ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
Regardless of the term used to describe high-quality health care, the focus of quality is:
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Quality in healthcare should be consumer-centric, meeting their needs and preferences. 2. Consumer needs and wants drive patient satisfaction and outcomes. 3. Patient-centered care leads to better health outcomes and overall quality of care. 4. Focusing on consumer needs promotes individualized and effective care delivery. Summary of why other choices are incorrect: - Choice B (economical care) does not necessarily ensure high-quality care. - Choice C (technologic advancement) is important but not the sole focus of quality healthcare. - Choice D (equally distributed services) is important for equity but does not define quality in healthcare.
Question 2 of 5
A hospital is concerned that the number of medication errors has increased significantly in the past year. A project revealed four causes of medication errors. The above chart was used to help staff and administration know where to focus efforts to reduce errors. Which process improvement tool is used in this situation?
Correct Answer: B
Rationale: The correct answer is B: Pareto chart. A Pareto chart is a quality improvement tool used to prioritize and focus efforts on the most significant causes of a problem. In this case, the hospital used the chart to identify the main causes of medication errors, helping them to allocate resources efficiently. The Pareto principle states that roughly 80% of effects come from 20% of causes, making it a powerful tool for process improvement. A: Run chart is used to track data over time but does not prioritize causes like a Pareto chart. C: Flowcharts are used to map out processes and are helpful for understanding the sequence of activities, not for prioritizing causes. D: Cause-and-effect diagrams (Fishbone or Ishikawa diagram) are used to identify and organize potential causes of a problem but do not prioritize them like a Pareto chart. In summary, the Pareto chart is the most appropriate tool in this situation because it helps focus efforts on the most significant causes
Question 3 of 5
A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM. The surgical team adheres to the 2012 National Patient Safety Goals by implementing which protocols? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety. Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification. Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification. Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.
Question 4 of 5
A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to:
Correct Answer: D
Rationale: The correct answer is D because the nurse's goal is to advocate for increased protective services for elder abuse. By learning about the key issues in the candidate's platform, the nurse can identify if the candidate supports policies related to elder abuse. This information will help the nurse assess the candidate's alignment with their advocacy goals and determine if the candidate is a suitable ally in advancing elder abuse prevention measures. A, B, and C are incorrect because: A: Educating the public about the nurse's political platform is not the primary purpose of attending the session. B: Being spontaneous may lead to an ineffective communication strategy without proper preparation. C: Addressing the candidate by their first name or title is a matter of personal preference and does not directly impact the nurse's advocacy efforts.
Question 5 of 5
A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?
Correct Answer: B
Rationale: The correct answer is B because a constituent refers to a citizen who is registered and eligible to vote for a representative. In this scenario, the nursing student is calling the office of an elected official, indicating that they are a citizen who can vote for that official. Choice A is incorrect as it refers to a member of a professional organization, not a citizen eligible to vote. Choice C is incorrect as it refers to an elected official, not a citizen. Choice D is incorrect as it refers to a member of the House of Representatives, not a citizen eligible to vote.