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
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 3 of 9
The order reads: Administer 500 mg of Kefzol (cefazolin sodium) Intramuscular. Using information located on the medication vial above, the nurse will administer how many mL? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
Correct Answer: A
Rationale: The correct answer is A: Multiple-response item, comprehension level. This question requires the nurse to understand the medication label information and convert the dosage from mg to mL. It tests comprehension by assessing the nurse's ability to apply knowledge to a practical situation. The other choices are incorrect because: B: Hot-spot item, application level - Hot-spot items require the selection of a specific area on an image, not applicable in this scenario. C: Chart/exhibit item, analysis level - Chart/exhibit items typically involve interpreting data from charts or exhibits to analyze information, not relevant to this question. D: Drag-and-drop item, knowledge level - Drag-and-drop items involve matching or categorizing information, which does not apply to this question's context.
Question 4 of 9
When preparing to complete a competency examination involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consist of:
Correct Answer: B
Rationale: The correct answer is B because in a competency examination involving a neurologic assessment, the critical elements are the required criteria that must be incorporated into the assessment to achieve the desired outcome. These elements are essential components that assessors need to include to ensure a thorough and accurate evaluation of the client's neurological status. Choice A is incorrect as critical elements do not necessarily equate to life or death situations. Choice C is incorrect as fundamental strategies unique to complex dynamic care environments are not specifically related to the critical elements of a neurologic assessment. Choice D is incorrect as objective data for client recovery likelihood is not the same as the required criteria for a neurologic assessment.
Question 5 of 9
A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, "These rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do." The nurse is exhibiting:
Correct Answer: B
Rationale: The correct answer is B: ethnocentrism. This is because the nurse is judging the client's cultural beliefs as inferior to American practices, implying that American ways are the only correct ones. Ethnocentrism involves viewing one's own culture as superior to others. A: Stereotyping is not the correct answer because the nurse is not making a generalization about a group based on limited information. C: Cultural accommodation is not the correct answer because the nurse is not demonstrating an understanding or acceptance of the client's cultural practices. D: Empathy is not the correct answer because the nurse is not showing understanding or compassion towards the client's cultural beliefs.
Question 6 of 9
A nurse has recently been appointed to the position of nurse manager. To become successful in managing the unit's budget, the new nurse manager should: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because reading the financial policy manual will provide the new nurse manager with a comprehensive understanding of the organization's budgeting process, which is crucial for successful budget management. This will help the nurse manager make informed decisions and align their actions with the organization's budgeting guidelines. Choice B is incorrect as it suggests delegating budget management to the nursing administration office, which does not promote the nurse manager's development of budgeting skills and knowledge. Choice C is incorrect because while it is important to communicate with the hospital's finance office for guidance, solely relying on this communication may not provide the nurse manager with a deep understanding of the budgeting process. Choice D is incorrect because focusing only on bottom-line numbers without understanding the details of each line in budget reports can lead to oversight of important budget components and hinder effective budget management.
Question 7 of 9
A nurse has been asked to serve as the charge nurse on the evening shift. The agency where the nurse is employed is considering unionization. If the charge nurse position is accepted, this nurse:
Correct Answer: A
Rationale: Step 1: Charge nurses are typically considered part of the nursing staff, not part of the management team. Step 2: Since charge nurses are not considered part of the management team, they are eligible to be represented by the union. Step 3: Being part of the union means the charge nurse can benefit from collective bargaining activities and have a voice in workplace decisions. Step 4: Choice A is correct as it aligns with the general understanding of charge nurses' roles and their eligibility for union representation. Summary: Choice B is incorrect because charge nurses are not typically considered part of the management team, so union participation would not necessarily be a conflict of interest. Choice C is incorrect because union representation does not automatically mean filing grievances that will be arbitrated. Choice D is incorrect because charge nurses can participate in collective bargaining activities related to unfair labor practices if they are represented by the union.
Question 8 of 9
A nurse is interested in learning the phases of the disaster continuum and realizes it has many similarities to the nursing process. To better understand the phases of a disaster, which is true when comparing the phases of the disaster continuum to the nursing process?
Correct Answer: A
Rationale: The correct answer is A because the preparedness phase of the disaster continuum aligns with the assessment and planning steps of the nursing process. In both situations, assessment involves identifying potential risks or needs, while planning entails developing strategies to address those risks or needs. Preparedness in disasters is about assessing vulnerabilities and creating plans to mitigate risks, which is akin to the initial steps in the nursing process. Choices B, C, and D are incorrect because they do not accurately match the phases of the disaster continuum with the corresponding steps in the nursing process. B incorrectly associates recovery with planning, C incorrectly links recovery with implementation, and D incorrectly pairs response relief with evaluation.
Question 9 of 9
A young mother has detected a lump in her breast, and because she lives at the poverty level, she is covered under Medicaid. This individual:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): The correct answer is C because individuals covered under Medicaid, especially those living in poverty, often face barriers to timely healthcare access. Due to financial constraints and lack of awareness, this mother may delay seeking care, leading to a more advanced stage of breast cancer. This delay can result in the need for hospitalization for a mastectomy, which could have been avoided with early detection and treatment. Medicaid coverage does not necessarily guarantee prompt healthcare access, especially for preventive services like mammography. Summary of Incorrect Choices: A: This choice is incorrect because individuals covered by Medicaid, especially those facing financial hardships, may have limited access to preventive services like mammography due to various barriers. B: Having designated primary care and a specialist does not necessarily ensure timely care access, especially for individuals living in poverty and covered under Medicaid. D: This choice is incorrect as individuals covered by Medicaid generally have better access to healthcare services compared to the uninsured population, although they may still face barriers to