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is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?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 If a nurse practice act is not reviewed by the specified date, it is automatically rescinded.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
When differentiating between slander and libel, the nurse knows that libel:
Correct Answer: A
Rationale: The correct answer is A because libel refers to written defamatory statements. In this scenario, subjective comments written in the nurse's notes can be considered libel as they are documented in writing. Choice B is incorrect because it describes negative comments made verbally, which would be considered slander, not libel. Choice C is incorrect as it involves verbal communication, which falls under slander, not libel. Choice D is incorrect as it describes repeating prejudiced comments verbally, which is also considered slander, not libel.
Question 3 of 9
The nurse managers of an organization are meeting with administration to plan the budget. The above graph shows last year's 2011 expenditures, and the team will trend the upcoming budget knowing that, with the slowdown in the economy, patient census will be lower. Which budget approach is being used?
Correct Answer: B
Rationale: The correct answer is B: Zero-based. Zero-based budgeting requires starting from scratch each budget cycle, meaning all expenses must be justified regardless of previous budgets. In this scenario, the nurse managers are planning for a budget based on the expectation of lower patient census due to the economic slowdown. This aligns with the zero-based approach as they will need to re-evaluate and justify all expenses to accommodate the changes in patient volume. A: Incremental budgeting involves making adjustments to the previous budget, which is not suitable for significant changes like a decrease in patient census. C: Productivity metrics focus on measuring efficiency and performance, rather than the budgeting approach. D: Capital budgeting is related to long-term investments in assets, which is not the primary focus in this scenario.
Question 4 of 9
A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during:
Correct Answer: A
Rationale: The correct answer is A: the prehistoric period. During this time, people relied heavily on spiritual beliefs and rituals for healing. Sacrificing animals and using herbs in rituals to treat ailments was common practice. In contrast, early civilization in Egypt (B) had more advanced medical practices, the Renaissance (C) saw a shift towards scientific medicine, and the Middle Ages (D) had a mix of spiritual and medical practices, but not as primitive as the prehistoric period.
Question 5 of 9
A student nurse assigned to work with the charge nurse is given the opportunity to help revise the nursing assessment form. She receives several compliments from management and her nursing instructor for her creative suggestions. The student nurse enjoys the project and attention she is receiving and begins to prolong the conclusion of the project. Although she constantly adds new information, she filters this out slowly to others. The student nurse is subject to the time management obstacle of:
Correct Answer: D
Rationale: The correct answer is D: fear of completion. This is because the student nurse is prolonging the conclusion of the project despite constantly adding new information and filtering it out slowly to others. This behavior indicates a reluctance to finish the project, likely due to a fear of moving on to the next stage or fear of evaluation. The student nurse is enjoying the attention and positive feedback, leading to a delay in completing the task. A: The need for perfection is not the primary obstacle in this scenario as the student nurse is not necessarily striving for perfection but rather avoiding completion. B: Fear of losing creativity is not the main issue here as the student nurse is still adding new information, indicating creativity is not the concern. C: Unclear goals do not seem to be the obstacle as the student nurse is actively engaged in the project and receiving positive feedback.
Question 6 of 9
The massage therapist uses kinesthesia, or thinking about how movement is expressed, to correct habits that cause poor posture and limited movement. This type of massage is called:
Correct Answer: B
Rationale: The correct answer is B: Feldenkrais method. This method focuses on improving movement patterns through kinesthetic awareness and re-education. It helps correct habits that lead to poor posture and limited movement by increasing awareness of how the body moves. The Alexander technique (A) mainly focuses on improving posture and reducing tension. Healing touch (C) involves energy-based healing practices, not specifically related to movement correction. Reiki (D) is a form of energy healing that aims to promote relaxation and stress reduction, not movement correction. Therefore, the best choice for the given scenario is the Feldenkrais method.
Question 7 of 9
A group of nurses are assembling outside a hospital protesting the use of foreign nurses after several nurses were terminated due to what the hospital called recurring "decreased census." The nurses carry signs with messages asking potential patients to seek care elsewhere. The local newspaper picked up the story, and the hospital is receiving negative press. The nurses are participating in:
Correct Answer: A
Rationale: The correct answer is A: picketing. Picketing involves protesting outside a workplace to draw attention to an issue, such as the use of foreign nurses in this case. The nurses are not actively refusing to work (strike), negotiating work conditions (collective bargaining), or submitting their dispute to a third party for resolution (arbitration). Picketing is the most appropriate term for their actions in this scenario.
Question 8 of 9
The use of research to guide nursing practice is called:
Correct Answer: A
Rationale: The correct answer is A: utilization. Research utilization refers to the application of research findings in nursing practice to improve patient outcomes. Utilization involves integrating research evidence into clinical decision-making. Dissemination (B) refers to sharing research findings. Generalizability (C) pertains to the extent to which research findings can be applied to different populations or settings. Analysis (D) involves examining data to draw conclusions, but it does not specifically relate to using research in practice like utilization does.
Question 9 of 9
A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice. 2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing. 3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client. 4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards. Summary: - Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them. - Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care. - Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.