ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
To determine basic competency, the interview for a nursing position may include a test in:
Correct Answer: A
Rationale: The correct answer is A: pathophysiology. This is because understanding pathophysiology is fundamental for a nurse to comprehend how diseases affect the body. It helps nurses provide appropriate care and make critical decisions. Incorrect choices: B focuses on documentation, C on medication knowledge, and D on technical skills, which are important but not as essential as understanding the physiological mechanisms of diseases.
Question 2 of 5
A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?
Correct Answer: A
Rationale: The correct answer is A. By actually observing the delegatee perform the assigned task, the nurse can directly assess the competency of the delegatee in real-time. This allows the nurse to evaluate the delegatee's skills, knowledge, and adherence to protocols. Asking the delegatee how many times they have performed the task (B) may not accurately reflect their competency level. Asking the patient if the care provided was satisfactory (C) may not provide an objective assessment of the delegatee's competency. Asking other nurses if they feel the delegatee is competent (D) introduces bias and may not reflect the delegatee's actual abilities.
Question 3 of 5
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
Correct Answer: D
Rationale: The correct answer is D: false assurance. By not providing a verbal response to the patient's question and shrugging her shoulders, the nurse is not giving any indication of the patient's actual condition. This lack of communication can lead the patient to interpret the nurse's actions as reassurance that everything is fine, which is a form of false assurance. This behavior can be misleading and may prevent the patient from receiving important information about their health status. Incorrect choices: A: open communication - The nurse's lack of verbal response and shrugging shoulders does not demonstrate open communication. B: filtration - Filtration is not relevant to the situation described. C: blocking - While the nurse is not providing necessary information, the term "blocking" does not accurately describe the situation.
Question 4 of 5
The nurse manager meets with upper administration and learns that the strategic plan for nursing is to have 80% BSN staff within the next 3 years. The nurse manager then built her budget to meet the organization's strategic goal by providing tuition reimbursement and flexible work hours, which required some agency staffing. Which approach to budgeting is used?
Correct Answer: C
Rationale: The correct answer is C: Participatory. The nurse manager involves staff in the budgeting process by allowing input through tuition reimbursement and flexible work hours. This approach promotes engagement and collaboration, aligning with the organization's strategic goal of increasing BSN staff. Participatory budgeting is characterized by involving stakeholders in decision-making, leading to buy-in and better implementation of the budget. Summary of other choices: A: Iterative - Involves repeating steps to refine the budget, not necessarily focused on stakeholder participation. B: Top-down - Decision-making comes from upper management without much input from lower levels. D: Zero-based - Requires justifying every expense from scratch, not necessarily involving staff input in decision-making.
Question 5 of 5
A client is hypertensive, and the doctor prescribes weight reduction. The client is excited about beginning the diet, but on arriving home the spouse states, "You have always been fat, and I am not going to starve because you can't control yourself." The client becomes anxious and is unable to participate in the diet plan, resulting in a weight gain of 5 pounds in 2 weeks. Which theorist could best be referred to for guidance regarding interventions in this situation?
Correct Answer: B
Rationale: The correct answer is B: Hildegard E. Peplau. Peplau's nursing theory focuses on interpersonal relations, emphasizing the nurse-client relationship. In this situation, the client's anxiety and inability to participate in the diet plan are directly related to the negative interaction with the spouse. Peplau's theory suggests that the nurse can intervene by providing emotional support, facilitating communication, and helping the client manage anxiety. Rogers' theory focuses on the science of unitary human beings, which is not directly applicable here. Nightingale's theory emphasizes environmental factors, not interpersonal relationships. Levine's theory focuses on conservation principles, which are not directly relevant to addressing the client's anxiety and relational issues. Therefore, Peplau's theory best guides interventions in this situation.