ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative?
Correct Answer: A
Rationale: The correct answer is A: Quality and Safety in Nursing Education. This initiative aligns with the Institute of Medicine report's focus on improving quality and safety in nursing education. The QSEN initiative provides resources and guidelines for nursing faculty to integrate quality and safety competencies into their curriculum. Choice B (COPA) is focused on competency outcomes and performance, which is not directly related to addressing the issues identified by the Institute of Medicine report. Choice C (NONPF) is specific to nurse practitioner faculties and may not cover the broader scope of issues highlighted in the report. Choice D (ACE) focuses on evidence-based practice in academic settings but does not specifically address the quality and safety concerns identified in the report.
Question 2 of 9
A researcher conducts a survey to determine the perceived health status of elderly persons living independently at home. The same subjects participate in a telephone call in which they describe the lived experience of living with chronic illness. When writing up the research study, the nurse would describe using:
Correct Answer: B
Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.
Question 3 of 9
A nurse performing a history and physical on a newly admitted Hispanic patient learns the patient has just used the services of a savador to:
Correct Answer: B
Rationale: The correct answer is B because a "salvador" is typically a spiritual healer or medium in Hispanic culture who helps communicate with deceased family members. This aligns with the scenario of the patient seeking the services of a salvador to communicate with a family member who recently died. The other choices are incorrect because: A: Determining herbs for hot flashes is typically done by an herbalist or healthcare provider. C: Treating lower back pain usually involves medical professionals like doctors or physical therapists. D: Acupuncture for smoking cessation is typically provided by licensed acupuncturists or healthcare professionals, not a salvador.
Question 4 of 9
Time can be maximized to produce the best outcomes by:
Correct Answer: A
Rationale: The correct answer is A because starting the workday productively sets a positive tone, leading to better focus and efficiency. By utilizing the first hour effectively, one can tackle important tasks when energy and concentration levels are at their peak. This approach helps in prioritizing and accomplishing key objectives early on, maximizing productivity throughout the day. Choice B is incorrect because completing trivial tasks first can waste valuable time and energy that could be better spent on more significant tasks. Choice C is incorrect as recreational activities can provide necessary mental breaks, leading to increased productivity and overall well-being. Choice D is incorrect because breaks are essential for maintaining focus and preventing burnout, ultimately enhancing productivity in the long run.
Question 5 of 9
Although the use of technology and the Internet provides nursing faculty and students with unlimited resources and current information, an outcome associated with this trend is that:
Correct Answer: A
Rationale: The correct answer is A. Users of electronic resources may spend a disproportionate amount of time looking for pertinent content due to the vast amount of information available online. This can lead to inefficiencies and time wasted in searching for relevant resources. Choice B is incorrect because although special skills may not be needed to access information via the Internet, the abundance of information can still lead to time wastage. Choice C is incorrect as immediate results and outcomes expected from students and faculty can actually increase pressure and time constraints, rather than enhancing time management. Choice D is incorrect as while problem-solving and reflective abilities may be developed through using technology and the Internet, the question specifically focuses on the negative outcome of spending excessive time searching for content.
Question 6 of 9
A primary function of the budgeting process is to provide managers with an opportunity to:
Correct Answer: B
Rationale: The correct answer is B because the primary function of the budgeting process is to discuss concerns about resource allocation with leaders capable of resolving issues. This allows managers to make informed decisions on how to allocate resources effectively. Choice A is incorrect as the budgeting process is not primarily about insisting on specific salary increases. Choice C is incorrect as it focuses on changing budgeting methods rather than the purpose of budgeting itself. Choice D is incorrect as developing an educational program is not the primary purpose of the budgeting process.
Question 7 of 9
A graduate of a nursing school in the United States plans to practice nursing in Paris, France. To request licensure to practice in Paris, the nurse:
Correct Answer: D
Rationale: The correct answer is D because the nurse should contact the International Council of Nurses or the nursing regulatory board of the country where they plan to practice to understand the licensure requirements. This is important as each country has its own specific regulations for foreign nurses. Option A is incorrect as not all countries require a special examination for foreign graduates. Option B is incorrect as nursing education in the United States does not automatically qualify a nurse to practice in other countries without meeting their specific requirements. Option C is incorrect because it assumes that only language and cultural assessments are necessary for licensure, overlooking other regulatory requirements.
Question 8 of 9
A nurse groups patients with criteria such as "high risk for falls," "infection protocols," and "special communication needs" to determine the mix and number of staff needed on a telemetry unit. The nurse is using:
Correct Answer: A
Rationale: Rationale: A nurse grouping patients with specific criteria to determine staffing needs aligns with a patient classification system. This system helps allocate appropriate staff levels based on patient acuity and needs for safe and effective care. It focuses on matching patient needs with staff expertise to ensure quality care. Choices B, C, and D do not directly relate to determining staffing levels based on patient criteria. B refers to billing, C to coordination of care, and D to specific care plans.
Question 9 of 9
A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is:
Correct Answer: B
Rationale: The correct answer is B: moving. In Lewin's change management model, the process involves three stages: unfreeze, move, and refreeze. In this scenario, the hospital has already identified the need for change (unfreeze) by recognizing the issue with patient satisfaction scores. The change agent's recommendations and the implementation of interdisciplinary walking rounds and involving patients and families in rounds indicate the active phase of making changes and transitioning to new practices (moving). The actions taken, such as rounding every shift, updating the team through huddles, monitoring nurse participation, and interviewing patients, all demonstrate movement towards the desired change. Refreeze would come after the changes have been successfully implemented to stabilize and institutionalize the new practices. The options A (unfreeze) and C (refreeze) are incorrect as the hospital is currently in the implementation phase of change, and option D (resistance) does not apply as there is no indication of significant resistance to the proposed changes in the scenario provided.