Questions 9

ATI RN

ATI RN Test Bank

Contemporary Ethical Issues in Nursing Questions

Question 1 of 5

Which of the following situations would be appropriate for the supervisory level of initial direction and/or periodic inspection?

Correct Answer: B

Rationale: The correct answer is B because the scenario describes a situation appropriate for the supervisory level of initial direction and periodic inspection. The RN assigning tasks to the LPN within her scope of practice and checking back ensures tasks are completed correctly, aligning with the supervisory role. This level of oversight is necessary for safe and effective patient care. Choice A is incorrect as experienced RNs working together do not require supervisory direction for caring for patients. Choice C involves the charge nurse providing frequent oversight to a new graduate nurse, which is more than just periodic inspection. Choice D is incorrect because regardless of both being registered nurses, supervision may still be necessary, especially when assigning tasks to a different level of healthcare provider like an LPN.

Question 2 of 5

A nurse is assigned to a unit where 95% of all patients required total care. Most days the assistive personnel are able to complete their assignments and provide high-quality care. A patient returning from a procedure was somehow "skipped" when daily baths were performed and requests that her care now be provided. The nurse discovers the bed is rumpled and damp. The RN joins with some other staff to bathe the patient, change the bed, and help make the patient comfortable. These staff members are demonstrating:

Correct Answer: A

Rationale: The correct answer is A: altruism. Altruism is the selfless concern for the wellbeing of others, which is demonstrated by the staff members helping the patient in need without hesitation. In this scenario, the staff members are putting the patient's needs above their own, showing compassion and empathy. This aligns with the principle of altruism in nursing, where caregivers prioritize the welfare of their patients. Choices B, C, and D are incorrect: B: Veracity refers to truthfulness and honesty. While these are important traits in nursing, they are not the focus of the staff members' actions in this scenario. C: Autonomy is the right of individuals to make decisions about their own care. In this situation, the patient is not exercising autonomy, but rather relying on the staff for assistance. D: Whistle-blowing involves reporting unethical or illegal behavior within an organization. There is no indication of any wrongdoing that would require whistle-blowing in this scenario.

Question 3 of 5

Which statement related to delegation is correct?

Correct Answer: D

Rationale: The correct answer is D because the RN must have knowledge of laws and regulations governing nursing practice, including those that have unclear boundaries for UAP. This is crucial to ensure safe and effective delegation. Option A is incorrect because the nurse practice act typically does not define UAP roles. Option B is incorrect as delegation also requires assessing competency, not just training. Option C is incorrect as supervision is necessary regardless of the task's routine nature. The correct answer emphasizes the importance of legal knowledge for proper delegation.

Question 4 of 5

A patient with kyphosis is visiting a practitioner of chiropractic medicine for the first time and asks, "How does this therapy work?" The practitioner replies, "I will use my hands along with heat to correct the misalignment of your spine by placing pressure on the nerves that have produced pain. The misalignment of your spine is referred to as:

Correct Answer: A

Rationale: The correct answer is A: subluxation. Subluxation in chiropractic terms refers to the misalignment of the vertebrae in the spine, which can put pressure on nerves and cause pain. Chiropractors believe that by using manual adjustments, they can correct these subluxations and restore proper alignment, which can alleviate pain and improve overall health. The other choices, B: a sprain, C: a fracture, and D: epicondylitis, do not accurately describe the misalignment of the spine that is being addressed in chiropractic care. Sprain refers to ligament injury, fracture refers to bone breakage, and epicondylitis refers to inflammation of the tendons.

Question 5 of 5

A physician shares with the patient's family that, while a central line was being inserted, the patient's lungs were inadvertently punctured, which required oxygen administration. The physician also explains that a chest x-ray indicated the lung remained intact and no additional treatment was required. The physician's role in this instance is based on the legal principle of:

Correct Answer: C

Rationale: The correct answer is C: disclosure. In this scenario, the physician shared information about the accidental lung puncture with the patient's family, demonstrating transparency and honesty. This aligns with the legal principle of disclosure, which emphasizes the importance of informing patients and their families about relevant medical information. The physician's actions foster trust and open communication, ensuring that the patient and family are informed about the situation. Choice A: comparative negligence, is incorrect because it involves assessing the degree of negligence by both parties involved, which is not applicable in this context. Choice B: gross negligence, is incorrect because the physician's actions do not demonstrate recklessness or a complete disregard for the patient's safety. Choice D: the Emergency Medical Treatment and Active Labor Act (EMTALA), is incorrect because this law primarily addresses the provision of emergency medical care and ensuring access to necessary services, not the disclosure of medical errors.

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