ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
The priority intervention to improve work-related quality of life for nurses is to:
Correct Answer: A
Rationale: The correct answer is A: provide safe harbors for unjust or unsafe work assignments. This is the priority intervention because ensuring a safe work environment is crucial for nurses' well-being and quality of life. By addressing unjust or unsafe work assignments, nurses can feel supported and protected, leading to improved job satisfaction and overall quality of life. Option B: improving nurse-physician communications is important but not as critical as ensuring a safe work environment. Option C: requiring professional development courses is beneficial but may not directly address the immediate concerns of nurses' quality of life. Option D: improving vertical working relationships is important, but addressing unsafe work conditions should take precedence for nurses' well-being.
Question 2 of 5
A nurse is approached to sign a union authorization card. If signed, the card:
Correct Answer: A
Rationale: Rationale for Answer A: Signing a union authorization card authorizes the union to serve as the nurse's legal representative in labor negotiations and other matters. By signing, the nurse is indicating consent for the union to act on their behalf. This is a crucial step in the unionization process. Summary of Other Choices: B: Requesting additional information about collective bargaining does not require signing a union authorization card. C: Sharing information about grievances does not necessarily require signing a union authorization card. D: Deducting union dues from pay is a separate process that typically requires a separate authorization form, not the union authorization card.
Question 3 of 5
A concern that nurses were being asked to perform tasks that went beyond the state's nurse practice act was brought to the union's attention. Nurses were informed that either mediation or binding arbitration will be used to resolve the issue. A novice nurse asks about the difference between these techniques and is informed that:
Correct Answer: B
Rationale: The correct answer is B because binding arbitration involves a formal discussion where the arbitrator's recommendations are compulsory, meaning both parties must abide by the decision. This ensures a resolution to the issue at hand. A is incorrect because mediation is not necessarily sanctioned by the NLRB for formal discussions. C is incorrect because mediation does not typically result in a legally binding plan; it is a negotiation process to reach a mutually acceptable agreement. D is incorrect because binding arbitration does not specifically focus on the least destructive approach or self-governance by employees; it is about reaching a binding decision by a neutral third party arbitrator.
Question 4 of 5
A hospital refused to purchase a better grade of utility gloves, even after learning that the cheaper utility gloves are easily punctured during routine use. This unsafe situation led nurses to seek unionization. During the pre-election phase for unionization, which actions by union representatives are prohibited by the National Labor Relations Board? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B because distributing nondocumented information about gender-based performance evaluations violates the National Labor Relations Act, which prohibits making false statements about an employer. This action could potentially mislead employees and interfere with the election process. Choices A, C, and D are not prohibited actions by the National Labor Relations Board. Choice A involves a legal and common method of gauging interest in unionization. Choice C involves providing information about union benefits and grievances, which is a protected activity. Choice D is permissible as long as it does not contain false or coercive statements.
Question 5 of 5
When paper-and-pencil medical records are compared with computer-based records:
Correct Answer: A
Rationale: Rationale: A is correct as paper-and-pencil records can physically track who accessed them, ensuring privacy and security. B is incorrect as computer-based records can also be detailed. C is irrelevant to the comparison. D is incorrect as signing for each item is not a standard practice in computer-based records.