ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
The massage therapist uses kinesthesia, or thinking about how movement is expressed, to correct habits that cause poor posture and limited movement. This type of massage is called:
Correct Answer: B
Rationale: The correct answer is B: Feldenkrais method. This method focuses on improving movement patterns through kinesthetic awareness and re-education. It helps correct habits that lead to poor posture and limited movement by increasing awareness of how the body moves. The Alexander technique (A) mainly focuses on improving posture and reducing tension. Healing touch (C) involves energy-based healing practices, not specifically related to movement correction. Reiki (D) is a form of energy healing that aims to promote relaxation and stress reduction, not movement correction. Therefore, the best choice for the given scenario is the Feldenkrais method.
Question 2 of 9
When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:
Correct Answer: A
Rationale: The correct answer is A: develop. When delegating tasks, it is important for the nurse to choose the most qualified person to ensure safe and effective care. By delegating tasks to someone who needs development, the nurse can provide opportunities for growth and skill enhancement. This benefits both the individual being delegated to and the overall team. Choices B, C, and D are incorrect because promoting, punishing, or rewarding someone based on task delegation can lead to bias, unfairness, or inappropriate incentives, which are not conducive to effective delegation practices.
Question 3 of 9
A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B because it involves a medical error that could potentially harm the patient. An incident report is necessary to document such events for quality improvement and patient safety. Choice A does not involve a preventable adverse event, so it does not require an incident report. Choice C is related to communication issues and can be resolved without an incident report. Choice D involves a patient fall, which is a reportable event, but the client was informed not to get up alone, making it less urgent for an incident report compared to a medication error.
Question 4 of 9
Qualified nursing school applicants have continued to be turned away, limiting enrollment due to a shortage of faculty, which is attributed to several factors, including:
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the shortage of nursing faculty by highlighting the issue of burnout and job dissatisfaction, which leads to faculty turnover and limits enrollment. This explanation aligns with the initial statement that qualified applicants are being turned away due to the shortage of faculty. Choices B, C, and D are incorrect because they do not directly address the main issue of faculty shortage. B talks about the stability of faculty numbers in Associate Degree programs, which is irrelevant to the shortage. C discusses the decrease in the mean age of nursing faculty and the departure of older mentors, but this does not explain the shortage of faculty. D mentions increasing job competition from clinical sites, which is not the primary reason for the shortage of nursing faculty.
Question 5 of 9
The nurse managers of an organization are meeting with administration to plan the budget. The above graph shows last year's 2011 expenditures, and the team will trend the upcoming budget knowing that, with the slowdown in the economy, patient census will be lower. Which budget approach is being used?
Correct Answer: B
Rationale: The correct answer is B: Zero-based. Zero-based budgeting requires starting from scratch each budget cycle, meaning all expenses must be justified regardless of previous budgets. In this scenario, the nurse managers are planning for a budget based on the expectation of lower patient census due to the economic slowdown. This aligns with the zero-based approach as they will need to re-evaluate and justify all expenses to accommodate the changes in patient volume. A: Incremental budgeting involves making adjustments to the previous budget, which is not suitable for significant changes like a decrease in patient census. C: Productivity metrics focus on measuring efficiency and performance, rather than the budgeting approach. D: Capital budgeting is related to long-term investments in assets, which is not the primary focus in this scenario.
Question 6 of 9
To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?
Correct Answer: B
Rationale: The correct answer is B: Sunset legislation. Sunset legislation mandates that laws, including nurse practice acts, must be reviewed periodically to determine if they are still needed. If a nurse practice act is not reviewed by the specified date, it is automatically rescinded. This process ensures that laws are current and relevant. Incorrect Choices: A: Nurse review act - There is no specific law called the Nurse review act that pertains to the automatic rescinding of nurse practice acts. C: Mandatory revocation - This choice does not align with the process of automatic rescinding based on a failure to review. D: Grandfathering - Grandfathering refers to exempting individuals from new regulations based on previous circumstances, not the automatic rescinding of laws.
Question 7 of 9
In recent Gallop Polls, nurses were voted as the most honest with the highest ethical standards of all professions. How does this degree of professionalism affect nurses' desire to participate in organized strikes?
Correct Answer: C
Rationale: The correct answer is C because nurses being voted as the most honest and ethical profession indicates their strong commitment to patient care and ethics. Therefore, nurses may find participating in strikes conflicting with their core values of serving and protecting patients. This conflict can deter nurses from engaging in union activities like strikes, as they prioritize patient well-being over their own interests. A is incorrect because while nurses prioritize client safety, participating in strikes may not always align with this goal. B is incorrect as evidence-based studies may support various perspectives, but nurses' ethical standards and commitment to patient care are the primary factors influencing their decision to engage in strikes. D is incorrect as legal repercussions for striking nurses focus on professional misconduct rather than the ethical dilemma nurses face when considering strikes.
Question 8 of 9
What effect did the movie One Flew Over the Cuckoo's Nest have on health care?
Correct Answer: B
Rationale: The correct answer is B because "One Flew Over the Cuckoo's Nest" raised awareness about the mistreatment of vulnerable populations in mental health institutions. It highlighted the need to uphold the rights of such individuals. A is incorrect because the movie did not specifically lead to an increase in funding for mental health care or a shift to institutional care. C is incorrect because while the movie portrayed nurses advocating for patients, it did not necessarily lead to a widespread perception of nurses as advocates for vulnerable populations. D is incorrect because there is no evidence to suggest that funding for nursing traineeships was eliminated as a direct result of the movie.
Question 9 of 9
to that provided during the Crimean War?
Correct Answer: B
Rationale: The correct answer is B because it accurately reflects the impact of Florence Nightingale's efforts during the Crimean War on nursing care during the Civil War. Nightingale advocated for sanitary conditions which led to improved housing for soldiers in the Civil War. This is supported by historical evidence. A is incorrect because the emphasis on nursing care differed between the wars, with the Crimean War focusing more on basic care and the Civil War emphasizing sanitary conditions. C is incorrect because black nurses faced discrimination and unequal compensation during both wars, and Mary Seacole's contributions were not widely recognized during the Civil War. D is incorrect because Nightingale did not complete formal nursing training before her work in the Crimean War, and Dix was already an experienced nurse before the Civil War.