ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?
Correct Answer: C
Rationale: The correct answer is C: Ask to observe the skill as it is being performed; then perform it under direct supervision. This approach allows the novice nurse to learn through observation and hands-on practice under direct supervision, ensuring proper technique and safety. By observing the skill first, the nurse can understand the correct steps and potential challenges. Performing the skill under supervision provides real-time feedback and guidance. This method promotes active learning and confidence-building. Rationale for incorrect choices: A: Reading the procedure manual is helpful but may not provide the necessary hands-on experience and immediate feedback required for skill acquisition. B: Practicing in a skills laboratory can be beneficial, but it may not offer the opportunity for direct supervision and feedback from experienced professionals. D: Trying to remember from a previous simulation may not be reliable and lacks the real-time guidance and correction needed for skill mastery.
Question 2 of 5
The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform steps in which order. Put a comma and space between each answer choice (e.g., a, b, c, d).
Correct Answer: A
Rationale: The correct order is to first open the outer package to access the inner package containing the gloves. This ensures that the gloves remain sterile until they are needed. Opening the inner package first would expose the gloves to potential contamination. Putting on the gloves should be done after opening the inner package, starting with the nondominant hand to prevent contamination. Adjusting the gloves carefully should be the final step after both gloves are on to ensure a proper fit. Therefore, choice A is correct as it establishes the correct sequence for maintaining sterility throughout the process.
Question 3 of 5
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely. Explanation of other choices: B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task. C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions. D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.
Question 4 of 5
A pregnant woman reports back pain and wants to try a complementary alternative medicine (CAM) therapy. The nurse knows that which CAM would be contraindicated?
Correct Answer: A
Rationale: The correct answer is A: Magnet therapy. Magnet therapy is contraindicated in pregnancy due to the risk of unknown effects on the fetus. Magnets may interfere with the body's natural magnetic fields, potentially causing harm to the developing baby. Aromatherapy (B), imagery (C), and therapeutic touch (D) are generally considered safe during pregnancy when performed by trained professionals and with appropriate precautions. Aromatherapy uses essential oils, imagery involves mental visualization techniques, and therapeutic touch uses energy-based techniques that do not pose significant risks to the pregnant woman or the fetus.
Question 5 of 5
An RN is consistently late to work, causing reassignment of patient care and the need for repeated shift reports. The nurse, who receives a warning for repeated tardiness, states, "My husband left me, I have no car, no family close by, and the bus is always late, which makes me late. The nurse manager doesn't care how hard I try to get here, and I am raising a child by myself." The nurse is using which type of logical fallacy?
Correct Answer: A
Rationale: The correct answer is A: Appeal to emotion. The nurse is trying to justify their repeated tardiness by appealing to the emotions of the nurse manager, by invoking pity and sympathy. This type of logical fallacy involves using emotional manipulation to distract from the real issue of consistently being late to work. The nurse's personal circumstances are valid but do not excuse the behavior. Summary of other choices: B: Appeal to tradition - This fallacy involves justifying a belief or action based on the fact that it has been done that way in the past. This is not evident in the nurse's response. C: Hasty generalization - Drawing a conclusion based on insufficient evidence. The nurse's explanation is specific to their own situation and not a broad generalization. D: Confusing cause and effect - Mistaking the cause of a situation for the effect or vice versa. The nurse is trying to use their personal circumstances as the cause of being consistently late, rather than taking responsibility for their actions.
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