ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?
Correct Answer: B
Rationale: The correct answer is B: Sunset legislation. Sunset legislation mandates that laws, including nurse practice acts, must be reviewed periodically to determine if they are still needed. If a nurse practice act is not reviewed by the specified date, it is automatically rescinded. This process ensures that laws are current and relevant. Incorrect Choices: A: Nurse review act - There is no specific law called the Nurse review act that pertains to the automatic rescinding of nurse practice acts. C: Mandatory revocation - This choice does not align with the process of automatic rescinding based on a failure to review. D: Grandfathering - Grandfathering refers to exempting individuals from new regulations based on previous circumstances, not the automatic rescinding of laws.
Question 2 of 9
An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?
Correct Answer: C
Rationale: The correct answer is C: Expert. An RN with excellent assessment and psychomotor skills derives power from their expertise in the field. They are respected and trusted for their knowledge and abilities, giving them influence over others. Rewards (A) and coercion (B) are forms of power derived from external factors like incentives or threats, not skills. Legitimate power (D) comes from one's position or title, not necessarily from skills. In this case, the RN's power comes from their expertise, making choice C the most appropriate answer.
Question 3 of 9
Each month data on admission assessments that are based on the following standard are entered: "All patients will be assessed by an RN within 2 hours of admission." The target goal for this standard is 97% compliance. Data are displayed on a graph that shows number and time of admission assessments and compliance variation limits. This pictorial representation is:
Correct Answer: B
Rationale: The correct answer is B: control chart. A control chart is used to display data over time and indicate variations within set limits, making it ideal for monitoring compliance with a standard like "All patients will be assessed by an RN within 2 hours of admission." The control chart allows for easy identification of trends, shifts, or patterns that may indicate a need for corrective action to maintain the 97% compliance goal. A: Pareto chart is used to identify the most significant factors contributing to a problem, not to monitor compliance over time. C: Deployment chart is not a standard tool in quality control or process monitoring. D: A top-down flowchart is used to depict the sequence of steps in a process, not to monitor compliance with a standard over time.
Question 4 of 9
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
Correct Answer: B
Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.
Question 5 of 9
A nurse is reading an abstract about a study related to Rocky Mountain Spotted Fever. The purpose is stated as follows: "To examine the generalizability of two randomized placebo-controlled clinical trials in patients with Rocky Mountain Spotted Fever to determine whether steroid therapy resulted in the positive outcomes." The nurse knows generalizability refers to the:
Correct Answer: A
Rationale: The correct answer is A. Generalizability refers to the conclusion that findings from a sample can be applied to the entire population. In this case, the purpose of the study is to determine if the positive outcomes of steroid therapy in two randomized placebo-controlled trials for Rocky Mountain Spotted Fever can be generalized to a broader population of patients with the same condition. Choice B is incorrect because generalizability is not about the type of steroids used but about the applicability of study findings. Choice C is incorrect as it refers to selection bias, not generalizability. Choice D is incorrect as generalizability is about the application of findings, not the universality of bacteria types.
Question 6 of 9
A novice nurse notices the medication nurse hurriedly gathering medications to be administered for the entire day, removing them from the packages, and placing them in a paper cup with the patient's name and room number on the cup. When one of the patients points at a pill and asks, "What is this?" and "What does this do?" the medication nurse is uncertain, because it has long since been removed from the packaging. The novice nurse speaks to the nurse manager about her observations and describes her concerns. The novice nurse has assumed the role of:
Correct Answer: C
Rationale: Correct Answer: C - Change agent Rationale: 1. A change agent is someone who identifies issues or concerns and takes action to implement positive changes. 2. In this scenario, the novice nurse recognized a potential problem with medication administration and spoke to the nurse manager to address it. 3. By seeking to improve medication safety practices, the novice nurse is actively working towards positive change within the healthcare setting. 4. The other choices are incorrect: - A "loner" implies someone who prefers to work alone, which is not relevant to the situation. - "Rutter" and "native" are not recognized terms in this context and do not apply to the nurse's actions.
Question 7 of 9
While performing a job search, a nurse reviews the list of Magnet hospitals of the American Nurses Credentialing Center because:
Correct Answer: B
Rationale: The correct answer is B because Magnet hospitals are recognized for their nursing excellence, empowering nurses with autonomy and self-governance. This fosters a positive work environment and improves patient outcomes. Choice A is incorrect because being a Magnet hospital does not guarantee revenue retention, but rather focuses on nursing excellence. Choice C is incorrect as Magnet hospitals do not require all RNs to have a master's degree. They do emphasize ongoing education and professional development, but not at a specific degree level. Choice D is incorrect because Magnet status is not related to the availability of diagnostic equipment but rather on nursing quality and excellence.
Question 8 of 9
Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: serving on interdisciplinary care teams. This is correct because as registered nurses enter the workforce, they are expected to collaborate with other healthcare professionals on interdisciplinary care teams to provide comprehensive patient care. This involves working together with professionals from different disciplines to ensure holistic and effective treatment plans. Explanation for why the other choices are incorrect: B: Being competent to work in several areas independently when dictated by patient census - While nurses may need to be versatile, the emphasis on independent work in various areas does not necessarily reflect expanded leadership responsibilities. C: Attending a meeting to plan advanced training for unlicensed assistive personnel - While important for team collaboration, attending meetings to plan training for support staff does not directly relate to expanded leadership responsibilities. D: Evaluating outcomes of care that are reported to a standing committee - While evaluating outcomes is important, it may not specifically denote expanded leadership responsibilities compared to the collaborative nature of serving on interdisciplinary care teams.
Question 9 of 9
Students are assigned to write to their state leaders about an issue affecting their community. One student writes about the need among rural community for greater access to acute care services. Which of the following pieces of legislation should the student use as a reference?
Correct Answer: B
Rationale: The correct answer is B: Hill-Burton Act. This legislation established a program to provide federal grants for the construction of hospitals and healthcare facilities in underserved areas. It specifically addressed the need to improve access to healthcare services, aligning with the student's concern about acute care services in rural communities. The other choices are incorrect because: A: Social Security Act primarily focuses on social insurance programs; C: Sheppard-Towner Act focused on maternal and child healthcare; D: U.S. Civil Service Act pertains to regulations for federal employees, none of which directly address the issue of access to acute care services in rural communities.