ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
The physician who insists on providing treatment in spite of the client's wishes because he "knows best" is reflecting:
Correct Answer: D
Rationale: The correct answer is D: paternalism. Paternalism occurs when a physician overrides a patient's autonomy in favor of what they believe is best for the patient. In this scenario, the physician is not respecting the client's wishes and is making decisions based on their own judgment, which is characteristic of paternalism. Autonomy (A) refers to respecting the patient's right to make their own decisions. Beneficence (B) is the principle of doing good for the patient, but in this case, it is being overshadowed by the physician's paternalistic approach. Justice (C) refers to fairness in healthcare distribution, which is not applicable in this context.
Question 2 of 5
Throughout their careers, nurses are in an ongoing state of acculturation, gaining experience from formal nursing school classes, clinical experiences, and the ethical issues they encounter in their clinical practice. The ideal outcomes of these ongoing experiences with cultural decision making include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: increased trustworthiness. Acculturation in nursing involves gaining experience and knowledge from various sources, leading to increased credibility and trustworthiness among patients, colleagues, and the healthcare team. This ongoing process helps nurses build rapport and establish trust with diverse patient populations. Explanation for why the other choices are incorrect: B: While enhanced ability to consider many aspects of ethical situations is important in nursing, it is not directly related to the outcome of increased trustworthiness. C: Confidence in making decisions based on experience and ethical intelligence is valuable, but it does not directly lead to increased trustworthiness. D: Improved clinical decision making and advocacy for patient autonomy are crucial aspects of nursing practice, but they do not specifically address the outcome of increased trustworthiness that comes from acculturation.
Question 3 of 5
A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, "These rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do." The nurse is exhibiting:
Correct Answer: B
Rationale: The correct answer is B: ethnocentrism. This is because the nurse is judging the client's cultural beliefs as inferior to American practices, implying that American ways are the only correct ones. Ethnocentrism involves viewing one's own culture as superior to others. A: Stereotyping is not the correct answer because the nurse is not making a generalization about a group based on limited information. C: Cultural accommodation is not the correct answer because the nurse is not demonstrating an understanding or acceptance of the client's cultural practices. D: Empathy is not the correct answer because the nurse is not showing understanding or compassion towards the client's cultural beliefs.
Question 4 of 5
While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
Correct Answer: A
Rationale: The correct answer is A: cultural competence. By enrolling in Spanish classes to better communicate with Mexican-Americans in Laredo, the nursing student is demonstrating an understanding and appreciation of different cultures. Cultural competence involves having the knowledge, skills, and attitudes to effectively interact with individuals from diverse backgrounds. This student's actions show a commitment to providing culturally sensitive care in a multicultural setting. Choices B, C, and D are incorrect: B: Ethnocentrism refers to the tendency to view one's own culture as superior to others. The student's actions of learning Spanish do not align with this mindset. C: Prejudice involves preconceived opinions or attitudes towards a group. The student's actions are aimed at improving cross-cultural understanding, not perpetuating negative stereotypes. D: Stereotyping involves making assumptions about individuals based on their group membership. The student's choice to learn Spanish is about building connections and understanding, not generalizing about an entire group.
Question 5 of 5
A nurse performing a history and physical on a newly admitted Hispanic patient learns the patient has just used the services of a savador to:
Correct Answer: B
Rationale: The correct answer is B because a "salvador" is typically a spiritual healer or medium in Hispanic culture who helps communicate with deceased family members. This aligns with the scenario of the patient seeking the services of a salvador to communicate with a family member who recently died. The other choices are incorrect because: A: Determining herbs for hot flashes is typically done by an herbalist or healthcare provider. C: Treating lower back pain usually involves medical professionals like doctors or physical therapists. D: Acupuncture for smoking cessation is typically provided by licensed acupuncturists or healthcare professionals, not a salvador.