ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
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 2 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 3 of 5
Mandatory overtime and reduction in RN staff have resulted in decreased client satisfaction and a sentinel event. Management is unwilling to discuss a change in staffing, and collective bargaining interest is sparked. During the pre-election period, what actions by management are prohibited? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because seeking individuals to spy on coworkers who are possible union supporters is a violation of the National Labor Relations Act (NLRA). This action is considered an unfair labor practice as it interferes with employees' rights to engage in protected concerted activities, including discussing unionization. It creates a hostile work environment and undermines the employees' right to organize. Choices B, C, and D are incorrect because they do not directly violate the NLRA. Photographing employees participating in union-related activities may be considered intimidating but is not explicitly prohibited. Visiting managers outside of work to gain their perception of union popularity is not inherently illegal, as long as it does not coerce or intimidate them. Threatening to relocate the company if the union wins is considered an unfair labor practice, but in this scenario, it is mentioned that there is no intention to relocate, so it does not apply.
Question 4 of 5
An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
Correct Answer: B
Rationale: The correct answer is B: Veracity. Veracity refers to the principle of truthfulness and honesty in communication. In this scenario, the nurse knowingly provides false information to the daughter by stating that the mother is responding to her voice when the movement was actually involuntary. By not being truthful, the nurse violates the principle of veracity. Autonomy (A) is the right of individuals to make their own decisions. Utilitarianism (C) focuses on the greatest good for the greatest number of people. Deontology (D) is an ethical theory based on rules and duties. These principles are not directly related to the nurse's dishonesty in this situation.
Question 5 of 5
A researcher conducts a survey to determine the perceived health status of elderly persons living independently at home. The same subjects participate in a telephone call in which they describe the lived experience of living with chronic illness. When writing up the research study, the nurse would describe using:
Correct Answer: B
Rationale: The correct answer is B: triangulation. Triangulation involves using multiple data sources or methods to validate findings. In this scenario, the nurse is using both survey data and telephone interviews to gain a comprehensive understanding of the elderly persons' health status. This method enhances the study's credibility and reliability by cross-verifying information. A: A control group is not relevant in this context as it involves comparing an intervention group with a control group to assess the impact of an intervention. C: A pilot study is a small-scale preliminary study conducted to evaluate the feasibility of a larger study. It is not the appropriate description for using multiple data sources. D: Secondary data analysis involves analyzing existing data collected by someone else. It is not applicable in this case where the researcher is collecting primary data through surveys and interviews.
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