ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 9
Which trend is an effect of the nursing shortage on nursing education?
Correct Answer: D
Rationale: The correct answer is D because the nursing shortage has led to a situation where students may be assigned to preceptors who have not yet developed expertise in the field of interest. This is a direct effect of the shortage as experienced and qualified nurses may not always be available to mentor students. This can impact the quality of education and training students receive, potentially hindering their learning and skill development. Options A, B, and C are incorrect: A: While it is true that devoted qualified nurses may be providing bedside nursing due to the complexity of care required, this does not directly relate to the effect of the nursing shortage on nursing education. B: The increase in the number of applicants and limited enrollment due to financial reasons is a separate issue from the shortage's impact on nursing education. C: The increase in nurses entering graduate school does not necessarily result in a lower faculty/student ratio for nursing students and is not a direct effect of the nursing shortage on nursing education.
Question 2 of 9
A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?
Correct Answer: D
Rationale: The correct answer is D: Capitation. Capitation is a payment model where healthcare providers receive a fixed amount per patient per month to provide all necessary healthcare services. This aligns with the description of the plan in the question, offering services based on a monthly fee per participant. Capitation also emphasizes preventive care, diagnostic services, and treatment, making it the most suitable choice. A: Prospective payment system is a method where healthcare providers are paid a fixed amount per service in advance. This does not match the description of the plan in the question. B: Retrospective payment system involves reimbursing healthcare providers after services are delivered based on the actual costs incurred. This is not based on a monthly fee per participant. C: Single-payer system refers to a healthcare system where a single public or quasi-public agency organizes healthcare financing. This is not based on a monthly fee per participant.
Question 3 of 9
What characteristics are associated with the clinical nurse leader? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the clinical nurse leader is indeed a generalist prepared at the master's level. They have advanced education and training to lead and coordinate care across various settings. Choice B is incorrect as CNLs focus on care coordination and management rather than direct bedside care. Choice C is incorrect as CNLs prioritize quality care over cost. Choice D is incorrect as CNLs can work in various healthcare settings, not limited to acute care.
Question 4 of 9
The primary purpose of the Social Security Act of 1935 was to:
Correct Answer: C
Rationale: The correct answer is C: ensure health care for older adults through a national insurance system. The Social Security Act of 1935 established social insurance programs to provide financial support for retired and elderly individuals. This was done through the implementation of Old-Age, Survivors, and Disability Insurance. The Act aimed to address the economic insecurity faced by older adults and their families by providing a safety net through a national insurance system. Incorrect answers: A: Increasing research on minority groups was not the primary purpose of the Social Security Act of 1935. B: Providing medical care for chemically impaired persons was not the primary focus of the Act. D: Decreasing the public's financial burden by limiting services offered by local health departments was not the primary goal of the Act.
Question 5 of 9
A nurse is informed that the Federal Bureau of Investigation has determined that a bomb has been detected and is in the possession of a known terrorist group. The government buildings in the local community are the target. This situation is termed a(n):
Correct Answer: C
Rationale: The correct answer is C: credible threat. In this scenario, a credible threat refers to a specific and tangible indication that a harmful event may occur. The information provided by the FBI about a bomb in possession of a known terrorist group targeting government buildings is a clear example of a credible threat. This term is specifically used in emergency management to indicate a situation where there is a realistic possibility of harm. A is incorrect because an all-hazards approach involves preparing for and responding to a wide range of potential disasters, not specifically a bomb threat. B is incorrect because a biologic event refers to an outbreak of a biological agent, not a bomb threat. D is incorrect because a natural disaster involves events caused by natural forces, not intentional acts by terrorist groups.
Question 6 of 9
A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life, serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?
Correct Answer: A
Rationale: The correct answer is A: Referent power. Referent power is based on an individual's personal characteristics that others admire and seek to emulate. In this case, the nurse's ability to manage time effectively, maintain control in her personal and professional life, and serve in various leadership roles demonstrates her influence over others through admiration and respect. It is not legitimate power (B) as her authority does not stem from a formal position. It is not information power (C) as her power is not derived from possessing or sharing specific knowledge. It is not connection power (D) as her influence is not based on her network or relationships but rather on her personal qualities.
Question 7 of 9
A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study?
Correct Answer: D
Rationale: The correct answer is D: Rogers' science of unitary human beings. This theory emphasizes the interconnectedness between humans and their environment as energy fields. Step 1: The nurse's belief that humans use creativity and critical thinking aligns with Rogers' theory of constant interaction with the environment through energy fields. Step 2: This theory views humans as holistic beings, emphasizing the balance and harmony between individuals and their surroundings. Step 3: Peplau's theory focuses more on interpersonal relations, Roy's on adaptation to stressors, and Orem's on self-care deficits, which are not directly related to the nurse's hypothesis. Therefore, Rogers' theory best fits the study's focus on the dynamic interaction between humans and their environment through creativity and critical thinking.
Question 8 of 9
A patient presents with chest pain that increases when lying flat and low-grade fever. Assessment reveals muffled heart sounds, tachycardia, and 3+ edema in the lower extremities. The nurse asks the patient to learn forward, which eases respiratory efforts. The nurse then places the stethoscope at which area on the chest to facilitate auscultation? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
Correct Answer: B
Rationale: The correct answer is B: Hot-spot item, analysis level. In this scenario, the patient's symptoms suggest pericardial effusion or cardiac tamponade. To facilitate auscultation, the nurse should place the stethoscope at the point of maximal intensity of the heart sounds, which is typically at the apex of the heart or the lower left sternal border. This requires the nurse to analyze the patient's symptoms and apply knowledge of cardiac anatomy to determine the optimal auscultation site. A: Multiple-response item, comprehension level - This choice involves selecting multiple correct answers from a list of options based on understanding the presented information. It doesn't require the critical thinking and analysis needed in this scenario. C: Chart/exhibit item, application level - This choice involves interpreting information presented in a chart or exhibit to apply it to a specific situation. While it involves application, it doesn't require the same level of analysis as determining the best auscultation site. D: Drag-and
Question 9 of 9
A group of nurses are assembling outside a hospital protesting the use of foreign nurses after several nurses were terminated due to what the hospital called recurring "decreased census." The nurses carry signs with messages asking potential patients to seek care elsewhere. The local newspaper picked up the story, and the hospital is receiving negative press. The nurses are participating in:
Correct Answer: A
Rationale: The correct answer is A: picketing. Picketing involves protesting outside a workplace to draw attention to an issue, such as the use of foreign nurses in this case. The nurses are not actively refusing to work (strike), negotiating work conditions (collective bargaining), or submitting their dispute to a third party for resolution (arbitration). Picketing is the most appropriate term for their actions in this scenario.