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
Six cultural phenomena that vary among cultural groups are known to affect health care. The influence of the consequences of these phenomena can be seen in which of the following? (select all that apply)
Correct Answer: B
Rationale: The correct answer is B. Some cancers such as stomach cancer occur less frequently among blacks due to genetic factors. Stomach cancer is more common in Asian populations due to dietary and lifestyle factors. This variation in cancer incidence among different racial groups is influenced by genetic predisposition and environmental factors. Therefore, the influence of cultural phenomena on health care can be observed in the differing rates of specific diseases among various cultural groups. Other choices are incorrect: A: This choice does not directly relate to the influence of cultural phenomena on health care, but rather discusses medication adherence based on beliefs about fate and the environment. C: Direct eye contact is a cultural behavior that may vary among different cultural groups, but it does not directly relate to the influence of cultural phenomena on health care. D: Standing close and touching health care providers is a cultural behavior that may be more common among certain cultural groups like Mexican Americans, but it does not directly demonstrate the influence of cultural phenomena on health care in the context of disease incidence
Question 3 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 4 of 9
A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly graduated RN with a bachelor's degree is hired. Before the RN arrives on the unit, the LPN is heard saying, "She'll try to tell everyone what to do because she makes more money. She'll sit at the desk and let us do all the work." This is an example of a(n):
Correct Answer: D
Rationale: The correct answer is D: preconceived idea. This is because the LPN's statement reflects a preconceived notion or bias about the RN based on their education level and salary. The LPN is assuming the RN will act a certain way without any evidence or experience with the RN's behavior. It is important to recognize and challenge our preconceived ideas to avoid unfair judgments. Incorrect answers: A: interpretation - This refers to understanding the meaning of something based on analysis or judgment, which is not present in the scenario. B: context - This refers to the circumstances or setting in which something occurs, but it does not apply to the LPN's biased statement. C: precipitating event - This refers to an event that triggers a particular situation, which is not evident in the scenario.
Question 5 of 9
During orientation, an RN learns that LPN/LVNs in the facility receive additional training to perform some tasks such as hanging continuously infusing intravenous fluids that have no additives. It is important for the RN to understand that:
Correct Answer: B
Rationale: Rationale for Correct Answer (B - LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN): 1. LPN/LVNs are licensed professionals, accountable for their own scope of practice as outlined by the state nursing board. 2. Accountability ensures that LPN/LVNs are responsible for their actions and decisions in providing patient care. 3. LPN/LVNs must adhere to the state's nursing practice act and regulations, ensuring safe and competent care delivery. Summary of Incorrect Choices: A: The health care facility cannot override the state practice act as licensure requirements are set by the state nursing board. C: UAPs, although important in the care team, do not have the same level of accountability as licensed nurses. D: The nurse practice act and state regulations related to delegation are essential in guiding delegation practices, but they do not necessarily override organization policies.
Question 6 of 9
Which statement correctly applies to a person's suffering?
Correct Answer: B
Rationale: Step 1: Suffering and pain are distinct experiences. Pain refers to physical discomfort, while suffering encompasses emotional and psychological distress as well. Step 2: Individuals can experience suffering without physical pain, such as emotional trauma or existential crisis. Step 3: Recognizing the difference between suffering and pain is crucial in providing holistic care in nursing practice. Step 4: Therefore, option B is correct as it acknowledges the separate nature of suffering and pain. Other options are incorrect as they oversimplify or misinterpret the relationship between pain and suffering.
Question 7 of 9
A nurse is assigned to a unit other than the one she is normally assigned due to increased census on the alternate unit. She is assigned to care for seven patients and participates in walking rounds where the patient's condition and needs are discussed between oncoming and off-going shifts of the interdisciplinary team. The nurse carefully makes notes of all pending orders and prioritizes needs. The nurse enters the cafeteria later and the notes accidentally fall from her pocket, which contain the above information that contains patient sensitive datThe liabilities arising from this incident would be covered under:
Correct Answer: A
Rationale: Step-by-step rationale for why Choice A is correct: 1. The scenario involves the accidental disclosure of patient-sensitive data. 2. The Health Insurance Portability and Accountability Act (HIPAA) specifically addresses the protection of patient information. 3. HIPAA requires healthcare providers to safeguard patient data and maintain confidentiality. 4. In this case, the nurse's unintentional disclosure of patient information falls under HIPAA violations. 5. Therefore, the liabilities arising from this incident would be covered under HIPAA. Summary of why other choices are incorrect: B. The ANA Scope and Practice Act focuses on the scope of nursing practice and does not specifically address patient data protection like HIPAA. C. Affirmative duty failing to question order relates to a nurse's responsibility to question unsafe orders, not patient data protection. D. Personal liability with floating and cross-training does not cover the accidental disclosure of patient information, which falls under HIPAA.
Question 8 of 9
A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN) recommended competencies for educating nursing professionals. These include: (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: patient-centered care. Patient-centered care is a core competency recommended by QSEN as it emphasizes the importance of considering the patient's preferences, values, and needs in all aspects of healthcare delivery. This approach leads to improved patient outcomes, increased satisfaction, and overall better quality of care. Explanation for why the other choices are incorrect: A: Advanced health assessment techniques are important skills for nurses, but they are not specifically listed as recommended competencies by QSEN. C: Prescriptive pharmacology content focuses on medication administration and management, which is important but not a core competency recommended by QSEN. D: Quality improvement is a crucial aspect of healthcare, but it is not the only competency highlighted by QSEN for educating nursing professionals.
Question 9 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.