ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
Organizations measure the effectiveness of their budgets by examining actual revenues and expenditures versus:
Correct Answer: A
Rationale: The correct answer is A: planned variances. Organizations compare actual revenues and expenditures to planned variances to measure budget effectiveness. Planned variances show the differences between the budgeted amounts and the actual results, highlighting areas of over or underperformance. This analysis helps organizations identify reasons for deviations and adjust future budgets accordingly. Explanation for other choices: B: Incremental budgets focus on adjusting previous budgets by a fixed amount, not on comparing actual versus planned amounts. C: Productivity metrics measure the efficiency of resources used, not specifically related to budget effectiveness. D: Expected performance is a vague term that does not directly address comparing actual versus planned financial data.
Question 2 of 5
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
Correct Answer: D
Rationale: The correct answer is D: false assurance. By not providing a verbal response to the patient's question and shrugging her shoulders, the nurse is not giving any indication of the patient's actual condition. This lack of communication can lead the patient to interpret the nurse's actions as reassurance that everything is fine, which is a form of false assurance. This behavior can be misleading and may prevent the patient from receiving important information about their health status. Incorrect choices: A: open communication - The nurse's lack of verbal response and shrugging shoulders does not demonstrate open communication. B: filtration - Filtration is not relevant to the situation described. C: blocking - While the nurse is not providing necessary information, the term "blocking" does not accurately describe the situation.
Question 3 of 5
A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?
Correct Answer: B
Rationale: The correct answer is B: Past experiences. In this scenario, the staff nurse's past experience of having a stillborn infant with Down syndrome is influencing her perception and behavior towards the new mother. This past experience is shaping her emotions, thoughts, and actions, demonstrating how personal experiences can impact communication in healthcare settings. This highlights the importance of self-awareness and reflection to understand how past experiences can influence interactions with patients. Incorrect choices: A: Personal perception - While personal perception plays a role in communication, the key factor in this scenario is the staff nurse's past experience, not just her perception. C: Filtration - Filtration refers to the process of selectively interpreting information. In this case, the staff nurse's behavior is more influenced by her past experience rather than selective filtering of information. D: Preconceived idea - While the staff nurse may have preconceived ideas about individuals with Down syndrome due to her past experience, the primary focus is on her past experience itself rather
Question 4 of 5
A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin (Dilantin) before injecting into a continuous infusion of D W leading to occlusion of the line. Which statement by the nurse demonstrates a red herring?
Correct Answer: D
Rationale: The correct answer is D because it is a red herring statement that distracts from the main issue. Phenytoin is not known to be viscous enough to cause line occlusion. Step 1: Identify the issue - failure to check compatibility. Step 2: A, B, and C address the issue directly or indirectly, while D deflects blame to the drug's viscosity. Step 3: A acknowledges the mistake, B deflects by attacking the supervisor, and C blames the IV setup. In summary, D is incorrect as it diverts attention from the main issue, making it a red herring.
Question 5 of 5
During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:
Correct Answer: B
Rationale: The correct answer is B: confusing cause and effect. The nurse's statement implies that drinking coffee causes the children to be below average in height, which is a logical fallacy. Height is determined by genetics, nutrition, and overall health factors, not by drinking coffee. The nurse is mistakenly attributing the children's height to their coffee consumption without considering other relevant factors. This error in reasoning is known as confusing cause and effect. A: Appeal to common practice is when an argument is justified based on the fact that many people do it, which is not relevant to the coffee consumption issue. C: Ad hominem abusive is attacking the person making the argument rather than addressing the argument itself, which is not the case here. D: Red herring is when irrelevant information is used to distract from the main issue, which is not the case in this scenario.