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 male nurse hired to work in the emergency department is observed throwing a contaminated needle into the trash can. The team leader reprimands the nurse for not appropriately disposing of sharps. The nurse states, "You don't care that I threw the needle in the trash. You just want an all-female staff," putting the team leader in a defensive position. This communication technique is known as:
Correct Answer: B
Rationale: The correct answer is B: red herring. In this scenario, the male nurse deflects the issue of improper sharps disposal by accusing the team leader of having ulterior motives related to gender discrimination. This is a classic example of a red herring, where the nurse introduces an irrelevant topic to divert attention from the original issue. The nurse's response does not address the concern raised about sharps disposal but instead shifts the focus to an unrelated accusation. The other choices are incorrect because they do not accurately describe the communication technique used in the scenario. A straw man involves misrepresenting an opponent's argument to make it easier to attack, slippery slope is a form of logical fallacy, and confusing cause and effect refers to a mistaken understanding of the relationship between two events.
Question 3 of 9
A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG). According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery. During surgery the patient's oxygen saturation decreased drastically as a result of chronic tobacco abuse. Subsequently, the patient remained on the ventilator an additional 2 days postoperatively. According to the clinical practice guideline for CABG, this situation represents a:
Correct Answer: B
Rationale: The correct answer is B: variance. In this scenario, the patient's extended time on the ventilator deviates from the expected clinical pathway of extubation and discharge the day after surgery. Variances are deviations from established protocols or guidelines. This situation highlights a deviation from the standard practice and requires further evaluation to understand the reasons for the delay in extubation. The other choices are incorrect because: A: Patient outcome refers to the result of care received by the patient, not the deviation from the expected process. C: Goal represents the desired outcome or target to achieve, not the deviation from the pathway. D: Standard is the established protocol or guideline to follow, not the deviation from it.
Question 4 of 9
A researcher conducts a survey to determine the perceived health status of elderly persons living independently at home. The same subjects participate in a telephone call in which they describe the lived experience of living with chronic illness. When writing up the research study, the nurse would describe using:
Correct Answer: B
Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.
Question 5 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 6 of 9
A nurse interested in an entry level position as a registered nurse prepares the cover letter. A correctly written cover letter might include:
Correct Answer: A
Rationale: Rationale for Correct Answer A: The correct answer is A because it emphasizes alignment with the organization's values, specifically community outreach. This shows the nurse has researched the organization and tailored their cover letter accordingly, demonstrating genuine interest in the position. It also indicates a willingness to contribute to the organization's mission, which is appealing to employers. Summary of Incorrect Choices: B: This choice focuses too much on unrelated degrees and certifications, which may not be relevant to the nursing position. It does not address the specific needs of the organization. C: While work-life balance is important, this choice does not demonstrate a clear connection to the organization or the nursing position. D: This choice includes personal information that is not relevant to the job application and does not highlight any qualifications or interest in the organization.
Question 7 of 9
A patient who is interested in herbal medicine attends a seminar to learn more about complementary alternative medicine (CAM). The patient learns that a common belief related to all CAMs includes that: (select all that apply)
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Many different CAMs focus on specific body parts and the mind: This statement aligns with the holistic approach of CAM, which emphasizes treating the whole person, including physical, mental, emotional, and spiritual aspects. 2. CAMs are not limited to interventions for diseased body parts; they often aim to promote overall well-being and address underlying causes. 3. Individualized treatment is a common principle in CAM, but it is not the defining belief shared by all CAM practices. 4. The body's ability to repair itself is a fundamental concept in CAM, and natural remedies are often used to support and enhance this innate healing process. Summary: Choice A is incorrect because it contradicts the fundamental belief in the body's self-healing abilities in CAM. Choice C is incorrect because CAM often focuses on promoting health and preventing disease rather than just intervening in diseased body parts. Choice D is also incorrect as individualized treatment is not a universal belief among all
Question 8 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 9 of 9
When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative?
Correct Answer: A
Rationale: The correct answer is A: Quality and Safety in Nursing Education. This initiative aligns with the Institute of Medicine report's focus on improving quality and safety in nursing education. The QSEN initiative provides resources and guidelines for nursing faculty to integrate quality and safety competencies into their curriculum. Choice B (COPA) is focused on competency outcomes and performance, which is not directly related to addressing the issues identified by the Institute of Medicine report. Choice C (NONPF) is specific to nurse practitioner faculties and may not cover the broader scope of issues highlighted in the report. Choice D (ACE) focuses on evidence-based practice in academic settings but does not specifically address the quality and safety concerns identified in the report.