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
A nurse manager is working with the financial officer to develop the budget of the nursing unit for the next fiscal year. The nurse manager tells the financial officer that which of the following pieces of information will affect budget assumptions?
Correct Answer: B
Rationale: The correct answer is B because an increase in patient census directly impacts the budget assumptions by affecting staffing needs, supply costs, and revenue projections. This information is crucial for accurate budget planning. Choice A is incorrect because the capital budget request for new equipment does not directly impact the nursing unit's operational budget assumptions. Choice C is incorrect as the effectiveness of participatory budgeting in controlling supply costs does not directly influence future budget assumptions. Choice D is incorrect as zero-based budgeting efficiency does not directly address the impact of increased patient census on budget assumptions.
Question 3 of 9
A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." To research the answer, the National Survey of Registered Nurses was reviewed and found:
Correct Answer: C
Rationale: Step 1: The question asks about the reason for the nursing shortage and references the National Survey of Registered Nurses. Step 2: Choice C states that practicing registered nurses are satisfied with their jobs and most remain with the same employer they worked for the previous year. Step 3: This suggests that the nursing shortage is not due to registered nurses being unhappy with their jobs and leaving. Step 4: Therefore, the correct answer is C, as it directly addresses the misconception presented in the question. Step 5: Choices A, B, and D are incorrect because they do not align with the information provided in the National Survey of Registered Nurses and do not address the actual reason for the nursing shortage.
Question 4 of 9
A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
Correct Answer: A
Rationale: The correct answer is A: reflexology. Reflexology is a practice based on the theory that specific areas on the feet and hands correspond to different organs and systems in the body. By stimulating these areas through massage techniques, blood circulation is increased, promoting healing and pain relief. - Choice B, Feldenkrais method, focuses on improving movement and function through awareness and gentle movements, not specifically targeting reflex points. - Choice C, Reiki, involves the transfer of energy to promote healing, but does not involve massage techniques or specific reflex points. - Choice D, Rolfing, is a type of bodywork that focuses on manipulating the body's connective tissues to improve posture and alignment, not specifically targeting reflex points like in reflexology.
Question 5 of 9
An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients. The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to:
Correct Answer: B
Rationale: The correct answer is B: stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner. This is the priority intervention because it addresses the immediate issue of potentially incorrect documentation and allows for clarity and understanding between the RN and LPN/LVN. It promotes open communication and a chance to correct any errors that may have occurred. Choice A is incorrect because checking the drug packages after the fact does not address the issue of potentially incorrect documentation and missed medications. Choice C is incorrect as it is an extreme response that does not promote a collaborative and educational approach to resolving the situation. Choice D is incorrect as calling the pharmacy for replacement medications is not necessary at this stage and does not address the immediate concern of potentially incorrect documentation.
Question 6 of 9
A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to:
Correct Answer: D
Rationale: The correct answer is D because the nurse's goal is to advocate for increased protective services for elder abuse. By learning about the key issues in the candidate's platform, the nurse can identify if the candidate supports policies related to elder abuse. This information will help the nurse assess the candidate's alignment with their advocacy goals and determine if the candidate is a suitable ally in advancing elder abuse prevention measures. A, B, and C are incorrect because: A: Educating the public about the nurse's political platform is not the primary purpose of attending the session. B: Being spontaneous may lead to an ineffective communication strategy without proper preparation. C: Addressing the candidate by their first name or title is a matter of personal preference and does not directly impact the nurse's advocacy efforts.
Question 7 of 9
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 8 of 9
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 9 of 9
An RN is consistently late to work, causing reassignment of patient care and the need for repeated shift reports. The nurse, who receives a warning for repeated tardiness, states, "My husband left me, I have no car, no family close by, and the bus is always late, which makes me late. The nurse manager doesn't care how hard I try to get here, and I am raising a child by myself." The nurse is using which type of logical fallacy?
Correct Answer: A
Rationale: The correct answer is A: Appeal to emotion. The nurse is trying to justify their repeated tardiness by appealing to the emotions of the nurse manager, by invoking pity and sympathy. This type of logical fallacy involves using emotional manipulation to distract from the real issue of consistently being late to work. The nurse's personal circumstances are valid but do not excuse the behavior. Summary of other choices: B: Appeal to tradition - This fallacy involves justifying a belief or action based on the fact that it has been done that way in the past. This is not evident in the nurse's response. C: Hasty generalization - Drawing a conclusion based on insufficient evidence. The nurse's explanation is specific to their own situation and not a broad generalization. D: Confusing cause and effect - Mistaking the cause of a situation for the effect or vice versa. The nurse is trying to use their personal circumstances as the cause of being consistently late, rather than taking responsibility for their actions.