ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to:
Correct Answer: A
Rationale: The correct answer is A: address the letter to "To Whom It May Concern." This is the appropriate procedure when the applicant is unsure of the recipient's name and title. It is a professional and formal way to address a cover letter when the specific recipient is unknown. Option B is incorrect as addressing the letter to a generic title like "Nurse Recruiter" may not be appropriate if the recipient does not hold that specific title. Option C may be time-consuming and unnecessary if the applicant can use a more general salutation. Option D is incorrect because leaving the salutation blank can come across as unprofessional and lazy.
Question 2 of 9
A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:
Correct Answer: A
Rationale: The correct answer is A: private health insurance. In this scenario, the nurse's insurance is provided by the state-owned hospital, meaning it is not a federal program like PPACA (B) or state-subsidized Medicaid (C). Additionally, it is not a single-payer system (D) since the employer is covering the majority of the premium cost, indicating a private insurance plan. Private health insurance typically involves a deductible paid by the employee, as mentioned in the question. Therefore, the nurse's insurance in this case aligns with the characteristics of private health insurance, making choice A the correct answer.
Question 3 of 9
When planning health care, the nurse should be mindful that members of the Asian culture tend to:
Correct Answer: C
Rationale: The correct answer is C because Asian culture tends to be future-oriented, emphasizing planning and preparation. This is reflected in their approach to health care where they prioritize preventive measures and long-term health goals. Choice A is incorrect as missing appointments is not a common behavior due to cultural time perception. Choice B is incorrect as while ancestors may hold significance, they do not guide health care decisions. Choice D is incorrect as Asians are often punctual and value time.
Question 4 of 9
During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
Correct Answer: A
Rationale: The nurse is experiencing the "Honeymoon" phase of reality shock. In this phase, individuals feel excited, optimistic, and idealistic about their new role and workplace. The nurse's positive visualization of enjoying the benefits of their hard work during orientation aligns with the honeymoon phase. This phase is characterized by a sense of satisfaction, fulfillment, and a belief that the sacrifices made, such as enduring nursing school, were worth it. The nurse's emotional state of smiling and feeling content reflects the honeymoon phase. Other choices are incorrect: B: Shock or rejection - This phase involves feeling overwhelmed, anxious, and doubting one's abilities. The nurse's positive emotions do not align with this phase. C: Recovery - This phase involves adjusting and finding ways to cope with the challenges of the new role. The nurse is not in a phase of recovery as they are not struggling or adapting to the new environment. D: Resolution - This phase involves accepting the reality of the new role and moving forward
Question 5 of 9
To determine basic competency, the interview for a nursing position may include a test in:
Correct Answer: A
Rationale: The correct answer is A: pathophysiology. This is because understanding pathophysiology is fundamental for a nurse to comprehend how diseases affect the body. It helps nurses provide appropriate care and make critical decisions. Incorrect choices: B focuses on documentation, C on medication knowledge, and D on technical skills, which are important but not as essential as understanding the physiological mechanisms of diseases.
Question 6 of 9
A nurse is evaluating Levin's Theory of Conservation to determine if it can be applied to patients in the initial phases of chemotherapy treatment. During this phase of theory acceptance, the nurse wants to determine if all the concepts of energy, structural integrity, personal integrity, and social integrity are included in the care of cancer treatment. The nurse is applying which criteria of theory acceptance?
Correct Answer: A
Rationale: The correct answer is A: Inclusiveness. In this scenario, the nurse is evaluating if Levin's Theory of Conservation includes all the concepts related to energy, structural integrity, personal integrity, and social integrity in the care of cancer treatment. Inclusiveness as a criterion of theory acceptance involves determining if a theory encompasses all relevant concepts and variables within a certain domain. By ensuring that all key components are addressed, the theory can be considered comprehensive and applicable to various situations. Choice B: Consistency, refers to the internal logical coherence of a theory, which is not the focus of the nurse's evaluation in this case. Choice C: Accuracy, pertains to the degree to which a theory accurately reflects reality, which is not directly related to the nurse's current evaluation. Choice D: Fruitfulness, involves the ability of a theory to generate new research and insights, which is not the primary concern for the nurse's assessment of the theory's applicability to cancer treatment.
Question 7 of 9
A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:
Correct Answer: C
Rationale: The correct answer is C: procrastination. Procrastination is the act of delaying or avoiding a task that needs to be accomplished. In this scenario, the novice nurse is avoiding the task of inserting a nasogastric tube for a patient who needs it due to uncertainty and fear. Waiting for someone else to volunteer or delaying the task until the end of the shift are clear examples of procrastination. Energy management (A) involves efficiently allocating time and resources, which is not demonstrated here. Priority setting (B) would involve recognizing the urgency of the situation and taking appropriate action. Introspection (D) refers to self-reflection and analyzing one's thoughts and feelings, which is not the primary issue at hand in this scenario.
Question 8 of 9
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 9 of 9
An LPN/LVN has transferred to a nursing unit and arrives for the first day. The RN checks with the LPN/LVN often throughout the shift to provide support and determine if assistance is needed. The RN is providing which level of supervision?
Correct Answer: C
Rationale: The correct answer is C: Continual supervision is being provided until the RN determines competency. Rationale: 1. Continual supervision is necessary for the LPN/LVN on the first day to assess their competency. 2. The RN checks frequently throughout the shift to provide support and evaluate the LPN/LVN's performance. 3. Competency must be determined before reducing supervision levels. 4. This level of supervision ensures patient safety and quality care. Incorrect choices: A: There is no supervision - Incorrect because supervision is provided by the RN. B: Periodic inspection - Incorrect as continual supervision is needed for competency assessment. D: Initial supervision - Incorrect as supervision should continue until competency is established. In summary, choice C is correct as continual supervision is crucial for the LPN/LVN on their first day to ensure patient safety and quality care.