ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
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 5
The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor, and is asked to participate in the next staff meeting. This introduction into nursing is appropriately termed:
Correct Answer: B
Rationale: The correct answer is B: socialization. Socialization is the process by which individuals learn and adapt to the values, norms, and behaviors of a particular group, in this case, the nursing profession. In this scenario, the novice nurse is being introduced to the staff, assigned a preceptor, and asked to participate in a staff meeting, all of which are key components of the socialization process in nursing. A: Biculturalism refers to the coexistence of two distinct cultures within one society, which is not applicable in this context. C: Transition is the process of changing from one state to another, which is a broader concept than just the introduction to a new profession. D: "Going native" is a colloquial term that refers to adopting the lifestyle or customs of a foreign culture, which is not relevant to the scenario of a novice nurse being introduced to the nursing profession.
Question 3 of 5
According to the Quality Chasm report:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Proactive care emphasizes prevention and early intervention. 2. The Quality Chasm report advocates for patient-centered care. 3. Being proactive ensures better health outcomes and lower costs. 4. Reactive care may lead to delayed diagnosis and treatment. Summary: B: Focusing on common needs ignores individual preferences, contradicting patient-centered care. C: Limiting medical information to one provider is not patient-centered and hinders care coordination. D: Allowing specialized providers to control decisions may not consider the holistic needs of the patient.
Question 4 of 5
A nurse at a school notices that several students have "blisters" on their bodies. Further investigation reveals that a terrorist incident has occurred, causing smallpox. If the chemical, biologic, radiologic, nuclear, and explosive (CBRNE) agent categories are used, this incident would be classified as:
Correct Answer: B
Rationale: The correct answer is B: biologic. Smallpox is a viral disease caused by the variola virus, making it a biological agent. The virus spreads from person to person through respiratory droplets or contact with infected bodily fluids. The term CBRNE encompasses various types of agents used in terrorism incidents. In this case, the incident involving smallpox falls under the biologic category due to its viral nature, as opposed to chemical (A), radiologic (C), or nuclear (D) agents. Chemical agents involve toxic substances, radiologic agents involve radiation, and nuclear agents involve nuclear materials. In summary, the smallpox incident is categorized as biologic due to the nature of the variola virus.
Question 5 of 5
A family requests that no additional heroic measures be instituted for their terminally ill mother who has advance directives in place. The nurse respects this decision in keeping with the principle of:
Correct Answer: B
Rationale: The correct answer is B: autonomy. Autonomy refers to respecting the right of individuals to make their own decisions about their healthcare. In this scenario, the family's request to honor the terminally ill mother's advance directives aligns with the principle of autonomy as it acknowledges her right to make decisions about her own care. Accountability (A) pertains to taking responsibility for one's actions, nonmaleficence (C) involves avoiding harm, and veracity (D) refers to truthfulness. While these principles are important in healthcare, in this specific case, autonomy takes precedence as it respects the patient's wishes.
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