ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
What was the purpose of the Nurse Reinvestment Act of 2002?
Correct Answer: C
Rationale: The correct answer is C because the Nurse Reinvestment Act of 2002 aimed to address the nursing shortage by focusing on nurse retention and safety enhancement grants. This legislation provided funding for programs to support nurses in their roles, improve working conditions, and ultimately retain experienced professionals in the field. This choice aligns with the primary goal of the act and its intended impact on the nursing workforce. Choices A, B, and D are incorrect because they do not accurately reflect the main purpose of the Nurse Reinvestment Act. Choice A is not mentioned in the act and does not address the broader issue of nursing shortage. Choice B promotes unlicensed caregivers, which goes against the act's focus on professional nurses. Choice D is specific to pediatric nursing training grants and does not encompass the Act's comprehensive approach to nurse retention and safety enhancement.
Question 2 of 9
Throughout their careers, nurses are in an ongoing state of acculturation, gaining experience from formal nursing school classes, clinical experiences, and the ethical issues they encounter in their clinical practice. The ideal outcomes of these ongoing experiences with cultural decision making include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: increased trustworthiness. Acculturation in nursing involves gaining experience and knowledge from various sources, leading to increased credibility and trustworthiness among patients, colleagues, and the healthcare team. This ongoing process helps nurses build rapport and establish trust with diverse patient populations. Explanation for why the other choices are incorrect: B: While enhanced ability to consider many aspects of ethical situations is important in nursing, it is not directly related to the outcome of increased trustworthiness. C: Confidence in making decisions based on experience and ethical intelligence is valuable, but it does not directly lead to increased trustworthiness. D: Improved clinical decision making and advocacy for patient autonomy are crucial aspects of nursing practice, but they do not specifically address the outcome of increased trustworthiness that comes from acculturation.
Question 3 of 9
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse completes the following interventions: places the client on the examining table, completes a thorough history and physical, covers the client with a sheet, places the call button within reach, and goes out in the hall to speak with the client's physician. The client tries to get up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The nurse's actions reflect:
Correct Answer: D
Rationale: The correct answer is D: negligence. Negligence refers to a failure to provide the standard of care that a reasonably prudent person would have provided in a similar situation, resulting in harm to the client. In this scenario, the nurse failed to ensure the safety of the client by leaving them unattended on an examining table, leading to the client falling and sustaining injuries. This breach of duty to provide proper care and supervision constitutes negligence. Choice A (invasion of privacy) is incorrect because it does not relate to the nurse's failure to provide proper care and supervision. Choice B (libel) and Choice C (slander) are also incorrect as they pertain to defamation, which is not applicable in this situation. The nurse's actions primarily reflect negligence due to the failure to provide adequate supervision, resulting in harm to the client.
Question 4 of 9
A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Which type of leader accurately describes this nurse?
Correct Answer: A
Rationale: The correct answer is A: Transactional. This type of leader focuses on routine tasks, maintaining order, and ensuring tasks are completed efficiently. In this scenario, the nurse is primarily concerned with daily operational tasks like restocking supplies and checking orders, which align with transactional leadership. Situational leadership focuses on adapting to different situations, transformational leadership inspires change and innovation, and contemporary leadership encompasses various modern leadership styles.
Question 5 of 9
Certain groups of individuals are opposed to the Patient Protection and Affordable Care Act (PPACA) based on religious beliefs that prohibit circumcision and blood transfusions. These individuals believe the PPACA is unconstitutional because it:
Correct Answer: A
Rationale: The correct answer is A because the main argument against the PPACA in relation to religious beliefs is the mandate requiring all U.S. and legal residents to secure health insurance. This mandate conflicts with the religious beliefs of certain groups that oppose specific medical procedures like circumcision and blood transfusions. Choices B, C, and D are incorrect as they do not directly address the issue of religious opposition to specific healthcare practices mandated by the PPACA. B pertains to Medicare and Medicaid plans, C relates to preventive services participation, and D refers to health practices outside Western medicine, which are not the primary concern for the opposing groups.
Question 6 of 9
Which statement accurately describes the historical perspective of nursing practice?
Correct Answer: A
Rationale: Rationale: A: The correct answer emphasizes that nursing practice has evolved based on societal needs and beliefs in different historical contexts. This reflects the adaptive nature of nursing to address changing populations and societal norms. B: This choice is incorrect because it does not accurately describe the historical perspective of nursing practice. The shift towards evidence-based practice is a more recent development in nursing. C: While diversity in nursing is important, this statement does not directly address the historical perspective of nursing practice. D: This choice is incorrect as it is a limited view that focuses on the United States and ignores the global historical development of nursing practice.
Question 7 of 9
A member of a nursing students study group comments, "I wish our instructor would just tell us the important information that we will be tested on in our course and on NCLEX®. Instead, we spend some time early in the class discussing key facts then the most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents:
Correct Answer: D
Rationale: The correct answer is D: practice-based competency. This teaching-learning style focuses on developing practical skills and competencies through hands-on experiences such as case studies and simulator practice. This approach is more effective in preparing nursing students for real-world scenarios and NCLEX® exams compared to just memorizing basic facts (choice A). Objective Structured Clinical Examinations (OSCE) (choice B) involve structured assessments of clinical skills and are not the primary focus of the teaching style described. Peer-to-peer learning (choice C) emphasizes collaborative learning among students, which may be a component of the teaching style but not the central focus. Practice-based competency (choice D) aligns best with the emphasis on practical application and skill development described in the scenario.
Question 8 of 9
Which task is most likely to be considered in a state's practice act as appropriate to delegate to a LPN/LVN if the patient's condition is stable and competence in the task has been established?
Correct Answer: D
Rationale: The correct answer is D. Teaching a patient how to instill eye drops for glaucoma is a task that can be appropriately delegated to an LPN/LVN when the patient is stable and competence has been established. Here's the rationale: 1. Teaching is within the scope of practice for LPN/LVNs as it involves providing education and instructions to patients. 2. Administering medications IV (option B) requires a higher level of assessment and monitoring skills, making it inappropriate for delegation to an LPN/LVN. 3. Developing a plan of care (option C) involves critical thinking and decision-making skills beyond the scope of an LPN/LVN. 4. Administering an enema (option A) may involve assessing the patient's condition and response, which is beyond the typical scope of an LPN/LVN.
Question 9 of 9
A nurse who is infected with human immunodeficiency virus (HIV) while working in the operating room seeks revenge by deliberately placing clients at risk by not adhering to universal precautions. This nurse is violating the ethical principle of:
Correct Answer: C
Rationale: The correct answer is C: nonmaleficence. Nonmaleficence is the ethical principle of doing no harm to others. In this scenario, the nurse is deliberately putting clients at risk by not adhering to universal precautions, which violates the principle of nonmaleficence. By intentionally endangering others, the nurse is directly going against the ethical duty to prevent harm. A: Veracity refers to truthfulness, not relevant in this scenario. B: Beneficence is the ethical principle of doing good for others, not applicable as the nurse's actions are harmful. D: Autonomy is the principle of respecting an individual's right to make their own decisions, not relevant as the nurse is not respecting the clients' autonomy by putting them at risk without their consent.