ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
What is the primary factor that characterizes a patient receiving palliative care
Correct Answer: A
Rationale: The correct answer is A because the primary factor that characterizes a patient receiving palliative care is a diagnosis of a serious, life-threatening disease. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, regardless of the stage of the disease or the prognosis. This means that palliative care can be appropriate for patients with a variety of life expectancies, not just those with less than 12 months to live. Choices B and C are incorrect because while they are important factors in healthcare decision-making, they are not the primary factor that characterizes a patient receiving palliative care. Choice D is also incorrect because palliative care can be provided to patients with various life expectancies, not just those with less than 12 months to live.
Question 2 of 9
To conduct a productive meeting, the nurse should:
Correct Answer: C
Rationale: The correct answer is C because creating an agenda with specific times allotted for each agenda item helps in ensuring a focused and efficient meeting. It allows for proper time management, ensures all important topics are covered, and keeps the meeting on track. Providing unlimited time for each person (A) can lead to inefficiency and derail the meeting. Covering emotional topics first (B) may not be appropriate for all meetings and could affect the flow. Waiting for latecomers and asking for excuses (D) disrupts the meeting schedule and sets a precedent for unpunctuality.
Question 3 of 9
A client who is reading a newspaper asks, "This article about health care states that many providers of health care lack effectiveness. What is the difference between effectiveness and efficiency?" The nurse explains that:
Correct Answer: A
Rationale: Step 1: Define effectiveness and efficiency - Effectiveness is achieving the intended outcome, while efficiency is achieving the outcome with minimal waste. Step 2: Analyze option A - It correctly defines effectiveness as performing the correct test or intervention and efficiency as the wise use of supplies and resources for the desired outcome. Step 3: Justification - The nurse explains that many healthcare providers lack effectiveness, indicating they are not achieving the desired outcomes, which aligns with the definition of effectiveness in option A. Step 4: Summary of incorrect choices - B incorrectly defines efficiency as quick completion of tasks, C confuses efficiency with wastage, and D incorrectly associates efficiency with speed rather than minimal waste.
Question 4 of 9
The number of reported medical errors demonstrates a need for what priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Simulation experiences. This intervention allows healthcare professionals to practice real-life scenarios in a controlled environment, improving skills and decision-making. It helps identify and address potential errors before they occur, enhancing patient safety. Other choices lack the hands-on, practical approach of simulations and may not adequately prepare professionals for real-world situations. Simulation experiences are crucial for enhancing clinical competence and reducing medical errors.
Question 5 of 9
A new nurse asks, "Since Electronic Medical Records can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts"? Barriers to a universal health information infrastructure include the fact that: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because competition from individual companies to build EMR prevents a universal infrastructure. This is because different EMR systems may not be compatible with each other, hindering seamless data sharing. Choice B is incorrect because while cost can be a barrier, federal funding can help mitigate this issue for larger healthcare systems. Choice C is incorrect because preventive health reminders are a benefit of EMR, not a barrier. Choice D is incorrect because insurance companies' fear of lawsuits does not directly impact the establishment of a universal health information infrastructure.
Question 6 of 9
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 7 of 9
In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:
Correct Answer: C
Rationale: The correct answer is C: utilitarianism. Utilitarianism is the ethical principle that actions should be chosen based on their ability to maximize overall happiness or well-being. In this scenario, implementing hypertension screening and treatment for a community where most residents are hypertensive aligns with utilitarianism as it aims to benefit the greatest number of people by improving their health outcomes. This decision focuses on the overall good of the community, making it the most ethical choice. Rationale for why other choices are incorrect: A: Veracity is the principle of truthfulness. While honesty is important in healthcare decision-making, it is not the primary factor in this scenario. B: Values refer to personal beliefs and principles. While values may influence decision-making, the primary focus in this scenario is on maximizing community health outcomes. D: Autonomy is the principle of respecting individuals' right to make their own decisions. While autonomy is important in healthcare, it is not the guiding principle in this scenario where the focus is
Question 8 of 9
Faculty comes to class to present information about joining the Student Nurses Association (SNA). A student is heard saying, "Why join this organization? It is just a bunch of students like us. I'll wait and join the real nursing organization after graduation." This student is not aware of which benefits of SNA? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: Members are eligible to sit for the licensure examination at a reduced rate. This benefit is specific to the Student Nurses Association (SNA) and is not available in other nursing organizations. It provides a tangible advantage for members to pursue licensure after graduation, which is a critical step in their nursing career. Incorrect choices: B: While leadership skills can be refined by working with other schools of nursing through SNA, this is not a unique benefit that distinguishes SNA from other organizations. C: The National SNA providing discounted rates for study abroad opportunities is a beneficial offering, but it does not address the immediate benefit of reduced licensure examination rates. D: Obtaining a global view of nursing through networking internationally is a valuable experience, but it does not directly relate to the licensure examination benefit provided by SNA.
Question 9 of 9
A recruiter is explaining benefits to a group of nursing externs who are highly sought for employment. The recruiter states, "We are the only hospital in town that offers a residency program." The recruiter further explains that a residency program:
Correct Answer: D
Rationale: The correct answer is D because a residency program offers extended time for both theory and clinical activities that promote problem-solving and clinical decision-making skills. This is important for new graduates to enhance their clinical skills and transition into practice effectively. A: Providing housing for the graduate nurse is not typically a component of a residency program. B: Partnering a medical resident with a nurse resident for interprofessional care is not a defining feature of a nursing residency program. C: Allowing new graduates to work on a higher degree in nursing while being paid full-time is not the primary focus of a nursing residency program, which is more about developing clinical skills.