ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
The nurse is preparing a plan of care for an black patient who has had a change of bowel habits from being constipated and having only two firm stools weekly to having three or more loose stools daily. Which comment is related to cultural variation for health information?
Correct Answer: A
Rationale: The correct answer is A because it reflects the patient's cultural variation in seeking health information from family members, specifically the grandmother. This shows respect for family opinions and involvement in decision-making. Option B is incorrect as it generalizes that the eldest male makes all health decisions, which may not be true for every cultural group. Option C is incorrect as nodding approvingly and not complying with instructions does not necessarily indicate cultural variations. Option D is incorrect as speaking quietly and reaching for the nurse's hand may simply indicate a patient's communication style rather than cultural variation in seeking health information.
Question 2 of 9
A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?
Correct Answer: B
Rationale: The correct answer is B: Past experiences. In this scenario, the staff nurse's past experience of having a stillborn infant with Down syndrome is influencing her perception and behavior towards the new mother. This past experience is shaping her emotions, thoughts, and actions, demonstrating how personal experiences can impact communication in healthcare settings. This highlights the importance of self-awareness and reflection to understand how past experiences can influence interactions with patients. Incorrect choices: A: Personal perception - While personal perception plays a role in communication, the key factor in this scenario is the staff nurse's past experience, not just her perception. C: Filtration - Filtration refers to the process of selectively interpreting information. In this case, the staff nurse's behavior is more influenced by her past experience rather than selective filtering of information. D: Preconceived idea - While the staff nurse may have preconceived ideas about individuals with Down syndrome due to her past experience, the primary focus is on her past experience itself rather
Question 3 of 9
A patient is admitted with pneumoniThe case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
Correct Answer: B
Rationale: The correct answer is B: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and treatments based on assessment findings to guide patient care in a structured manner. In this case, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. A. Patient classification system: This refers to categorizing patients based on certain criteria for resource allocation and staffing levels, not specific care plans. C. Patient-centered plan of care: While patient-centered care focuses on individual preferences and needs, it does not necessarily include the structured timeline and interventions outlined in a clinical pathway. D. Diagnosis-related group (DRG): DRGs are used for billing and payment purposes based on specific diagnoses, not for detailed care plans like the one described in the question.
Question 4 of 9
A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
Correct Answer:
Rationale: Correct Answer: A: Zero-based Rationale: 1. Zero-based budgeting starts from scratch, evaluating each expense regardless of the prior year. 2. It helps eliminate inefficiencies and ensures resources are allocated to high-priority areas. 3. By not relying on past data, outdated information does not influence the budget decisions. Summary: B: Incremental budgeting builds on the previous year's budget, not starting from zero. C: Labor budget focuses specifically on labor costs, not the overall budgeting approach. D: Operational budget typically considers historical data and current operations, unlike zero-based budgeting.
Question 5 of 9
A nurse interested in life satisfaction among patients receiving hemodialysis reviews databases and identifies relevant studies which are then statistically analyzed providing generalization through multiple studies. The nurse researcher is using which type of research?
Correct Answer: C
Rationale: The correct answer is C: Meta-analysis. In this scenario, the nurse researcher is combining and analyzing data from multiple studies on life satisfaction among hemodialysis patients to draw overall conclusions. Meta-analysis allows for generalization through synthesizing results from various studies, providing a more comprehensive understanding of the topic. Incorrect choices: A: Quasi-experimental - This involves manipulating variables to observe their effects, which is not the case in the given scenario. B: Secondary analysis - This refers to re-analyzing existing data, not multiple studies as in meta-analysis. D: Survey - Surveys involve collecting data directly from participants, whereas in this case, existing studies are being analyzed.
Question 6 of 9
A nurse is evaluating Levin's Theory of Conservation to determine if it can be applied to patients in the initial phases of chemotherapy treatment. During this phase of theory acceptance, the nurse wants to determine if all the concepts of energy, structural integrity, personal integrity, and social integrity are included in the care of cancer treatment. The nurse is applying which criteria of theory acceptance?
Correct Answer: A
Rationale: The correct answer is A: Inclusiveness. In this scenario, the nurse is evaluating if Levin's Theory of Conservation includes all the concepts related to energy, structural integrity, personal integrity, and social integrity in the care of cancer treatment. Inclusiveness as a criterion of theory acceptance involves determining if a theory encompasses all relevant concepts and variables within a certain domain. By ensuring that all key components are addressed, the theory can be considered comprehensive and applicable to various situations. Choice B: Consistency, refers to the internal logical coherence of a theory, which is not the focus of the nurse's evaluation in this case. Choice C: Accuracy, pertains to the degree to which a theory accurately reflects reality, which is not directly related to the nurse's current evaluation. Choice D: Fruitfulness, involves the ability of a theory to generate new research and insights, which is not the primary concern for the nurse's assessment of the theory's applicability to cancer treatment.
Question 7 of 9
A nurse is concerned because novice nurses are having their orientation period shortened and are being placed in charge nurse positions. The nurse has documented unsafe care and decisions by these novice nurses. To be protected from retaliation by the employer, this nurse must "blow the whistle" by:
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. Reporting concerns to state and/or national agencies is a formal and official way to blow the whistle. 2. State and national agencies have the authority to investigate and take action on reported concerns. 3. Whistleblower protection laws often cover individuals who report to regulatory agencies. 4. This action ensures the concerns are addressed at a higher level and can protect the nurse from retaliation. Summary of why the other choices are incorrect: A. Holding a public forum may not provide the necessary confidentiality or protection for the nurse. C. Informally discussing wrongdoing with coworkers may not result in formal actions to address the concerns. D. Contacting The Joint Commission is a good option, but reporting concerns to state and/or national agencies is more direct and appropriate in this scenario.
Question 8 of 9
A nurse involved in researching the leading causes of death for minorities considers the federally defined minority groups, which include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: Blacks. The rationale for this is that federally defined minority groups in the US typically include African Americans or Blacks. This group has historically faced disparities in healthcare access and outcomes. Russians (B) are not federally defined as a minority group in the US; Hispanics (C) and Asians or Pacific Islanders (D) are also federally recognized minority groups, but the question asks for all options that apply, and only A is explicitly mentioned in the question stem. Therefore, A is the correct answer based on the information provided.
Question 9 of 9
A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?
Correct Answer: C
Rationale: The correct answer is C. The Unlicensed Assistive Personnel (UAP) can be delegated the task of obtaining the initial blood pressure reading because this task is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The UAP can be trained and supervised to accurately measure blood pressure, freeing up the RN to focus on assessing the patient's overall condition and providing necessary interventions. Delegating this task to the UAP is cost-effective and efficient, allowing the RN to prioritize critical nursing assessments and interventions for the patient's presenting symptoms. Incorrect choices: A: RN - The RN should not perform tasks that can be safely delegated to other members of the healthcare team to optimize efficiency and resource utilization. B: LPN/LVN - While LPNs/LVNs have more advanced training than UAPs, obtaining a blood pressure reading is a basic task that can be appropriately delegated to UAPs. D: Using the blood pressure obtained in the ambulance - This option does