ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
Throughout their careers, nurses are in an ongoing state of acculturation, gaining experience from formal nursing school classes, clinical experiences, and the ethical issues they encounter in their clinical practice. The ideal outcomes of these ongoing experiences with cultural decision making include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: increased trustworthiness. Acculturation in nursing involves gaining experience and knowledge from various sources, leading to increased credibility and trustworthiness among patients, colleagues, and the healthcare team. This ongoing process helps nurses build rapport and establish trust with diverse patient populations. Explanation for why the other choices are incorrect: B: While enhanced ability to consider many aspects of ethical situations is important in nursing, it is not directly related to the outcome of increased trustworthiness. C: Confidence in making decisions based on experience and ethical intelligence is valuable, but it does not directly lead to increased trustworthiness. D: Improved clinical decision making and advocacy for patient autonomy are crucial aspects of nursing practice, but they do not specifically address the outcome of increased trustworthiness that comes from acculturation.
Question 2 of 5
While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
Correct Answer: A
Rationale: The correct answer is A: cultural competence. By enrolling in Spanish classes to better communicate with Mexican-Americans in Laredo, the nursing student is demonstrating an understanding and appreciation of different cultures. Cultural competence involves having the knowledge, skills, and attitudes to effectively interact with individuals from diverse backgrounds. This student's actions show a commitment to providing culturally sensitive care in a multicultural setting. Choices B, C, and D are incorrect: B: Ethnocentrism refers to the tendency to view one's own culture as superior to others. The student's actions of learning Spanish do not align with this mindset. C: Prejudice involves preconceived opinions or attitudes towards a group. The student's actions are aimed at improving cross-cultural understanding, not perpetuating negative stereotypes. D: Stereotyping involves making assumptions about individuals based on their group membership. The student's choice to learn Spanish is about building connections and understanding, not generalizing about an entire group.
Question 3 of 5
A nurse performing a history and physical on a newly admitted Hispanic patient learns the patient has just used the services of a savador to:
Correct Answer: B
Rationale: The correct answer is B because a "salvador" is typically a spiritual healer or medium in Hispanic culture who helps communicate with deceased family members. This aligns with the scenario of the patient seeking the services of a salvador to communicate with a family member who recently died. The other choices are incorrect because: A: Determining herbs for hot flashes is typically done by an herbalist or healthcare provider. C: Treating lower back pain usually involves medical professionals like doctors or physical therapists. D: Acupuncture for smoking cessation is typically provided by licensed acupuncturists or healthcare professionals, not a salvador.
Question 4 of 5
Six cultural phenomena that vary among cultural groups are known to affect health care. The influence of the consequences of these phenomena can be seen in which of the following? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B. Some cancers such as stomach cancer occur less frequently among blacks due to genetic factors. Stomach cancer is more common in Asian populations due to dietary and lifestyle factors. This variation in cancer incidence among different racial groups is influenced by genetic predisposition and environmental factors. Therefore, the influence of cultural phenomena on health care can be observed in the differing rates of specific diseases among various cultural groups. Other choices are incorrect: A: This choice does not directly relate to the influence of cultural phenomena on health care, but rather discusses medication adherence based on beliefs about fate and the environment. C: Direct eye contact is a cultural behavior that may vary among different cultural groups, but it does not directly relate to the influence of cultural phenomena on health care. D: Standing close and touching health care providers is a cultural behavior that may be more common among certain cultural groups like Mexican Americans, but it does not directly demonstrate the influence of cultural phenomena on health care in the context of disease incidence
Question 5 of 5
A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
Correct Answer: A
Rationale: The correct answer is A: "most insurance companies will pay for chiropractic treatment." Chiropractic care is a recognized form of treatment by most health insurance providers. Many insurance plans cover chiropractic services for conditions such as back pain. This is because chiropractic care is considered a cost-effective and evidence-based treatment option for musculoskeletal issues. Choice B is incorrect because chiropractors are licensed healthcare professionals in all states and many insurance plans do cover their services. Choice C is incorrect as chiropractic medicine is a well-established form of complementary and alternative medicine that is recognized by insurance companies. Choice D is incorrect because while chiropractic medicine does have preventive aspects, it is still commonly covered by insurance for treatment of various conditions.