Ethics & Issues in Contemporary Nursing

Questions 113

ATI RN

ATI RN Test Bank

Ethics & Issues in Contemporary Nursing Questions

Question 1 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.

Question 2 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 3 of 5

The precise classification of clients according to the highest diagnosis-related group (DRG) has created a new role for nurses, known as a nurse.

Correct Answer: A

Rationale: The correct answer is A: case management. Case management involves coordinating care for patients to ensure they receive appropriate services and resources. DRGs determine reimbursement based on patient diagnoses, making accurate classification crucial. Nurses in case management play a key role in ensuring patients are placed in the correct DRG category for optimal care and reimbursement. Other choices are incorrect because: B: Quality assurance focuses on monitoring and improving the quality of care, not specifically tied to DRG classification. C: Utilization review involves assessing the appropriateness and necessity of healthcare services, not directly related to DRG classification. D: Cost-control pertains to managing healthcare costs, but does not address the specific role of nurses in DRG classification and patient care coordination.

Question 4 of 5

A physician complains to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered. The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?

Correct Answer: C

Rationale: Step 1: The administrator acknowledges the physician's concern to maintain a professional relationship. Step 2: The administrator educates the physician that patient education on medications falls within the nurse's scope of practice. Step 3: The administrator addresses the nurse and physician to ensure both are informed of the resolution. Step 4: This approach promotes mutual understanding and respect between nurse and physician. Summary: Option C is the correct answer as it acknowledges the physician's concern, educates on scope of practice, and fosters communication between both parties. Options A, B, and D are incorrect as they either punish the nurse unjustly, fail to educate the physician, or involve unrelated parties in the decision-making process.

Question 5 of 5

The demographics of the twenty-first century nursing population indicate that:

Correct Answer: C

Rationale: The correct answer is C because the highest level of nursing education for most RNs is an associate degree. This is supported by data showing that a significant proportion of registered nurses have obtained their education through associate degree programs. Additionally, pursuing an associate degree is a common pathway for individuals entering the nursing profession due to its accessibility and shorter duration compared to obtaining a bachelor's or graduate degree. Choice A is incorrect because while there may be second-degree nursing students entering the field, the average age of individuals entering nursing is typically younger than 45 years old. Choice B is incorrect as there is increasing diversity in the nursing workforce, with nurses from various ethnic backgrounds entering and obtaining graduate degrees. Choice D is incorrect as the majority of nurses are not practicing in hospitals, with many working in other healthcare settings such as clinics, long-term care facilities, and community health centers.

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