ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 9
The first field of nursing to certify advanced practitioners was the field of:
Correct Answer: B
Rationale: The correct answer is B: nurse-midwifery. Nurse-midwifery was the first field of nursing to certify advanced practitioners, starting in the 1920s. Nurse-midwives provide prenatal, childbirth, and postpartum care to women. Other choices are incorrect because adult nurse practitioners, clinical nurse specialists, and nurse anesthesia programs were established after nurse-midwifery certification.
Question 2 of 9
A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room. The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as:
Correct Answer: B
Rationale: The correct answer is B: variance. In this scenario, the nurse manager planned a budget based on a patient census of 6 but the actual census remained constant at 10, leading to higher-than-planned RN staff salaries. The difference between the planned budget and the actual cost is known as a variance. Variances help identify discrepancies between planned and actual expenses, enabling managers to adjust budgets accordingly. Revenue (A) refers to income generated, not the difference between planned and actual expenses. Monitoring (C) is the process of overseeing and evaluating activities, not specifically related to budget discrepancies. Capital expenditures (D) are long-term investments in assets, not related to budget variances.
Question 3 of 9
When reviewing the literature on the effects of Medicaid on health care for the poor, the nurse researcher found that the poor:
Correct Answer: C
Rationale: The correct answer is C because lacking consistent providers is a common issue among the poor utilizing Medicaid. This impacts continuity of care, leading to fragmented health services and poor health outcomes. Choice A is incorrect as Medicaid does provide some level of access to healthcare. Choice B is incorrect as unnecessary treatments are not a common issue among the poor on Medicaid. Choice D is incorrect as preventive services are underutilized rather than abused by the poor on Medicaid.
Question 4 of 9
A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?
Correct Answer: B
Rationale: The correct answer is B: World War II. This statue represents the iconic image of a nurse caring for a soldier during WWII. Nurses played a crucial role in providing medical care and support during the war, often under extreme conditions. The exhausted yet caring portrayal of the nurse holding the soldier's head captures the compassion and dedication of nurses during WWII. Explanation for other choices: A: World War I - While nurses also served valiantly in WWI, the imagery of this statue is more closely associated with WWII. C: Spanish-American War - Nurses did serve in this war, but the statue's depiction aligns more with the context of WWII. D: Vietnam War - The statue's portrayal does not align with the historical context or imagery commonly associated with nurses in the Vietnam War.
Question 5 of 9
Which of the following are concepts related to nursing theory? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: Environment. Nursing theory often includes the concept of environment, which encompasses physical, social, and psychological factors influencing a patient's health. This concept helps nurses understand the context in which care is provided and how it impacts health outcomes. Incorrect choices: B: Health - While health is a fundamental aspect of nursing, it is not specific to nursing theory concepts. C: Nursing - This is a broad term encompassing the profession itself, not a specific concept within nursing theory. D: Relevance - This term is not directly associated with nursing theory concepts and does not provide a framework for understanding nursing practice.
Question 6 of 9
A new graduate nurse is applying for the exciting first position and states, "I am only applying to Magnet hospitals because those work environments:
Correct Answer: C
Rationale: The correct answer is C because Magnet hospitals are recognized for their ability to not only attract but also retain professional nurses. These hospitals create a positive work environment that values and supports nursing staff, leading to higher job satisfaction and lower turnover rates. Choice A is incorrect because while Magnet hospitals may attract top healthcare providers, it's not solely focused on physicians. Choice B is incorrect as certification is not a mandatory requirement for all RNs in Magnet hospitals. Choice D is incorrect as Magnet hospitals actually encourage nurses to advance their education and professional development.
Question 7 of 9
An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:
Correct Answer: A
Rationale: The correct answer is A: decision support. In this scenario, the nurse inputs clinical manifestations into a computer program to assist in generating a diagnosis. Decision support systems use algorithms and data to provide healthcare professionals with evidence-based recommendations or diagnoses. In this case, the system likely recognized the combination of clinical signs as indicative of fat emboli. Telehealth (B) involves remote healthcare services, not diagnosis. Robotic technology (C) and biometric technology (D) are not directly related to clinical diagnosis like decision support systems are.
Question 8 of 9
A novice nurse is in the "rejection phase" of stress and wonders if she made the right decision when deciding nursing was her chosen career. Which strategy would help the novice nurse cope with transition into practice and reduce stress?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a proactive and thoughtful approach to decision-making. By stopping to consider the request and assessing its safety implications before accepting it based on patient acuity levels, the novice nurse is prioritizing patient safety and her own capabilities. This strategy helps her cope with the transition into practice by promoting critical thinking and confidence in her decision-making skills. Summary of why the other choices are incorrect: B: Refusing to eat anywhere but the hospital cafeteria may lead to social isolation and restrict the novice nurse's ability to engage with others outside of work. C: Ignoring coworkers' problems or staffing ideas can create a negative work environment and hinder teamwork, potentially increasing stress levels for the novice nurse. D: Focusing on winning over hostile coworkers may detract from the novice nurse's professional growth and cause unnecessary stress from seeking validation from others.
Question 9 of 9
An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs. Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.