Ethics and Issues in Contemporary Nursing PDF

Questions 112

ATI RN

ATI RN Test Bank

Ethics and Issues in Contemporary Nursing PDF Questions

Question 1 of 5

A group of local volunteers respond to a tornado. Volunteers have completed an emergency response course and are able to assist with triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of the:

Correct Answer: A

Rationale: The correct answer is A: Medical Reserve Corps (MRC). Step 1: The MRC is a community-based program of volunteers who are trained to respond to public health emergencies. Step 2: The volunteers in the scenario have completed an emergency response course and are assisting with triage and educating the public, aligning with the MRC's mission. Step 3: The MMRS focuses on responding to mass casualty incidents, not necessarily public health emergencies like tornadoes. NDMS is a federally coordinated system for medical response in disasters, not typically focused on community-based responses. CCRF is a reserve force within the U.S. Public Health Service, not specifically focused on community emergency response.

Question 2 of 5

Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks. Each member contributes based on his or her area of expertise but also recognize other members' strengths. Which of the QSEN competencies are being demonstrated?

Correct Answer: C

Rationale: The correct answer is C: Teamwork and collaboration. This is demonstrated as the nurses, physicians, and social workers work together to finalize the care plan and coordinate discharge for the homeless person. Each member contributes based on their expertise, recognizing and utilizing the strengths of other team members. This showcases effective communication, mutual respect, and shared decision-making, which are key aspects of teamwork and collaboration. Summary of other choices: A: Quality improvement - Not directly related to the collaborative effort described in the scenario. B: Evidence-based practice - While important, this choice does not specifically address the interprofessional collaboration demonstrated in the scenario. D: Patient-centered care - While important in overall patient care, this choice does not specifically address the teamwork and collaboration among the healthcare professionals in this scenario.

Question 3 of 5

The order reads: Administer 500 mg of Kefzol (cefazolin sodium) Intramuscular. Using information located on the medication vial above, the nurse will administer how many mL? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?

Correct Answer: A

Rationale: The correct answer is A: Multiple-response item, comprehension level. This question requires the nurse to understand the medication label information and convert the dosage from mg to mL. It tests comprehension by assessing the nurse's ability to apply knowledge to a practical situation. The other choices are incorrect because: B: Hot-spot item, application level - Hot-spot items require the selection of a specific area on an image, not applicable in this scenario. C: Chart/exhibit item, analysis level - Chart/exhibit items typically involve interpreting data from charts or exhibits to analyze information, not relevant to this question. D: Drag-and-drop item, knowledge level - Drag-and-drop items involve matching or categorizing information, which does not apply to this question's context.

Question 4 of 5

A nurse is removing a saturated dressing from an abdominal incision and must cut the tape to remove the dressing. The nurse accidentally cuts the sutures holding the incision, and evisceration occurs. In quality improvement, this incident is best identified as a:

Correct Answer: B

Rationale: The correct answer is B: sentinel event. A sentinel event is an unexpected occurrence involving death or serious physical or psychological harm to a patient. In this scenario, the accidental cutting of sutures leading to evisceration constitutes a serious harm to the patient, making it a sentinel event. This event requires immediate investigation, analysis, and implementation of preventive measures to ensure patient safety. A: Root cause refers to the underlying reason for a problem, not the event itself. C: Variation in performance is related to inconsistencies in processes, not a specific critical incident like evisceration. D: Causal factor is a contributing element to an event, but it does not capture the severity and significance of a sentinel event like evisceration.

Question 5 of 5

A male nurse hired to work in the emergency department is observed throwing a contaminated needle into the trash can. The team leader reprimands the nurse for not appropriately disposing of sharps. The nurse states, "You don't care that I threw the needle in the trash. You just want an all-female staff," putting the team leader in a defensive position. This communication technique is known as:

Correct Answer: B

Rationale: The correct answer is B: red herring. In this scenario, the male nurse deflects the issue of improper sharps disposal by accusing the team leader of having ulterior motives related to gender discrimination. This is a classic example of a red herring, where the nurse introduces an irrelevant topic to divert attention from the original issue. The nurse's response does not address the concern raised about sharps disposal but instead shifts the focus to an unrelated accusation. The other choices are incorrect because they do not accurately describe the communication technique used in the scenario. A straw man involves misrepresenting an opponent's argument to make it easier to attack, slippery slope is a form of logical fallacy, and confusing cause and effect refers to a mistaken understanding of the relationship between two events.

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