Ethics & Issues in Contemporary Nursing

Questions 113

ATI RN

ATI RN Test Bank

Ethics & Issues in Contemporary Nursing Questions

Question 1 of 5

A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?

Correct Answer: C

Rationale: The correct answer is C because it offers a practical solution. By accepting another nursing position and transferring to labor and delivery when a position is available, the nurse can gain experience, maintain employment, and potentially build a relationship with the organization. This approach shows flexibility and commitment. A: Continuing to study is important, but it may not guarantee a position in labor and delivery. B: Returning to college is unnecessary and may delay entering the workforce. D: Practicing skills in a simulation lab is beneficial, but it does not address the immediate need for employment in the desired field.

Question 2 of 5

Students are assigned to write to their state leaders about an issue affecting their community. One student writes about the need among rural community for greater access to acute care services. Which of the following pieces of legislation should the student use as a reference?

Correct Answer: B

Rationale: The correct answer is B: Hill-Burton Act. This legislation established a program to provide federal grants for the construction of hospitals and healthcare facilities in underserved areas. It specifically addressed the need to improve access to healthcare services, aligning with the student's concern about acute care services in rural communities. The other choices are incorrect because: A: Social Security Act primarily focuses on social insurance programs; C: Sheppard-Towner Act focused on maternal and child healthcare; D: U.S. Civil Service Act pertains to regulations for federal employees, none of which directly address the issue of access to acute care services in rural communities.

Question 3 of 5

In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?

Correct Answer: C

Rationale: 1. Infection control is crucial in ensuring safe and effective care for all clients. 2. Infection control measures are essential in preventing the spread of infections in healthcare settings. 3. Infection control is relevant in promoting and maintaining health by preventing illness. 4. Psychosocial integrity can be compromised by infections, making infection control important in this category. 5. Physiologic integrity involves preventing and managing infections through proper protocols. 6. While teaching/learning, health promotion, and pharmacology are important, they are not integrated into all client need categories like infection control.

Question 4 of 5

Health care is one of the major stories in newspaper and television and a group of nurses are interested in how the economy impacts their nursing practice. The group critiques the relationship between contemporary economic trends and professional nursing practice and finds:

Correct Answer: C

Rationale: The correct answer is C because pay for performance initiatives incentivize nurses to improve patient outcomes by reducing errors and following best practices. This directly links economic incentives to nursing practice. Choice A is incorrect because the DRG system primarily affects hospital reimbursement, not nursing shortages. Choice B is incorrect as it focuses on the type of care, not the economic impact on nursing practice. Choice D is incorrect as economic factors like funding, resources, and reimbursement significantly influence nursing practice.

Question 5 of 5

A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on the unit." Which type of logical fallacy has influenced the nurse?

Correct Answer: B

Rationale: The correct answer is B: Appeal to common practice. The nurse's argument that "everyone just pushes the medicine slowly" and that "no one checks for compatibility" is based on the common practice in the unit rather than on scientific evidence or guidelines. This logical fallacy assumes that just because something is commonly done, it must be correct. In this case, the nurse is disregarding the importance of checking drug compatibility and following proper protocols. Incorrect choices: A: Ad hominem abusive - This choice involves attacking the person making the argument rather than addressing the argument itself, which is not evident in the scenario. C: Appeal to emotion - This choice would involve using emotions to manipulate the audience rather than relying on logic or evidence, which is not the case in the scenario. D: Appeal to tradition - This choice would involve arguing that something is right or good because it has been done that way for a long time, which is not explicitly stated in the scenario.

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