Questions 9

ATI RN

ATI RN Test Bank

Ethics and Issues in Contemporary Nursing Questions

Question 1 of 5

The practice of public health nursing and the Henry Street Settlement are credited to:

Correct Answer: D

Rationale: The correct answer is D: Lillian Wald. Lillian Wald is credited with founding the Henry Street Settlement in New York City in 1893, which pioneered the practice of public health nursing in the United States. She emphasized the importance of providing healthcare services to underserved populations in their own communities. Mary Breckenridge, known for establishing the Frontier Nursing Service, is not associated with the Henry Street Settlement. Mary Seacole was a British-Jamaican nurse known for her work during the Crimean War, not for public health nursing in the US. Clara Barton is known for founding the American Red Cross, not the Henry Street Settlement. Therefore, the correct answer is D, Lillian Wald.

Question 2 of 5

In deciding whether to say no to a request that involves a time commitment, the professional nurse must consider:

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Cost-benefit ratio involves weighing the benefits of saying yes against the costs of the time commitment. 2. Professional nurses must consider the impact on patient care, workload, and personal well-being. 3. By evaluating the cost-benefit ratio, nurses can make informed decisions aligned with professional responsibilities and ethical standards. Summary: Choice A is correct because it emphasizes a systematic approach to decision-making based on evaluating the overall impact of the time commitment. Choices B, C, and D are incorrect as they do not address the essential consideration of weighing costs and benefits in decision-making.

Question 3 of 5

A physician bills the insurance company for a computed tomography (CT) scan, laboratory tests, chest x-ray, and an extended visit and receives revenue for each procedure billed. This type of payment system is a payment system.

Correct Answer: D

Rationale: The correct answer is D: capitated. In a capitated payment system, the physician receives a fixed amount per patient regardless of the services provided. This incentivizes cost-effective care and promotes preventive measures. In this scenario, the physician is receiving revenue for each procedure billed, which is not characteristic of capitated payment. A: Prospective payment is when a fixed amount is determined in advance for specific services rendered. This is not the case in the scenario provided. B: Retrospective payment involves reimbursement after the services are provided, which is not reflected in the scenario given. C: Diagnosis-related group (DRG) is a payment system used in hospitals based on the diagnosis and procedures performed, not applicable to individual physician billing as presented in the question.

Question 4 of 5

When participating in a nurse licensure compact, the nurse:

Correct Answer: D

Rationale: The correct answer is D because the Nurse Licensure Compact (NLC) allows nurses to practice using one license in any state that is part of the compact and recognizes the NCLEX as the source of licensure. This promotes mobility and access to care across state lines. Choice A is incorrect because the nurse is not held responsible for complying with the nursing practice laws of each state individually. Choice B is incorrect as purchasing a license in each state defeats the purpose of the compact. Choice C is incorrect as residency is not determined by where the nurse was educated but by the state where they hold a license.

Question 5 of 5

Which statement regarding informed consent is correct? Informed consent:

Correct Answer: D

Rationale: The correct answer is D because informed consent requires the registered nurse (RN) to communicate all necessary information to the patient so they can make an informed decision. This includes explaining the procedure, potential risks, benefits, alternatives, and any other pertinent information. The RN plays a crucial role in ensuring that the patient understands the information provided before giving consent. Choices A, B, and C are incorrect because informed consent is not solely mandated by federal law, must disclose risks as well as benefits, and should not involve concealing any known risks.

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