ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
recommends that EHR systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information?
Correct Answer: A
Rationale: The correct answer is A: Health information and data capture. This functionality of the EHR system allows for the documentation and storage of patient health information, including allergy details. By inputting the patient's severe allergy to eggs and penicillin into the system, it ensures that this critical information is readily available for healthcare providers. The other choices are incorrect because: B: Results/data management focuses on organizing and presenting test results, not specifically on capturing patient allergies. C: Provider order entry management involves entering orders for medications, treatments, and procedures, not directly related to documenting allergies. D: Clinical decision support assists healthcare providers in making clinical decisions based on data and guidelines, but it does not specifically address capturing and sharing patient allergy information.
Question 2 of 9
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse completes the following interventions: places the client on the examining table, completes a thorough history and physical, covers the client with a sheet, places the call button within reach, and goes out in the hall to speak with the client's physician. The client tries to get up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The nurse's actions reflect:
Correct Answer: D
Rationale: The correct answer is D: negligence. Negligence refers to a failure to provide the standard of care that a reasonably prudent person would have provided in a similar situation, resulting in harm to the client. In this scenario, the nurse failed to ensure the safety of the client by leaving them unattended on an examining table, leading to the client falling and sustaining injuries. This breach of duty to provide proper care and supervision constitutes negligence. Choice A (invasion of privacy) is incorrect because it does not relate to the nurse's failure to provide proper care and supervision. Choice B (libel) and Choice C (slander) are also incorrect as they pertain to defamation, which is not applicable in this situation. The nurse's actions primarily reflect negligence due to the failure to provide adequate supervision, resulting in harm to the client.
Question 3 of 9
When reading Peplau's theory, a nurse was unable to determine the relationships among concepts. The nurse listed each concept and drew lines denoting relationships to be able to understand the effect of each element. The nurse created a:
Correct Answer: B
Rationale: The correct answer is B: model. In this scenario, the nurse used visual representation to illustrate the relationships among concepts in Peplau's theory. A model is a simplified representation of a real-world system that helps understand complex relationships. By listing concepts and drawing lines to denote relationships, the nurse created a visual model to clarify the interconnections between elements. A hypothesis (A) is a testable prediction, not a visual representation. A construct (C) is an abstract concept, not a visual representation of relationships. A variable (D) is a measurable factor that can change, not a visual representation of relationships.
Question 4 of 9
A nurse wants to become an advanced practice nurse and investigates the requirements for a: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: nurse practitioner. Nurse practitioners are advanced practice nurses who provide comprehensive healthcare services, including diagnosing and managing common acute and chronic illnesses. They require additional education and certification beyond basic nursing. Nurse executives focus on leadership and management roles in healthcare organizations, not direct patient care. Certified nurse-midwives specialize in providing prenatal, postpartum, and gynecological care to women. Certified registered nurse anesthetists specialize in administering anesthesia but do not provide the same scope of primary care as nurse practitioners.
Question 5 of 9
An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
Correct Answer: B
Rationale: The correct answer is B: Veracity. Veracity refers to the principle of truthfulness and honesty in communication. In this scenario, the nurse knowingly provides false information to the daughter by stating that the mother is responding to her voice when the movement was actually involuntary. By not being truthful, the nurse violates the principle of veracity. Autonomy (A) is the right of individuals to make their own decisions. Utilitarianism (C) focuses on the greatest good for the greatest number of people. Deontology (D) is an ethical theory based on rules and duties. These principles are not directly related to the nurse's dishonesty in this situation.
Question 6 of 9
Which type of data analysis results in the non-numerical organization of data?
Correct Answer: C
Rationale: The correct answer is C: Qualitative. Qualitative data analysis involves organizing non-numerical data into themes, patterns, or categories. This type of analysis focuses on the quality and characteristics of the data rather than numerical values. Descriptive analysis (A) involves summarizing and presenting numerical data. Inferential analysis (B) involves making predictions or inferences about a population based on sample data. Quantitative analysis (D) involves working with numerical data to derive insights and conclusions. In this question, the focus is on the non-numerical organization of data, which aligns with qualitative analysis.
Question 7 of 9
A group of nurses interested in unionizing decides to contact the largest union in the United States representing registered nurses, which is the:
Correct Answer: C
Rationale: The correct answer is C: National Nurses United. This is because National Nurses United is the largest union in the United States specifically representing registered nurses. They have a strong presence in advocating for nurses' rights and providing resources for unionizing efforts. A: American Nurses Association is a professional organization, not a union. B: United American Nurses was dissolved in 2009, so it is not the largest union. D: National Labor Relations Board is a government agency overseeing labor relations, not a union representing nurses.
Question 8 of 9
A nurse who is applying for a position contacts an expert on writing résumés and cover letters and is told:
Correct Answer: D
Rationale: The correct answer is D because being concise and limiting the resume to a single page is important in grabbing the attention of potential employers and ensuring that the most relevant information is highlighted. It shows professionalism and respect for the employer's time. Option A is incorrect as correction fluid may make the resume look messy. Option B is incorrect as using a single line to cross through an error and inserting initials is not standard practice in resume writing. Option C is incorrect as limiting margins to one half inch can make the resume look cluttered and difficult to read.
Question 9 of 9
A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
Correct Answer: A
Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.