ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
The nurse who presents a class on different methods of complementary alternative medicine (CAM) differentiates between imagery and hypnosis in which of the following ways?
Correct Answer: D
Rationale: The correct answer is D because it accurately differentiates between imagery and hypnosis. Imagery involves the patient formulating the impression in their mind, while hypnosis involves the hypnotist constructing the image for the patient. This is a key distinction as it highlights the active role of the patient in imagery compared to the more passive role in hypnosis. Choice A is incorrect because it inaccurately describes the process of hypnosis and imagery. Choice B is incorrect because both imagery and hypnosis can be performed by trained practitioners. Choice C is incorrect as both techniques can have varying durations of effectiveness, and it is not accurate to say that imagery only produces temporary well-being compared to hypnosis.
Question 2 of 9
All hospitals receiving Medicare and Medicaid funds must ask clients whether they have a living will or a durable power of attorney. This act is known as the:
Correct Answer: C
Rationale: The correct answer is C: Uniform Health Care Decisions Act. This act mandates hospitals to inquire if clients have a living will or durable power of attorney to ensure patients' healthcare wishes are honored. A: Emergency Treatment and Active Labor Law pertains to emergency care. B: Americans with Disabilities Act focuses on discrimination against individuals with disabilities. D: Doctrine of res ipsa loquitur involves negligence cases where the injury speaks for itself. Therefore, the correct choice is C as it directly addresses the requirement for hospitals receiving Medicare and Medicaid funds.
Question 3 of 9
A nurse is heard making this comment, "I believe human dignity is based on perceived self-worth while caring is based on perceived role in society that forms the basis of nursing practice." This nurse is:
Correct Answer: D
Rationale: Step-by-step rationale for why answer choice D is correct: 1. The nurse's statement suggests a proposition concerning the constructs of nursing practice, linking human dignity and caring to nursing roles. 2. The nurse is not demonstrating a model of human dignity (A), as they are discussing the relationship between human dignity and nursing practice, not modeling it. 3. The nurse is not evaluating the relevance of Leininger's Theory (B), as the statement does not mention cultural care theory, which is central to Leininger's work. 4. The nurse is not applying Mishel's Theory of Disease Uncertainty (C), as the statement does not discuss uncertainty in illness situations, which is the focus of Mishel's theory. In summary, answer choice D is correct because the nurse is making a proposition regarding the constructs of nursing practice based on the relationship between human dignity and caring in nursing roles.
Question 4 of 9
A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?
Correct Answer: B
Rationale: The correct answer is B: Advanced. The nurse conducted an advanced search by specifically looking for cause and effect diagrams on a website dedicated to providing images and templates for fishbone diagrams. This demonstrates a targeted and refined search strategy, indicating a higher level of proficiency in using search tools. The other choices are incorrect because: A) Quick and dirty implies a hasty and superficial search, which was not the case here. C) Brute force suggests an exhaustive and unrefined search method, which was not demonstrated in this scenario. D) Link searching involves following hyperlinks to find information, which was not explicitly stated in the question.
Question 5 of 9
The Nurses of America's media campaign raised awareness of which aspects of nursing? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the Nurses of America's media campaign aimed to highlight nurses as expert clinicians, emphasizing their skills, knowledge, and expertise in patient care. This choice aligns with the campaign's goal and message. Choice B is incorrect because the campaign did not specifically advocate for a higher nurse/patient ratio. Choice C is incorrect as the campaign sought to make nurses more visible in the news media. Choice D is incorrect because while nurses are caring, the focus of the campaign was on their clinical expertise.
Question 6 of 9
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
Correct Answer: B
Rationale: The nurse is reflecting on her personal growth and finding meaning in her experiences, indicating a focus on values, purpose, and inner strength, which align with the spiritual source of energy. This choice is correct as it involves connecting with higher values and beliefs to find motivation and resilience. Emotional energy (choice A) focuses on feelings and expression, physical energy (choice C) relates to the body's vitality, and mental energy (choice D) pertains to cognitive abilities and focus. In this scenario, the nurse's focus is on introspection and personal growth rather than emotional, physical, or mental aspects, making choice B the most appropriate.
Question 7 of 9
If a nurse applies Nightingale's theory to current practice, the nurse's first step will be to evaluate the hospital room's air quality and, second, to:
Correct Answer: D
Rationale: The correct answer is D because Nightingale's theory emphasizes the importance of a clean and well-ventilated environment for patient healing. By arranging for the client to go outside and keeping the room's window blinds open, the nurse is ensuring proper ventilation and exposure to natural light, which can promote healing. This step aligns with Nightingale's focus on the physical environment's impact on health outcomes. A, B, and C are incorrect because they do not directly address the fundamental principle of Nightingale's theory related to environmental factors. Checking the TV volume, consulting a dietitian, or bringing personal items like family photographs do not directly contribute to creating a healing environment based on Nightingale's theory.
Question 8 of 9
A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use. The spouse states, "I am so mad. How can you get cancer without smoking?" Which statement by the nurse represents empathy?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates empathy by acknowledging and validating the spouse's feelings of anger. By stating, "I understand how you could feel angry about the diagnosis," the nurse shows compassion and understanding towards the spouse's emotional response. This response helps to build trust and rapport with the patient's spouse during a difficult time. Choice A is incorrect as it focuses more on providing information rather than acknowledging the spouse's emotions. Choice C is incorrect as it does not address the spouse's feelings of anger and is not relevant to the situation. Choice D is incorrect as it comes across as confrontational and may make the spouse feel defensive.
Question 9 of 9
A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?
Correct Answer: C
Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health. Summary: A: Working in payroll does not directly connect the nurse to the unit's financial goals. B: Personal finance CEUs are not specific to the unit's budget goals. D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.