ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage. Which statements accurately portray professional nursing today and tomorrow? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the current trend in nursing education shows an increasing number of registered nurses (RNs) attaining a bachelor's degree compared to an associate degree or diploma. This shift is supported by research indicating that BSN-prepared nurses have better patient outcomes. Choice B is incorrect because while there is indeed a trend towards more outpatient and home health care, it does not necessarily mean that more RNs practice in these settings than in acute care. Choice C is incorrect as nurse practitioner is the most popular advanced practice specialty, not nurse anesthesia. Choice D is incorrect as it makes a broad and unsubstantiated statement based on ethnicity, which does not accurately represent the trends in nursing education and graduate studies.
Question 2 of 5
Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. This practice is referred to as:
Correct Answer: B
Rationale: The correct answer is B: cost shifting. Cost shifting refers to the practice of healthcare providers charging higher prices to patients who have insurance or can pay in order to make up for the costs incurred from providing care to uninsured or underinsured individuals. This helps offset the financial burden caused by uncompensated care. A: Charity is incorrect because it refers to voluntary giving of help, typically in the form of money or goods, to those in need. Cost shifting involves charging more to certain patients to cover costs, rather than voluntary donations. C: Price sharing is incorrect as it does not accurately reflect the concept of redistributing costs among different groups of patients based on their ability to pay. D: Governmental reimbursement is incorrect because it specifically refers to payments made by the government to healthcare providers for services rendered to patients covered by government insurance programs, not the practice of cost shifting.
Question 3 of 5
During the night, a patient fell in the bathroom and sustained a hip injury. The patient was very upset because of being unable to attend a granddaughter's wedding in 2 days. The team looked at the process and determined that the patient had been medicated with a narcotic, had urinary urgency so had not taken the time to put on shoes, failed to turn on the light because the door to the hall let in some light, and stumbled over a towel that had been placed to collect water leaks caused by construction that was in progress to replace damaged sinks. Which factor was a special cause variation?
Correct Answer: D
Rationale: The correct answer is D: Improper construction that caused the leak and towel placement. This is a special cause variation because it is an external factor outside the patient's control that directly contributed to the incident. The construction causing water leaks and the placement of a towel to collect water created a hazardous environment leading to the fall. The other choices, A, B, and C, are common cause variations as they are related to the patient's behavior or medical condition which could have been managed or controlled within the usual process.
Question 4 of 5
A nurse researcher determines whether findings are substantial by calculating the level of significance. Which aspect of the scientific inquiry is being conducted?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. In this scenario, the nurse researcher is determining the significance of findings, which falls under the evaluation phase of scientific inquiry. Evaluation involves assessing the results and determining their importance and relevance. It is crucial in determining the validity and impact of the research findings. A: Hypothesis - While formulating a hypothesis is an important step in the scientific method, it is not directly related to determining the significance of findings. B: Method - Refers to the procedures used to conduct the research study, not specifically related to evaluating the significance of findings. C: Data collection - Involves the process of gathering data, not directly related to determining the level of significance of findings.
Question 5 of 5
The nursing executive team met to review last year's productivity metric to strategize for the upcoming year's metric. The team wants to be certain the productivity metric shows productivity was:
Correct Answer: C
Rationale: The correct answer is C: balanced. In a professional setting, a balanced productivity metric indicates that productivity was at an optimal level, not too high or too low. This implies that the team wants to ensure that productivity was neither excessively high nor low, but rather appropriately managed. Option A (high) and B (low) are incorrect as they represent extreme ends of the spectrum, which may not accurately reflect the desired productivity level. Option D (iterative) is incorrect because it refers to a process of repetition and refinement, which is not directly related to the level of productivity achieved. Therefore, the most suitable choice in this context is C: balanced, as it aligns with the team's goal of maintaining an optimal level of productivity.
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