ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 9
Which statement about qualitative research is correct?
Correct Answer: D
Rationale: The correct answer is D because interviews are a common and effective method in qualitative research to gather in-depth insights and descriptions of complex phenomena. Interviews help researchers understand participants' perspectives and experiences, allowing for a rich and nuanced exploration of the research topic. In contrast, options A, B, and C are incorrect because qualitative research can still be time-consuming, does not require large sample sizes for statistical significance, and focuses on in-depth understanding rather than generalizability to a larger population.
Question 2 of 9
When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing care?
Correct Answer: A
Rationale: The correct answer is A: Safe and effective care environment. The rationale is that assigning different nurses to care for a patient with shingles and a patient with HIV/AIDS is an example of maintaining infection control and preventing the spread of communicable diseases. This falls under the category of safe and effective care environment because it ensures proper isolation precautions are followed to protect both patients and healthcare workers. Summary: - Option A is correct because it relates to infection control and maintaining a safe care environment. - Option B, health promotion and maintenance, is not relevant to the scenario described. - Option C, psychosocial integrity, does not address the primary concern of preventing the spread of infection. - Option D, teaching/learning, is not the focus of the scenario, which is more about infection control and safety.
Question 3 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.
Question 4 of 9
A nurse is part of the policy committee for a hospital. The committee is provided with statistics indicating that patients participating in a satisfaction survey felt they lacked sufficient information about new drugs started while hospitalized and continued after discharge. In addition, charts noted high recidivism rates. The committee recommended that a formalized patient education plan be instituted to reconcile all medications and provide patient information about new medications. The committee is using which component of the Institute of Medicine (IOM) 2011 message?
Correct Answer: D
Rationale: The correct answer is D: Policy is based on data, which provides the groundwork for decision making. This is the correct answer because the scenario describes the policy committee using statistics about patient satisfaction and recidivism rates to make recommendations for a patient education plan. By utilizing data, the committee is following the IOM 2011 message of basing decisions on evidence and information. A: Nurses achieving higher levels of education is not directly related to the scenario and the committee's decision-making process. B: The requirement of a master's degree for nurses on policy committees is not mentioned in the scenario and is not relevant to the decision-making process described. C: Comparing nurse pay to physicians' pay is not relevant to the scenario or the IOM 2011 message of using data for decision making.
Question 5 of 9
A nursing unit's census consists primarily of long-term residents with a high risk for falls. To meet new safety regulations, the nurse manager must plan to replace all 50 patient beds with new beds equipped with Fall Watch electronic sensors that will detect when patients get out of bed. The manager will be involved in which type of budgeting to replace the beds?
Correct Answer: D
Rationale: The correct answer is D: Capital budgeting. Capital budgeting involves planning and managing significant expenditures for long-term assets like equipment and facilities. In this scenario, replacing all 50 patient beds with new beds equipped with Fall Watch electronic sensors is a major investment in a long-term asset. The nurse manager is making a strategic decision that will impact the nursing unit's operations for an extended period. Summary: A: Fiscal budgeting focuses on revenues and expenses for a specific period, not long-term asset investments. B: Labor budgeting pertains to planning and managing labor costs, not capital investments. C: Operational budgeting involves day-to-day expenses and activities, not major capital expenditures like replacing all patient beds.
Question 6 of 9
Which type of data analysis results in the non-numerical organization of data?
Correct Answer: C
Rationale: The correct answer is C: Qualitative. Qualitative data analysis involves organizing non-numerical data into themes, patterns, or categories. This type of analysis focuses on the quality and characteristics of the data rather than numerical values. Descriptive analysis (A) involves summarizing and presenting numerical data. Inferential analysis (B) involves making predictions or inferences about a population based on sample data. Quantitative analysis (D) involves working with numerical data to derive insights and conclusions. In this question, the focus is on the non-numerical organization of data, which aligns with qualitative analysis.
Question 7 of 9
An experienced nurse working in oncology is shocked to realize that he feels little empathy when a patient explains, "I developed cancer from having to work in the dry cleaning industry since I was only 8 years old to help support my younger siblings during the depression. Now they have all moved away and refuse to help me financially, and it takes everything I have to pay for my chemotherapy medicine." The nurse is experiencing:
Correct Answer: B
Rationale: The correct answer is B: compassion fatigue. Compassion fatigue refers to the emotional and physical exhaustion that healthcare providers may experience from caring for patients in distressing situations over a prolonged period. In this scenario, the nurse's lack of empathy despite the patient's heart-wrenching story indicates emotional exhaustion and desensitization, which are common symptoms of compassion fatigue. This nurse has likely become overwhelmed by the emotional toll of consistently supporting patients facing difficult circumstances, leading to a diminished capacity for empathy. Incorrect choices: A: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. While the nurse may be experiencing emotional exhaustion, the specific lack of empathy in response to the patient's situation aligns more closely with compassion fatigue. C: Reality shock typically refers to the discrepancy between the expectations of a new role and the actual experiences encountered. This term does not accurately describe the nurse's emotional response to the patient's situation. D: Horizontal hostility refers to negative
Question 8 of 9
The Metropolitan Medical Response System (MMRS):
Correct Answer: B
Rationale: The correct answer is B because the Metropolitan Medical Response System (MMRS) consists of responders who have received specialized training and equipment to handle mass casualty events efficiently. This specialized training and equipment enable them to respond effectively to disasters such as terrorist attacks, natural disasters, or pandemics. Choice A is incorrect because the MMRS is not solely funded by the federal government national disaster fund. Choice C is incorrect as the MMRS does not store medications and antidotes but focuses on response capabilities. Choice D is incorrect as the MMRS does not directly handle patient admissions to federal hospitals but rather focuses on emergency response coordination.
Question 9 of 9
An acute care facility values job satisfaction among its registered nurses.by implementing a shared governance model. Which element is a fundamental characteristic of this model?
Correct Answer: D
Rationale: The correct answer is D because shared governance involves empowering nurses to participate in decision-making related to patient care. This element is fundamental as it promotes autonomy, collaboration, and professional growth among nurses. Option A is incorrect as an open-door policy does not necessarily imply shared governance. Option B, dispute resolution, is important but not a fundamental characteristic of shared governance. Option C, mandatory reporting, does not align with the collaborative nature of shared governance. In summary, nurses having an active role in patient care decision making is crucial for the successful implementation of a shared governance model.