ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
Which organization provides federal funding for research?
Correct Answer: A
Rationale: The correct answer is A: National Institute of Nursing Research. This organization is part of the National Institutes of Health (NIH) and specifically focuses on funding nursing research. The NIH is a federal agency that provides funding for various scientific research areas, including nursing. The other choices, B: Robert Wood Johnson Foundation, C: W. K. Kellogg Foundation, and D: Sigma Theta Tau International, are not federal organizations and do not provide federal funding. Robert Wood Johnson Foundation is a private philanthropic organization, W. K. Kellogg Foundation is a private foundation focused on children's wellbeing, and Sigma Theta Tau International is an honor society for nursing professionals.
Question 2 of 5
A registered nurse is on break and checking e-mails. One e-mail contains a picture of a celebrity who is a patient in the hospital, and on the same floor, where the nurse works. Included with the photo is a message, "check out my Facebook," which contains additional photographs of the patient. The nurse immediately deletes the picture to prevent having to report the "friend" to supervisors. Based on the action of the nurse who received the message, which statement is correct?
Correct Answer: C
Rationale: The correct answer is C. The nurse is at risk for discipline because failing to report the receipt of the message demonstrates poor ethical and legal role-modeling. By deleting the photo and not reporting the incident, the nurse is not upholding patient confidentiality and is potentially violating privacy laws. Sharing patient information, even if the patient is on the same floor, is unethical and illegal. Choices A and B are incorrect because simply deleting the photos does not absolve the nurse from potential consequences, and not being the sender does not excuse the nurse from being responsible for maintaining patient confidentiality. Choice D is incorrect because sharing patient information without authorization is a violation of ethical and legal standards.
Question 3 of 5
A nurse manager has calculated that providing 75 hours of direct nursing care per day requires that 120 hours must actually be worked by nursing staff. The manager is involved in: (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: applying productivity metric. The nurse manager is calculating the ratio of direct nursing care hours to total hours worked, which is a productivity metric. This metric helps assess the efficiency of the nursing staff in delivering care. Developing the capital budget (A) involves planning for long-term investments, not daily staffing calculations. Monitoring the labor budget (C) involves tracking expenses related to staff salaries and benefits, but not necessarily productivity metrics. Incremental budgeting processes (D) refer to budgeting based on past budgets with incremental changes, not specific productivity metrics. Therefore, the nurse manager is primarily involved in applying a productivity metric to assess nursing staff efficiency.
Question 4 of 5
An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:
Correct Answer: A
Rationale: The correct answer is A: decision support. In this scenario, the nurse inputs clinical manifestations into a computer program to assist in generating a diagnosis. Decision support systems use algorithms and data to provide healthcare professionals with evidence-based recommendations or diagnoses. In this case, the system likely recognized the combination of clinical signs as indicative of fat emboli. Telehealth (B) involves remote healthcare services, not diagnosis. Robotic technology (C) and biometric technology (D) are not directly related to clinical diagnosis like decision support systems are.
Question 5 of 5
A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactorily. The mentor suggests some tips for time management. These include: (select all that apply)
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance. 2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm. 3. This approach fosters better organization and focus, enhancing productivity and task completion. 4. Planning helps in identifying potential obstacles and developing strategies to overcome them. 5. Ultimately, effective planning leads to better time management and a sense of accomplishment. Summary of why other choices are incorrect: A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization. C: Making the last hours most productive neglects the importance of consistent time management throughout the day. D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.
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