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
A nurse holds a license in one state but wishes to practice in a second state that is not participating in a nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not retake the licensure examination. The nurse obtains licensure in the second state:
Correct Answer: A
Rationale: The correct answer is A: by licensure and by endorsement. When a nurse holds a license in one state and wishes to practice in another state not participating in a compact agreement, they can typically obtain licensure in the second state through endorsement, which allows them to practice without retaking the licensure examination. This process involves the second state recognizing the nurse's credentials from the original state and granting them a license upon payment of a fee. Choices B, C, and D are incorrect because: B: Mandatory continuing education is a requirement for maintaining licensure but not typically for obtaining initial licensure in a new state. C: Being "grandfathered" usually refers to exempting individuals from new requirements based on previous qualifications, which is not applicable in this scenario. D: Sunset legislation refers to laws that automatically expire unless reauthorized, which is not relevant to the process of obtaining licensure in a new state.
Question 3 of 9
A patient informs the nurse, "I burn a lavender-scented candle for an hour before bedtime to help me relax and sleep." The nurse realizes this patient is using:
Correct Answer: A
Rationale: The correct answer is A: the mind-body intervention of aromatherapy. Aromatherapy uses essential oils like lavender to promote relaxation and improve sleep. The scent of lavender can have calming effects on the mind and body, aiding in relaxation before bedtime. Qi gong (B) is a form of energy healing, Alexander technique (C) involves posture and movement, and conventional medicine (D) focuses on pharmaceutical or surgical interventions, none of which are directly related to using a lavender-scented candle for relaxation and sleep.
Question 4 of 9
A primary function of the budgeting process is to provide managers with an opportunity to:
Correct Answer: B
Rationale: The correct answer is B because the primary function of the budgeting process is to discuss concerns about resource allocation with leaders capable of resolving issues. This allows managers to make informed decisions on how to allocate resources effectively. Choice A is incorrect as the budgeting process is not primarily about insisting on specific salary increases. Choice C is incorrect as it focuses on changing budgeting methods rather than the purpose of budgeting itself. Choice D is incorrect as developing an educational program is not the primary purpose of the budgeting process.
Question 5 of 9
A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence. To enhance employee satisfaction related to staffing, the management team:
Correct Answer: C
Rationale: Step-by-step rationale for choice C: 1. Participatory management involves nurses in decision-making, increasing job satisfaction. 2. Involving nurses in staffing decisions can lead to better scheduling and workload distribution. 3. This empowerment can improve morale and foster a sense of ownership among nurses. 4. Ultimately, participatory management enhances job satisfaction and retention. Summary: - Choice A (additional agency nurses) may address short-term staffing needs but doesn't directly improve job satisfaction. - Choice B (more part-time employees) may not address underlying issues of satisfaction and can lead to scheduling challenges. - Choice D (using float nurses) may help cover vacancies but doesn't involve nurses in decision-making or address satisfaction directly.
Question 6 of 9
While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
Correct Answer: A
Rationale: The correct answer is A: cultural competence. By enrolling in Spanish classes to better communicate with Mexican-Americans in Laredo, the nursing student is demonstrating an understanding and appreciation of different cultures. Cultural competence involves having the knowledge, skills, and attitudes to effectively interact with individuals from diverse backgrounds. This student's actions show a commitment to providing culturally sensitive care in a multicultural setting. Choices B, C, and D are incorrect: B: Ethnocentrism refers to the tendency to view one's own culture as superior to others. The student's actions of learning Spanish do not align with this mindset. C: Prejudice involves preconceived opinions or attitudes towards a group. The student's actions are aimed at improving cross-cultural understanding, not perpetuating negative stereotypes. D: Stereotyping involves making assumptions about individuals based on their group membership. The student's choice to learn Spanish is about building connections and understanding, not generalizing about an entire group.
Question 7 of 9
A member of a nursing students study group comments, "I wish our instructor would just tell us the important information that we will be tested on in our course and on NCLEX®. Instead, we spend some time early in the class discussing key facts then the most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents:
Correct Answer: D
Rationale: The correct answer is D: practice-based competency. This teaching-learning style focuses on developing practical skills and competencies through hands-on experiences such as case studies and simulator practice. This approach is more effective in preparing nursing students for real-world scenarios and NCLEX® exams compared to just memorizing basic facts (choice A). Objective Structured Clinical Examinations (OSCE) (choice B) involve structured assessments of clinical skills and are not the primary focus of the teaching style described. Peer-to-peer learning (choice C) emphasizes collaborative learning among students, which may be a component of the teaching style but not the central focus. Practice-based competency (choice D) aligns best with the emphasis on practical application and skill development described in the scenario.
Question 8 of 9
When preparing to complete a competency examination involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consist of:
Correct Answer: B
Rationale: The correct answer is B because in a competency examination involving a neurologic assessment, the critical elements are the required criteria that must be incorporated into the assessment to achieve the desired outcome. These elements are essential components that assessors need to include to ensure a thorough and accurate evaluation of the client's neurological status. Choice A is incorrect as critical elements do not necessarily equate to life or death situations. Choice C is incorrect as fundamental strategies unique to complex dynamic care environments are not specifically related to the critical elements of a neurologic assessment. Choice D is incorrect as objective data for client recovery likelihood is not the same as the required criteria for a neurologic assessment.
Question 9 of 9
The primary purpose of licensure for RNs is to:
Correct Answer: C
Rationale: Step-by-step rationale for choice C: 1. Licensure ensures RNs meet minimum standards to practice. 2. Protects the public from incompetent or unqualified nurses. 3. Ensures RNs adhere to ethical and legal standards. 4. Maintains accountability and promotes safe patient care. Summary: A: Incorrect, as licensure is not primarily about title protection. B: Incorrect, as while RNs demonstrate knowledge, licensure is broader. D: Incorrect, as enhancing recognition is not the primary goal of licensure.