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
Accrediting agencies such as The Joint Commission address staffing by:
Correct Answer: D
Rationale: The correct answer is D because accrediting agencies like The Joint Commission focus on ensuring patients receive satisfactory care through evidence-based practices. They evaluate the quality of care provided rather than specific staffing levels or ratios. Imposing maximum staffing levels (A) can be restrictive and may not account for varying patient needs. Requiring a specific staff mix (B) may not always be feasible or reflective of best practices. Stipulating nurse-patient ratios (C) can be important but may not address the overall quality of care provided to patients. In summary, option D is correct as accrediting agencies prioritize evidence of satisfactory care delivery over rigid staffing requirements.
Question 3 of 9
People are living longer and with older age comes a higher risk of terminal illness. Many individuals have chosen to maximize their quality of life but stop aggressive life- sustaining treatments. Nurses who work with terminally ill patients and their families to provide end-of-life care, pain management, and family support are practicing in which role?
Correct Answer: A
Rationale: The correct answer is A: Hospice. Rationale: 1. Hospice care focuses on providing end-of-life care, pain management, and family support for terminally ill patients. 2. Nurses in hospice work closely with patients and their families to ensure comfort and dignity during the end-of-life process. 3. Hospice care emphasizes quality of life over aggressive life-sustaining treatments, aligning with the scenario described in the question. 4. Infection control and coordination roles do not specifically focus on end-of-life care or pain management for terminally ill patients. 5. While case managers may provide support and coordination of care, they do not specialize in end-of-life care like hospice nurses do.
Question 4 of 9
A nurse in a rehabilitation unit plans activities of daily living to prevent excessive fatigue, helps the patient dress before the family visits, assists with range of motion, and allows the patient to decide which clothes to wear during the visit. This nurse is best applying which theory to practice?
Correct Answer: A
Rationale: The correct answer is A: Watson's Theory of Caring. This theory emphasizes the importance of caring relationships in nursing practice. In this scenario, the nurse is demonstrating caring by helping the patient prevent fatigue, assisting with dressing, and respecting the patient's autonomy in choosing clothes. Watson's theory focuses on promoting holistic care and building a therapeutic nurse-patient relationship. Choices B, C, and D are incorrect: B: Rogers' Theory of Unitary Humans focuses on the interconnectedness of humans with their environment, which is not the primary focus of the nurse's actions in the scenario. C: Levine's Theory of Conservation emphasizes maintaining the patient's energy and structural integrity, which is not the main focus of the nurse's actions in the scenario. D: Leininger's Theory of Transcultural Nursing focuses on providing culturally competent care, which is not the central theme of the nurse's actions in the scenario.
Question 5 of 9
A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence. To enhance employee satisfaction related to staffing, the management team:
Correct Answer: C
Rationale: Step-by-step rationale for choice C: 1. Participatory management involves nurses in decision-making, increasing job satisfaction. 2. Involving nurses in staffing decisions can lead to better scheduling and workload distribution. 3. This empowerment can improve morale and foster a sense of ownership among nurses. 4. Ultimately, participatory management enhances job satisfaction and retention. Summary: - Choice A (additional agency nurses) may address short-term staffing needs but doesn't directly improve job satisfaction. - Choice B (more part-time employees) may not address underlying issues of satisfaction and can lead to scheduling challenges. - Choice D (using float nurses) may help cover vacancies but doesn't involve nurses in decision-making or address satisfaction directly.
Question 6 of 9
A nurse has been asked to serve as the charge nurse on the evening shift. The agency where the nurse is employed is considering unionization. If the charge nurse position is accepted, this nurse:
Correct Answer: A
Rationale: Step 1: Charge nurses are typically considered part of the nursing staff, not part of the management team. Step 2: Since charge nurses are not considered part of the management team, they are eligible to be represented by the union. Step 3: Being part of the union means the charge nurse can benefit from collective bargaining activities and have a voice in workplace decisions. Step 4: Choice A is correct as it aligns with the general understanding of charge nurses' roles and their eligibility for union representation. Summary: Choice B is incorrect because charge nurses are not typically considered part of the management team, so union participation would not necessarily be a conflict of interest. Choice C is incorrect because union representation does not automatically mean filing grievances that will be arbitrated. Choice D is incorrect because charge nurses can participate in collective bargaining activities related to unfair labor practices if they are represented by the union.
Question 7 of 9
A group of local volunteers respond to a tornado. Volunteers have completed an emergency response course and are able to assist with triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of the:
Correct Answer: A
Rationale: The correct answer is A: Medical Reserve Corps (MRC). Step 1: The MRC is a community-based program of volunteers who are trained to respond to public health emergencies. Step 2: The volunteers in the scenario have completed an emergency response course and are assisting with triage and educating the public, aligning with the MRC's mission. Step 3: The MMRS focuses on responding to mass casualty incidents, not necessarily public health emergencies like tornadoes. NDMS is a federally coordinated system for medical response in disasters, not typically focused on community-based responses. CCRF is a reserve force within the U.S. Public Health Service, not specifically focused on community emergency response.
Question 8 of 9
During the night, a patient fell in the bathroom and sustained a hip injury. The patient was very upset because of being unable to attend a granddaughter's wedding in 2 days. The team looked at the process and determined that the patient had been medicated with a narcotic, had urinary urgency so had not taken the time to put on shoes, failed to turn on the light because the door to the hall let in some light, and stumbled over a towel that had been placed to collect water leaks caused by construction that was in progress to replace damaged sinks. Which factor was a special cause variation?
Correct Answer: D
Rationale: The correct answer is D: Improper construction that caused the leak and towel placement. This is a special cause variation because it is an external factor outside the patient's control that directly contributed to the incident. The construction causing water leaks and the placement of a towel to collect water created a hazardous environment leading to the fall. The other choices, A, B, and C, are common cause variations as they are related to the patient's behavior or medical condition which could have been managed or controlled within the usual process.
Question 9 of 9
In distinguishing between evaluation methods used in school versus those used in the work environment, it is noted that the work environment evaluation includes:
Correct Answer: D
Rationale: Step 1: In the work environment, evaluation focuses on appraising outcomes to assess effectiveness and compliance with policies. Step 2: Appraising outcomes according to policy ensures that results align with organizational objectives. Step 3: This process helps identify areas for improvement and ensures accountability. Step 4: Choices A, B, and C do not directly address the evaluation of outcomes based on policy, making them incorrect. Step 5: Therefore, the correct answer is D as it aligns with the purpose of evaluation in the work environment.