ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
The number of reported medical errors demonstrates a need for what priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Simulation experiences. This intervention allows healthcare professionals to practice real-life scenarios in a controlled environment, improving skills and decision-making. It helps identify and address potential errors before they occur, enhancing patient safety. Other choices lack the hands-on, practical approach of simulations and may not adequately prepare professionals for real-world situations. Simulation experiences are crucial for enhancing clinical competence and reducing medical errors.
Question 2 of 9
Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
Correct Answer: A
Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses. Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.
Question 3 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 4 of 9
An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:
Correct Answer: B
Rationale: The correct answer is B: stereotyping. The nurse is making a generalization about an entire group based on a perceived characteristic. This statement is not only inaccurate but also perpetuates harmful stereotypes. Cultural humility (A) involves recognizing and respecting the differences and complexities of various cultures. Cultural assimilation (C) refers to adopting the cultural norms of a dominant group, which is not applicable in this scenario. Acculturation (D) is the process of adapting to a new culture, which is also not relevant to the nurse's statement. Stereotyping is the most appropriate choice as it directly addresses the nurse's biased and inaccurate assumption about intelligence based on race.
Question 5 of 9
A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics. Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report. Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.
Question 6 of 9
A contractual agreement between the insurer and the provider in which covered members are encouraged to use specific health care providers in return for reduced rates is which type of arrangement?
Correct Answer: B
Rationale: The correct answer is B: Preferred provider organization (PPO). PPOs offer reduced rates to covered members who use specific healthcare providers within their network. This arrangement incentivizes members to choose in-network providers, resulting in cost savings for both the insurer and the member. In contrast, A (Health maintenance organization) focuses on preventive care and requires members to select a primary care physician, C (Fee-for-service arrangement) allows members to choose any provider with varying reimbursement rates, and D (Philanthropic agency) is not related to health insurance arrangements.
Question 7 of 9
A nurse who has practiced on an orthopedic unit for 10 years unexpectedly becomes pregnant. At delivery the physician informs the mother, "Your baby has Alport syndrome, but then I don't have to explain what that means with your medical background." The mother is unfamiliar with this disease and withdraws as a coping mechanism. Which nursing theory would provide a framework to guide nursing care for this mother?
Correct Answer: A
Rationale: The correct answer is A: Mishel's uncertainty of illness. This theory focuses on how individuals cope with uncertainty related to illness or health events. In this scenario, the mother is facing unexpected news about her baby's condition, causing her to withdraw as a coping mechanism due to the uncertainty she is experiencing. By utilizing Mishel's theory, nurses can provide support and guidance to help the mother navigate her feelings of uncertainty and develop coping strategies. Choice B (Orem's self-care deficit model) is not the best fit as it primarily focuses on the individual's ability to perform self-care activities, which may not directly address the mother's emotional response to uncertainty. Choice C (Nightingale's canons of nursing) is more focused on the environmental factors impacting health and may not address the mother's coping needs. Choice D (Levine's conservation model) emphasizes maintaining stability and balance in the body systems, which may not directly address the mother's emotional needs in coping with uncertainty.
Question 8 of 9
An older adult woman who stops using complementary alternative medicine (CAM) becomes disoriented and is given a diagnosis of dementiThe family is upset with the family physician and the CAM practitioner for not diagnosing the condition earlier. Which CAM may have interfered with early detection of the dementia?
Correct Answer: A
Rationale: The correct answer is A because large doses of calcium causing cerebral plaques to form can potentially mask the atrophy of the brain, which is a common indicator of dementia on imaging studies. This interference could delay the detection of dementia. Choice B is incorrect because excess folic acid would not mask a vitamin B deficiency that could lead to dementia. Choice C is incorrect as hypnotherapy focusing on current thoughts would not necessarily eliminate clues to past cognitive decline. Choice D is incorrect because there is no evidence that the electrical current from magnetic fields interferes with normal brain waves in a way that would cause confusion and inability to concentrate.
Question 9 of 9
A nurse who is licensed in Georgia and moves to Oregon:
Correct Answer: A
Rationale: The correct answer is A because when a nurse moves to a new state, they must check the new state's nurse practice act related to licensure for endorsement. This is important to ensure the nurse meets all requirements and regulations for practicing in the new state. Option B is incorrect as licensure is not automatically transferred. Option C is incorrect as certification is different from licensure, and the NCLEX-RN® is typically required for licensure. Option D is incorrect as the American Nurses Credentialing Center is not responsible for determining state licensure eligibility. Checking the new state's nurse practice act is the standard procedure for obtaining licensure endorsement.