ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 9
What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?
Correct Answer: A
Rationale: The correct answer is A: Theories. Theories are comprehensive explanations that scholars use to understand commonly occurring events by organizing and explaining a set of principles or laws. Theories help in predicting and controlling events based on established frameworks. Constructs (B) refer to abstract concepts within theories, systems (C) are organized structures of elements, and propositions (D) are statements that describe relationships between concepts, but they do not provide the comprehensive explanations that theories do.
Question 2 of 9
Despite the presence of safety aids such as handrails in the bathrooms at an assisted living facility, the number of fractures due to unsteady ambulation upon arising from the bed and when attempting to perform activities of daily living has increased. Which complementary alternative medicine (CAM) would be an effective intervention for this population?
Correct Answer: C
Rationale: Rationale: Tai chi is the correct answer because it focuses on improving balance, strength, and flexibility, which are essential for preventing falls in the elderly. Tai chi's slow, controlled movements can help improve stability and reduce the risk of fractures. Summary: A (Yoga) focuses more on flexibility and relaxation, not specifically on balance and stability. B (Acupuncture) is not a physical activity and does not directly address the issue of unsteady ambulation. D (Magnet therapy) lacks scientific evidence to support its effectiveness in improving balance and preventing falls.
Question 3 of 9
A nonprofit organization that distributes to governmental agencies, the public, business, and health care professionals knowledge related to health care for the purpose of improving health is the:
Correct Answer: B
Rationale: The correct answer is B: Institute of Medicine. The Institute of Medicine is known for disseminating knowledge related to health care through government agencies, the public, business, and health care professionals to improve health outcomes. The organization conducts research and provides evidence-based recommendations to address health care challenges. A: Institute for Safe Medication Practices focuses specifically on promoting safe medication practices, not a broad range of health care knowledge dissemination. C: National Committee for Quality Assurance primarily focuses on accrediting and certifying health care organizations based on quality standards, rather than broadly distributing health care knowledge. D: The Joint Commission is responsible for accrediting health care organizations and institutions, ensuring they meet quality and safety standards, but not specifically for distributing health care knowledge to various stakeholders.
Question 4 of 9
A priority action for the nurse who works with culturally diverse clients is completion of a:
Correct Answer: B
Rationale: The correct answer is B: cultural self-assessment. This is important as it helps the nurse understand their own beliefs, values, and biases, which can impact how they interact with culturally diverse clients. By being self-aware, the nurse can better recognize and address any potential cultural misunderstandings or conflicts. A: Taking a sign language course is not the priority as not all culturally diverse clients are deaf or use sign language. C: While cultural client assessment is important, it is secondary to the nurse understanding their own cultural biases first. D: Taking a course on how to speak Spanish is helpful but may not address the broader cultural competence needed to work with diverse clients.
Question 5 of 9
Which of the following situations would be appropriate for the supervisory level of initial direction and/or periodic inspection?
Correct Answer: B
Rationale: The correct answer is B because the scenario describes a situation appropriate for the supervisory level of initial direction and periodic inspection. The RN assigning tasks to the LPN within her scope of practice and checking back ensures tasks are completed correctly, aligning with the supervisory role. This level of oversight is necessary for safe and effective patient care. Choice A is incorrect as experienced RNs working together do not require supervisory direction for caring for patients. Choice C involves the charge nurse providing frequent oversight to a new graduate nurse, which is more than just periodic inspection. Choice D is incorrect because regardless of both being registered nurses, supervision may still be necessary, especially when assigning tasks to a different level of healthcare provider like an LPN.
Question 6 of 9
Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous, uncaring nurse, it also provided Americans with a promising glimpse of:
Correct Answer: C
Rationale: The correct answer is C because the media in M*A*S*H showed how nurses coped with the horrors of war through humor, highlighting their resilience and adaptability. This is a positive portrayal of nurses as capable and strong individuals. Choices A and B are incorrect as they misrepresent the values and professionalism of nurses. Choice A promotes negative stereotypes, while choice B undermines the importance of compassion in nursing. Choice D is incorrect as the show primarily focused on female nurses, not male nurses.
Question 7 of 9
When the novice nurse asks, "What will happen if this task is not completed," which skill is being demonstrated?
Correct Answer: A
Rationale: The novice nurse is demonstrating priority setting by asking about the consequences of not completing a task. This skill involves determining the most crucial tasks to be completed first based on their potential impact on patient outcomes. By understanding the implications of task completion, the nurse can effectively prioritize their workload. Delegation involves assigning tasks to others, organization involves arranging tasks in a systematic way, and clinical skills refer to the technical abilities in providing patient care. These skills are not directly demonstrated by the nurse's question about the consequences of task completion.
Question 8 of 9
A young child is having abdominal pain, and the doctor informs the parents that a computed tomography (CT or CAT) scan of the abdomen will be ordered. The doctor tells the child, "This CAT scan won't hurt you." The child is visibly upset because of a fear of cats. According to Mishel's uncertainty in illness theory, which stage of the framework is represented?
Correct Answer: A
Rationale: Step 1: The child is upset due to a fear of cats, leading to uncertainty about the situation. Step 2: Mishel's uncertainty in illness theory focuses on how individuals respond to uncertainty in health-related situations. Step 3: In this case, the child's fear of cats creates a misinterpretation of the term "CAT scan." Step 4: This misinterpretation falls under the Stimuli frame stage, where the individual perceives the situation based on external cues. Step 5: Other choices are incorrect as they do not directly address the initial misinterpretation caused by the fear of cats. In summary, choice A is correct because it aligns with Mishel's theory by highlighting the initial stimuli (fear of cats) causing uncertainty in the child's understanding of the situation. Choices B, C, and D are incorrect as they do not address the specific misinterpretation of the term "CAT scan" due to the fear of cats.
Question 9 of 9
A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room. The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as:
Correct Answer: B
Rationale: The correct answer is B: variance. In this scenario, the nurse manager planned a budget based on a patient census of 6 but the actual census remained constant at 10, leading to higher-than-planned RN staff salaries. The difference between the planned budget and the actual cost is known as a variance. Variances help identify discrepancies between planned and actual expenses, enabling managers to adjust budgets accordingly. Revenue (A) refers to income generated, not the difference between planned and actual expenses. Monitoring (C) is the process of overseeing and evaluating activities, not specifically related to budget discrepancies. Capital expenditures (D) are long-term investments in assets, not related to budget variances.