ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 9
The primary focus of the care provider role for the nurse involves:
Correct Answer: B
Rationale: The correct answer is B because the primary focus of the care provider role for a nurse is to encourage consumer self-responsibility and emphasize health promotion/maintenance. This involves empowering patients to take control of their own health, promoting wellness, and preventing illness. The other choices are incorrect because: A) using the nursing process is essential but not the primary focus, C) increasing satisfaction among professional nurses is important but not the primary role of a care provider, and D) advancing nursing practice through research is valuable but not the primary responsibility of a care provider.
Question 2 of 9
The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform steps in which order. Put a comma and space between each answer choice (e.g., a, b, c, d).
Correct Answer: A
Rationale: The correct order is to first open the outer package to access the inner package containing the gloves. This ensures that the gloves remain sterile until they are needed. Opening the inner package first would expose the gloves to potential contamination. Putting on the gloves should be done after opening the inner package, starting with the nondominant hand to prevent contamination. Adjusting the gloves carefully should be the final step after both gloves are on to ensure a proper fit. Therefore, choice A is correct as it establishes the correct sequence for maintaining sterility throughout the process.
Question 3 of 9
As part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurse's initials. The nurse is hoping to be promoted to a full-time position within the quality department, and her success on this project is very important to her receiving the position. The nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. The nurse discusses her concerns with the manager, who frees her for 1 hour each day to make rounds. During this 1 hour each day the nurse will organize herself and environment by practicing the:
Correct Answer: B
Rationale: The correct answer is B: reducing stacked-desk syndrome. This term refers to the practice of organizing tasks and environment to prevent work from piling up. In this scenario, the nurse is given 1 hour each day to focus solely on the quality assurance project, helping her prevent tasks from accumulating and ensuring she can complete her rounds efficiently. This practice enhances productivity and enables the nurse to manage her workload effectively. Choice A, "art of 'no detourism,'" is irrelevant in this context as it does not address the issue of organizing tasks and environment. Choice C, "art of 'wastebasketry,'" is not applicable as it pertains to the skill of decision-making and prioritization, which is not the primary concern in this scenario. Choice D, "managing e-mail and memo mania," is also not directly related to the nurse's need to organize herself and environment for the quality assurance project.
Question 4 of 9
The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?
Correct Answer: D
Rationale: The Karnofsky Prognostication Scale is commonly used in patients with terminal illness, such as AIDS, to assess their functional status and predict their prognosis. Patients with AIDS often experience rapid decline in health, making this scale useful in determining their overall well-being and potential outcomes. Incorrect choices: A: Respiratory diseases - The Karnofsky scale is not commonly used for screening patients with respiratory diseases. B: Cancers - While the Karnofsky scale can be used for cancer patients, it is most commonly associated with terminal illnesses like AIDS. C: Cardiac diseases - The Karnofsky scale is not typically used for screening patients with cardiac diseases.
Question 5 of 9
In today's world of fast, effective communication, what is the most commonly used means of societal communication?
Correct Answer: D
Rationale: The correct answer is D: Electronic messaging. In today's fast-paced world, electronic messaging, such as emails, text messages, and social media, is the most commonly used means of societal communication due to its immediacy, convenience, and widespread accessibility. It allows people to communicate quickly across long distances and reach a large audience efficiently. Facial expressions (A) are important but limited in reach. Spoken word (B) is also crucial but less prevalent in today's digital age. Written messages (C) are still used but electronic messaging has largely replaced traditional written communication for its speed and efficiency.
Question 6 of 9
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely. Explanation of other choices: B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task. C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions. D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.
Question 7 of 9
The first university to offer nursing graduates a baccalaureate degree was:
Correct Answer: A
Rationale: The correct answer is A: Columbia Teachers College. This institution was the first to offer nursing graduates a baccalaureate degree, pioneering the advancement of nursing education. Columbia Teachers College had a dedicated nursing program that emphasized academic and clinical training, setting the standard for future nursing education. Explanation: A: Columbia Teachers College - Correct. Pioneered baccalaureate degree for nursing graduates. B: Yale University - Incorrect. Not historically known for offering the first baccalaureate degree in nursing. C: Harvard University - Incorrect. Focused on medical education, not nursing, at the time. D: New York Regents Program - Incorrect. Not a university and did not offer baccalaureate degrees in nursing.
Question 8 of 9
A nurse tallies the patient satisfaction surveys and approves the use of an agency nurse because of the high census. This nurse is involved in which nursing role?
Correct Answer: C
Rationale: The correct answer is C: Manager. In this scenario, the nurse is making decisions related to staffing and resource management based on patient census, which falls under the responsibilities of a nurse manager. A manager oversees the organization and coordination of nursing care to ensure efficient and effective delivery. The other choices - Change agent, Educator, and Coordinator - do not directly align with the decision-making process related to staffing and resource management as seen in the scenario.
Question 9 of 9
A nurse develops a new nursing theory related to stress and viability. The nurse determines the theory accounts for historical events in which soldiers suffering from the stress of inadequate clothing to protect them from the cold and lack of correspondence from home had an increased mortality related to gunshot wounds. The theory will predict gunshot victims' need for proper clothing and letters from significant others as they serve in Iraq. Which criterion for theory acceptance is being validated?
Correct Answer: C
Rationale: The correct answer is C: Accuracy. The nurse's theory is being validated based on its ability to accurately predict the need for proper clothing and letters from significant others for soldiers serving in Iraq. This criterion is essential for theory acceptance as it demonstrates the theory's ability to make accurate predictions based on historical events. Inclusiveness (A) refers to the theory's ability to encompass a wide range of phenomena, which is not explicitly demonstrated in this scenario. Consistency (B) refers to the theory's internal coherence and agreement with existing knowledge, which is not the focus of the nurse's validation process in this case. Simplicity (D) refers to the theory's clarity and parsimony, which is not the primary criterion being validated here. In summary, accuracy is the most relevant criterion being validated in this scenario as the nurse's theory is being assessed based on its predictive accuracy in relation to the soldiers' needs in Iraq.