Questions 9

ATI RN

ATI RN Test Bank

Ethics and Issues in Contemporary Nursing Questions

Question 1 of 5

The novice nurse calls a supervisor and requests that a "float nurse" be assigned to help with all "assessments of new admissions and postoperative patients." The supervisor asks, "How many admissions and surgery patients have you received?" The novice nurse becomes flustered because she has not checked the census but simply bases the need on feeling overwhelmed. This situation best indicates a lack of skills.

Correct Answer: A

Rationale: The correct answer is A: organizational skills. The novice nurse's inability to assess the number of admissions and postoperative patients before requesting assistance indicates a lack of organizational skills. Organizational skills involve prioritizing tasks, managing time efficiently, and planning ahead. In this scenario, the nurse failed to gather essential information before making a decision, leading to inefficiency and potential misallocation of resources. Choice B: communication skills, is not the best answer because the issue is not primarily related to communication breakdown but rather a lack of organizational skills. Choice C: interpersonal skills, is not the best answer because the problem does not stem from the nurse's ability to interact with others but rather from her inability to organize her workload effectively. Choice D: clinical skills, is not the best answer because the situation is more about managing workload and resources rather than clinical knowledge or expertise.

Question 2 of 5

If a nurse practicing in a mental health agency could only belong to one professional organization, what criteria could be used to select the organization with the biggest impact?

Correct Answer: B

Rationale: The correct answer is B: Specialty organizations such as the American Psychiatric Nurses Association lobby for higher education requirements for nurses. Rationale: 1. Specialty organizations like the American Psychiatric Nurses Association focus specifically on mental health nursing, ensuring targeted advocacy and support. 2. Lobbying for higher education requirements demonstrates a commitment to advancing the profession and improving the quality of care. 3. Higher education requirements can lead to better outcomes for patients and enhance the credibility and expertise of mental health nurses. Summary: A: The American Nurses Association may have a broad reach, but it may not prioritize mental health nursing specifically. C: State nursing associations may have limitations in lobbying power, focusing more on state-level issues. D: Professional organizations like AAHN, while valuable for preserving history, may not actively advocate for current professional development and standards.

Question 3 of 5

The principle of autonomy is best supported by what intervention made available to palliative care patients?

Correct Answer: C

Rationale: The correct answer is C because autonomy in palliative care emphasizes the patient's right to make decisions about their own care. By helping the patient decide on the details of their advanced plan of care, healthcare providers respect the patient's autonomy and ensure their preferences guide the care provided. Arranging in-home health care (A) may be beneficial, but it does not directly support the patient's autonomy. Addressing pain management needs (B) is important but does not specifically relate to decision-making autonomy. Conducting a performance status screening (D) is relevant for assessing the patient's overall health but does not directly support their autonomy in decision-making.

Question 4 of 5

A patient is eligible to change health care providers and insurance and asks, "I am interested in health promotion activities; I walk, swim, and eat healthy. Which health insurance plan would support these activities rather than just pay for services when I am sick"? Which, if any, health insurance plan would best meet the needs of this patient?

Correct Answer: A

Rationale: The correct answer is A: Health Maintenance Organization (HMO). HMOs focus on preventive care and health promotion activities, such as regular check-ups, screenings, and wellness programs. They emphasize keeping patients healthy and offer incentives for healthy behaviors. This aligns with the patient's interest in health promotion activities like walking, swimming, and eating healthy. Choice B (Fee for Service) typically does not emphasize preventive care and may not provide the support for the patient's health promotion activities. Choice C (Preferred Provider Organization - PPO) may offer some preventive care services, but HMOs are more structured and proactive in promoting health and wellness. Choice D is incorrect because many health insurance plans, including HMOs, cover preventive care and health promotion activities to encourage overall well-being.

Question 5 of 5

A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess?

Correct Answer: C

Rationale: The correct answer is C: Connection. The nurse's power comes from her ability to network and build relationships with influential individuals like the Chief of Medical Staff and the President of the hospital. This grants her access to information, resources, and opportunities not available to others. This power is based on who she knows rather than her expertise (A), position (B), or ability to offer rewards (D). The nurse's statement implies that her influence stems from her connections, making choice C the most appropriate answer.

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