ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks. Each member contributes based on his or her area of expertise but also recognize other members' strengths. Which of the QSEN competencies are being demonstrated?
Correct Answer: C
Rationale: The correct answer is C: Teamwork and collaboration. This is demonstrated as the nurses, physicians, and social workers work together to finalize the care plan and coordinate discharge for the homeless person. Each member contributes based on their expertise, recognizing and utilizing the strengths of other team members. This showcases effective communication, mutual respect, and shared decision-making, which are key aspects of teamwork and collaboration. Summary of other choices: A: Quality improvement - Not directly related to the collaborative effort described in the scenario. B: Evidence-based practice - While important, this choice does not specifically address the interprofessional collaboration demonstrated in the scenario. D: Patient-centered care - While important in overall patient care, this choice does not specifically address the teamwork and collaboration among the healthcare professionals in this scenario.
Question 2 of 5
Political action committees (PACs) are established for the purpose of:
Correct Answer: A
Rationale: The correct answer is A: financially supporting candidates. PACs are established to raise and spend money to support candidates for political office. They can donate funds to candidates' campaigns, run independent expenditure campaigns, and engage in other activities to influence elections. This is the primary purpose of PACs. Other choices are incorrect: B: While PACs may aim to persuade policymakers to support certain policies, their main function is to support candidates financially. C: While lobbying legislators is a common activity PACs engage in, their main purpose is to financially support candidates. D: Recommending health care policy is not the primary purpose of PACs, as their main role is to support political candidates.
Question 3 of 5
Throughout the history of health care in our nation, one particular piece of federal legislation provided funds for hospital construction. As the number of hospitals rapidly increased, the need for nurses to staff hospitals also increased, and the shift from community-based nursing care to hospital-based nursing care began. This fundamental piece of legislation was the:
Correct Answer: B
Rationale: The correct answer is B: Hill-Burton Act. The Hill-Burton Act, passed in 1946, provided federal funds for hospital construction, leading to a significant increase in the number of hospitals. This increase in hospital facilities created a higher demand for nurses to staff them, thereby initiating the shift from community-based nursing care to hospital-based care. The Sheppard-Towner Act (A) focused on maternal and child health programs, not hospital construction. The Veterans Bill (C) primarily addresses healthcare benefits for veterans. The Access to Health Care Bill (D) is a generic term and does not refer to a specific piece of legislation related to hospital construction or nursing staffing.
Question 4 of 5
A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the legislative branch determines which laws are constitutional by passing or rejecting proposed legislation. In the case of the PPACA, the legislative branch, specifically the Congress, passed the law. The Supreme Court's role is to interpret the constitutionality of laws (not determine which laws are constitutional), as seen in the case where the PPACA was upheld as a form of taxation. Choices B, C, and D are incorrect: B is incorrect because while the legislative branch appropriates funds, the actual allocation of federal dollars is determined through the budget process, not solely by the legislative branch. C is incorrect because the executive branch, not the legislative branch, consists of the President and executive departments that implement laws like the PPACA. D is incorrect because the legislative branch can override a presidential veto with a two-thirds majority vote, not vice versa. The President does not have the power to veto laws found constitutional by the Supreme Court.
Question 5 of 5
Several novice nurses share lunch breaks and have comments such as, "I have insomnia from worrying about what I forgot to do for my patient," and "I have no energy," and "I can't believe I can't do my job correctly." These novice nurses are each experiencing different symptoms of:
Correct Answer: A
Rationale: The correct answer is A: burnout. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. In this scenario, the novice nurses are exhibiting symptoms such as insomnia, lack of energy, and self-doubt, which are commonly associated with burnout. Burnout is specifically related to work-related stressors and can lead to negative feelings about one's job performance. Incorrect choices: B: Low self-esteem - While low self-esteem could be a contributing factor, the symptoms described are more indicative of burnout. C: Lack of confidence - Lack of confidence may be a result of burnout, but it is not the primary issue in this scenario. D: Resilience - Resilience is the ability to bounce back from challenges, but the symptoms described suggest that the nurses are struggling with stress and exhaustion rather than demonstrating resilience.