ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
Correct Answer: A
Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses. Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.
Question 2 of 9
When reading about nursing as a career, a student is interested in learning about violence in the profession. Which statement accurately reflects violence in health care and the profession of nursing?
Correct Answer: B
Rationale: The correct answer is B because nurses play a crucial role in advocating for violence prevention programs to create a safe work environment. Nurses can raise awareness, implement policies, and support victims. Incorrect answers: A: Trust in nursing doesn't prevent violence. Violence can still occur due to various factors. C: Verbal assault is recognized as a form of violence in the nursing profession. D: Evaluating all nurses for the risk of committing violence may not be feasible or effective in preventing violence.
Question 3 of 9
A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation. Which action by the nurse should have the greatest impact on passage of the bill?
Correct Answer: B
Rationale: The correct answer is B: Contact the elected representative's office by telephone to request support for the bill. This action is the most direct and effective way to influence the passage of the bill. By directly contacting the elected representative, the nurse can advocate for the importance of the bill and provide relevant information to garner their support. This direct communication with the decision-maker holds significant weight in influencing their vote on the bill. A: Explaining the rationale to the school board may be informative, but the school board may not have direct influence on the state legislature. C: Supporting a health advocate to run for election is a long-term strategy and may not have an immediate impact on the passage of the bill. D: Telling all students about the bill may raise awareness but may not directly influence the lawmakers' decisions.
Question 4 of 9
The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to:
Correct Answer: A
Rationale: The correct answer is A: address the letter to "To Whom It May Concern." This is the appropriate procedure when the applicant is unsure of the recipient's name and title. It is a professional and formal way to address a cover letter when the specific recipient is unknown. Option B is incorrect as addressing the letter to a generic title like "Nurse Recruiter" may not be appropriate if the recipient does not hold that specific title. Option C may be time-consuming and unnecessary if the applicant can use a more general salutation. Option D is incorrect because leaving the salutation blank can come across as unprofessional and lazy.
Question 5 of 9
A nurse investigates energy therapies and learns that which therapies would be included? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: Qi gong. Qi gong is a form of energy therapy that focuses on balancing the body's energy flow. It involves gentle movements, meditation, and breathing exercises to promote healing and overall well-being. Osteopathy (B) is a manual therapy focusing on physical manipulation of the body, not energy. Imagery (C) involves mental visualization, not energy manipulation. Healing touch (D) is a form of energy therapy, but Qi gong is a more widely recognized and specific example in this context.
Question 6 of 9
A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:
Correct Answer: B
Rationale: The correct answer is B: educator. The nurse is providing information and teaching patients about preventing diabetic neuropathies, which aligns with the role of an educator. Educators focus on imparting knowledge and empowering individuals to make informed decisions about their health. The other choices are incorrect because: A: Change agents initiate and lead changes within an organization, not directly related to patient education. C: Managers oversee daily operations and resources within a healthcare setting, not specifically focused on patient education. D: Coordinators facilitate communication and collaboration among healthcare team members, but not primarily responsible for patient education.
Question 7 of 9
The statement, "Nursing is a caring profession that focuses on helping people be as healthy as possible," is an example of a:
Correct Answer: C
Rationale: The correct answer is C: philosophy. This statement reflects the fundamental beliefs and values that guide the practice of nursing. It outlines the core principles of nursing, emphasizing caring and promoting health. A concept (A) refers to a general idea or notion. A construct (B) is an abstract idea or theory. A model (D) is a representation or framework used to explain a phenomenon. In this case, the statement is more aligned with a philosophy as it encapsulates the overarching principles and purpose of nursing practice.
Question 8 of 9
A nurse is assisting with the delivery of twins. The first infant is placed on the scale to be weighed. The physician requests an instrument stat. The nurse turns to hand the instrument to the physician, and the infant falls off the scale. When evaluating the incident, the nurse and her manager list contributory factors such as the need for two nurses when multiple births are known, and the location of the scale so far from the delivery field. These nurses are performing a(n):
Correct Answer: B
Rationale: The correct answer is B: root cause analysis. Root cause analysis involves identifying the underlying causes of an incident to prevent its recurrence. In this scenario, the nurse and manager are examining factors contributing to the infant falling off the scale. They are looking beyond the immediate event to understand the systemic issues that led to the incident, such as the need for additional staff during multiple births and the placement of the scale far from the delivery field. By conducting a root cause analysis, they aim to address these underlying issues and prevent similar incidents in the future. A: Standardization of care refers to consistent application of best practices, which is not the focus of the nurse and manager's actions in this situation. C: Process variation involves analyzing inconsistencies in processes, which is not the primary concern in this incident. D: Analysis of a deployment flowchart examines the flow of resources in a process, which is not directly related to identifying the root causes of the incident.
Question 9 of 9
The number of IV site infections has more than doubled on a nursing unit. The staff determine common causes include the site is cleaned using inconsistent methods, dressing frequently becomes wet when patient showers, IV tubing is not changed every 48 hours per protocol, and inadequate hand washing of RN prior to insertion. A bar graph demonstrates the frequency in descending order, with 80% of infections being attributed to inadequate hand washing. The quality tool used is a:
Correct Answer: C
Rationale: The correct answer is C: Pareto chart. A Pareto chart is a quality tool used to prioritize issues by identifying the most significant factors contributing to a problem. In this case, the Pareto chart is appropriate because it helps visually show that inadequate hand washing is the primary cause of IV site infections, as it accounts for 80% of all infections. The chart allows the staff to focus their efforts on addressing this key issue first, which is crucial for effectively reducing the overall infection rate. Incorrect choices: A: Cause-and-effect diagram - This tool is used to identify and analyze potential causes of a problem, but it does not prioritize them in the same way a Pareto chart does. B: Run chart - A run chart is used to track data over time to identify trends and patterns, but it does not prioritize the causes of a problem like a Pareto chart. D: Flowchart - Flowcharts are used to map out a process or workflow, but they do not prioritize issues