ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 9
When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?
Correct Answer: A
Rationale: The correct answer is A: Assessment. In the nursing process, the first step is assessment, which involves gathering data to identify the issue or problem. Similarly, in the policy process, identifying the problem is equivalent to the assessment phase. This step sets the foundation for the subsequent steps of diagnosis, planning, and implementation. Choice B: Diagnosis is incorrect as it comes after assessment in the nursing process and focuses on analyzing the data to determine the underlying cause of the issue. Choice C: Planning is incorrect as it follows diagnosis in the nursing process and involves developing a plan of action based on the identified problem. Choice D: Implementation is incorrect as it is the final step in the nursing process where the plan is put into action after assessment, diagnosis, and planning have been completed.
Question 2 of 9
A Southeast Asian woman brings her baby into the clinic because the baby is lethargic. The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to:
Correct Answer: A
Rationale: The correct answer is A: try to quiet the child and is considered child abuse. The small, round burns on the baby's abdomen are likely caused by cigarettes or burning cotton as a form of child abuse known as "cigarette burns." This type of abuse is characterized by deliberately causing harm to a child by burning them with cigarettes or other hot objects. The other choices (B, C, D) are incorrect as they do not address the intentional harm and abuse inflicted upon the child in this scenario. Choice B about bringing out toxic wind is not a valid cultural or medical practice and is not relevant in this context. Choice C about balancing heat loss is not related to the burns observed. Choice D about brushing the body with ruda for spirits to return is not a known or appropriate intervention for addressing burns or abuse.
Question 3 of 9
When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?
Correct Answer: C
Rationale: The correct answer is C because it exemplifies the role of mentoring where the experienced nurse provides feedback and guidance to the novice nurse. Mentoring involves a structured and purposeful relationship aimed at professional growth. In this situation, the experienced nurse is directly interacting with the novice nurse, giving specific feedback on a task and showing support and encouragement. This helps the novice nurse improve their skills and knowledge. Option A is incorrect because it describes role modeling, where the novice nurse is observing without direct interaction. Option B is incorrect as it also describes role modeling through observation and mimicry. Option D is incorrect as it does not involve direct feedback or guidance from the experienced nurse to the novice nurse.
Question 4 of 9
The nurse who admits making a medication error and immediately files an incident report is demonstrating:
Correct Answer: A
Rationale: The correct answer is A: accountability. By admitting the error and filing an incident report, the nurse is taking responsibility for their actions, being transparent, and willing to face the consequences. This demonstrates professionalism and integrity. Choice B is incorrect because it does not address the nurse's responsibility. Choice C is incorrect as it does not relate to the nurse's actions. Choice D is incorrect as values clarification is not demonstrated by admitting an error and reporting it.
Question 5 of 9
The statement, "Nursing is a caring profession that focuses on helping people be as healthy as possible," is an example of a:
Correct Answer: C
Rationale: The correct answer is C: philosophy. This statement reflects the fundamental beliefs and values that guide the practice of nursing. It outlines the core principles of nursing, emphasizing caring and promoting health. A concept (A) refers to a general idea or notion. A construct (B) is an abstract idea or theory. A model (D) is a representation or framework used to explain a phenomenon. In this case, the statement is more aligned with a philosophy as it encapsulates the overarching principles and purpose of nursing practice.
Question 6 of 9
In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:
Correct Answer: C
Rationale: The correct answer is C: utilitarianism. Utilitarianism is the ethical principle that actions should be chosen based on their ability to maximize overall happiness or well-being. In this scenario, implementing hypertension screening and treatment for a community where most residents are hypertensive aligns with utilitarianism as it aims to benefit the greatest number of people by improving their health outcomes. This decision focuses on the overall good of the community, making it the most ethical choice. Rationale for why other choices are incorrect: A: Veracity is the principle of truthfulness. While honesty is important in healthcare decision-making, it is not the primary factor in this scenario. B: Values refer to personal beliefs and principles. While values may influence decision-making, the primary focus in this scenario is on maximizing community health outcomes. D: Autonomy is the principle of respecting individuals' right to make their own decisions. While autonomy is important in healthcare, it is not the guiding principle in this scenario where the focus is
Question 7 of 9
A nurse involved in researching the leading causes of death for minorities considers the federally defined minority groups, which include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: Blacks. The rationale for this is that federally defined minority groups in the US typically include African Americans or Blacks. This group has historically faced disparities in healthcare access and outcomes. Russians (B) are not federally defined as a minority group in the US; Hispanics (C) and Asians or Pacific Islanders (D) are also federally recognized minority groups, but the question asks for all options that apply, and only A is explicitly mentioned in the question stem. Therefore, A is the correct answer based on the information provided.
Question 8 of 9
Which factors would be considered in the first steps in developing an effective patient classification system? (select all that apply)
Correct Answer: A
Rationale: In developing a patient classification system, planned procedures are crucial as they determine resource allocation, staffing needs, and patient acuity. Understanding the procedures aids in categorizing patients accurately based on care requirements. Ethnic diversity, clinical competency, and educational level are not primary factors in this initial step as they do not directly impact patient classification. Ethnicity does not determine care needs, staff competency should already be ensured, and nurse education level is not the sole determinant of patient classification. Hence, A is the correct choice for developing an effective patient classification system.
Question 9 of 9
A nurse is concerned because novice nurses are having their orientation period shortened and are being placed in charge nurse positions. The nurse has documented unsafe care and decisions by these novice nurses. To be protected from retaliation by the employer, this nurse must "blow the whistle" by:
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. Reporting concerns to state and/or national agencies is a formal and official way to blow the whistle. 2. State and national agencies have the authority to investigate and take action on reported concerns. 3. Whistleblower protection laws often cover individuals who report to regulatory agencies. 4. This action ensures the concerns are addressed at a higher level and can protect the nurse from retaliation. Summary of why the other choices are incorrect: A. Holding a public forum may not provide the necessary confidentiality or protection for the nurse. C. Informally discussing wrongdoing with coworkers may not result in formal actions to address the concerns. D. Contacting The Joint Commission is a good option, but reporting concerns to state and/or national agencies is more direct and appropriate in this scenario.