ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
When reviewing the literature on the effects of Medicaid on health care for the poor, the nurse researcher found that the poor:
Correct Answer: C
Rationale: The correct answer is C because lacking consistent providers is a common issue among the poor utilizing Medicaid. This impacts continuity of care, leading to fragmented health services and poor health outcomes. Choice A is incorrect as Medicaid does provide some level of access to healthcare. Choice B is incorrect as unnecessary treatments are not a common issue among the poor on Medicaid. Choice D is incorrect as preventive services are underutilized rather than abused by the poor on Medicaid.
Question 2 of 5
An elderly person, age 80, is finding it difficult to live alone and the family is considering long-term care. The elderly person is reasonably healthy, with only normal aging declines, and maintains a healthy appetite. All medications are administered orally and require only minimal assistance. She is financially secure with an income based on retirement from both the military and factory from her deceased husband and herself. The family contacts long- term care and is told that, based on this patient's information:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Medicare will pay for home health services should these additional services meet the needs of the individual. 1. Medicare covers home health services for individuals who meet specific criteria, which may include being homebound, needing skilled nursing care, and having a care plan established by a healthcare provider. 2. In this scenario, the elderly person is reasonably healthy and only requires minimal assistance with oral medications, indicating that she may benefit from home health services rather than long-term care. 3. Since the elderly person is financially secure, it is likely that she does not meet the eligibility criteria for Medicaid, which is a need-based program for individuals with limited income and resources. 4. Medicare does not cover long-term care in a nursing home unless specific criteria are met, such as requiring skilled services on a short-term basis. In this case, the elderly person's need for assistance with oral medications does not necessarily qualify as a skilled service for nursing home care. Summary of Incorrect Choices: A
Question 3 of 5
A patient is upset because her health insurance plan refused to pay for a mammogram and services by a women's health specialist because the primary care physician did not order the referral or the mammogram. Which type of insurance plan adheres to this type of payment system?
Correct Answer: B
Rationale: The correct answer is B: Health Maintenance Organization (HMO). In an HMO, services are typically provided by a primary care physician who acts as a gatekeeper for all medical services, including referrals to specialists and diagnostic tests like mammograms. The primary care physician must authorize and order these services for them to be covered by the insurance plan. This system helps control costs and ensures coordinated care. A: Fee for Service does not require a primary care physician to authorize referrals or services. C: PPO allows patients to see out-of-network providers without referrals. D: POS plans offer more flexibility in choosing healthcare providers without requiring a primary care physician's referral.
Question 4 of 5
A nurse is caring for a client with malignant hypertension whose blood pressure has increased by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the physician. The nurse is at risk for being charged with:
Correct Answer: A
Rationale: Correct Answer: A - Negligence Rationale: 1. Negligence is the failure to provide the standard of care resulting in harm to the patient. 2. The nurse failed to report a significant change in the patient's condition, breaching the duty of care. 3. The increase in blood pressure could lead to serious complications, indicating the severity of negligence. Summary: B: Assault - Involves intentional threat or harm, not applicable in this scenario. C: Defamation of character - Involves false statements damaging reputation, not relevant in the context of patient care. D: Tort - A broader legal term encompassing various civil wrongs, but negligence is a specific type of tort applicable here.
Question 5 of 5
A client states, "I am leaving. No one here knows what they are doing." The nurse completing the Against Medical Advice form must:
Correct Answer: C
Rationale: Rationale: Choice C is correct because informing the client of potential complications and impairment is essential to ensure the client makes an informed decision. This aligns with the principle of autonomy and informed consent. Choice A is incorrect as delaying notification can jeopardize the client's safety. Choice B is incorrect because using medical jargon may not effectively communicate the risks to the client. Choice D is incorrect as using restraints is a violation of the client's rights and autonomy.