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 who is teaching a class to introduce telehealth to the staff would include which example?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the use of telehealth in monitoring and providing remote care to a patient. In this scenario, a nurse is able to supervise and ensure the correct execution of peritoneal dialysis by observing the patient from a different location. This exemplifies the practical application of telehealth in enhancing patient care and safety. Choice A is incorrect because it describes a robot performing housekeeping chores, which is not directly related to telehealth or patient care. Choice B is incorrect as it focuses on computer software alerting about drug interactions, but it does not involve remote patient care or monitoring. Choice C is incorrect as it describes a physician dictating an admission history, which is not a direct example of telehealth involving remote patient monitoring or care.
Question 3 of 9
When using the ABC system of managing time, those items coded A include:
Correct Answer: A
Rationale: The correct answer is A because in the ABC system, tasks coded as A are considered the most important and urgent. Calling the pharmacy to check drug availability for a patient directly impacts patient care and safety, making it a priority. B, checking a ventilator alarm, is important but not as urgent as ensuring medication availability. C, organizing the medication cart, is important but not necessarily urgent like patient-related tasks. D, writing memos for a birthday gift, is neither urgent nor directly related to patient care. Therefore, A is the correct choice for being the most critical task in the ABC system.
Question 4 of 9
Regardless of the term used to describe high-quality health care, the focus of quality is:
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Quality in healthcare should be consumer-centric, meeting their needs and preferences. 2. Consumer needs and wants drive patient satisfaction and outcomes. 3. Patient-centered care leads to better health outcomes and overall quality of care. 4. Focusing on consumer needs promotes individualized and effective care delivery. Summary of why other choices are incorrect: - Choice B (economical care) does not necessarily ensure high-quality care. - Choice C (technologic advancement) is important but not the sole focus of quality healthcare. - Choice D (equally distributed services) is important for equity but does not define quality in healthcare.
Question 5 of 9
A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?
Correct Answer: C
Rationale: The correct answer is C: Ask to observe the skill as it is being performed; then perform it under direct supervision. This approach allows the novice nurse to learn through observation and hands-on practice under direct supervision, ensuring proper technique and safety. By observing the skill first, the nurse can understand the correct steps and potential challenges. Performing the skill under supervision provides real-time feedback and guidance. This method promotes active learning and confidence-building. Rationale for incorrect choices: A: Reading the procedure manual is helpful but may not provide the necessary hands-on experience and immediate feedback required for skill acquisition. B: Practicing in a skills laboratory can be beneficial, but it may not offer the opportunity for direct supervision and feedback from experienced professionals. D: Trying to remember from a previous simulation may not be reliable and lacks the real-time guidance and correction needed for skill mastery.
Question 6 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.
Question 7 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 8 of 9
Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing:
Correct Answer: B
Rationale: The correct answer is B: length of hospital stay. DRGs aim to reduce healthcare costs by incentivizing hospitals to provide efficient care and discharge patients sooner. Shortening the length of hospital stay helps decrease overall healthcare expenses without compromising the quality of care. Choices A, C, and D are incorrect because DRGs focus on the duration of hospitalization, not necessarily on hospital admission rates, outpatient services, or specialty groups. Shortening hospital stays is a more direct way to control costs within the inpatient setting.
Question 9 of 9
A group of graduates were just notified that they had successfully passed the licensure examination. During the orientation process at the hospital, one asks, "I am looking at my license, but I don't really know the duties performed by the board of nursing." The staff development nurse explains that the board of nursing: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: grants nursing licensure. The board of nursing is responsible for overseeing the licensure process for nurses, ensuring that they meet the necessary qualifications to practice. They review applications, conduct background checks, and issue licenses to qualified individuals. This is a fundamental duty of the board of nursing, as it regulates the nursing profession and ensures public safety. Explanation for why other choices are incorrect: B: Constructs the licensure examination - While the board of nursing may have input in the development of the licensure examination, their primary role is not the construction of the exam itself. C: Assigns disciplinary action when the nurse acts in a manner that results in harm to a patient - While the board of nursing does have the authority to investigate and take disciplinary action against nurses who violate the nursing practice act, this is not their primary function. D: Members are appointed - This choice is irrelevant to the duties performed by the board of nursing and does not directly relate to their responsibilities in granting