. The client uses imagery to alter the dysrhythmiThe client is using which type of complementary alternative medicine (CAM)?
Correct Answer: D
Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.