ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse completes the following interventions: places the client on the examining table, completes a thorough history and physical, covers the client with a sheet, places the call button within reach, and goes out in the hall to speak with the client's physician. The client tries to get up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The nurse's actions reflect:
Correct Answer: D
Rationale: The correct answer is D: negligence. Negligence refers to a failure to provide the standard of care that a reasonably prudent person would have provided in a similar situation, resulting in harm to the client. In this scenario, the nurse failed to ensure the safety of the client by leaving them unattended on an examining table, leading to the client falling and sustaining injuries. This breach of duty to provide proper care and supervision constitutes negligence. Choice A (invasion of privacy) is incorrect because it does not relate to the nurse's failure to provide proper care and supervision. Choice B (libel) and Choice C (slander) are also incorrect as they pertain to defamation, which is not applicable in this situation. The nurse's actions primarily reflect negligence due to the failure to provide adequate supervision, resulting in harm to the client.
Question 2 of 5
A patient who is interested in herbal medicine attends a seminar to learn more about complementary alternative medicine (CAM). The patient learns that a common belief related to all CAMs includes that: (select all that apply)
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Many different CAMs focus on specific body parts and the mind: This statement aligns with the holistic approach of CAM, which emphasizes treating the whole person, including physical, mental, emotional, and spiritual aspects. 2. CAMs are not limited to interventions for diseased body parts; they often aim to promote overall well-being and address underlying causes. 3. Individualized treatment is a common principle in CAM, but it is not the defining belief shared by all CAM practices. 4. The body's ability to repair itself is a fundamental concept in CAM, and natural remedies are often used to support and enhance this innate healing process. Summary: Choice A is incorrect because it contradicts the fundamental belief in the body's self-healing abilities in CAM. Choice C is incorrect because CAM often focuses on promoting health and preventing disease rather than just intervening in diseased body parts. Choice D is also incorrect as individualized treatment is not a universal belief among all
Question 3 of 5
A nurse holds a license in one state but wishes to practice in a second state that is not participating in a nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not retake the licensure examination. The nurse obtains licensure in the second state:
Correct Answer: A
Rationale: The correct answer is A: by licensure and by endorsement. When a nurse holds a license in one state and wishes to practice in another state not participating in a compact agreement, they can typically obtain licensure in the second state through endorsement, which allows them to practice without retaking the licensure examination. This process involves the second state recognizing the nurse's credentials from the original state and granting them a license upon payment of a fee. Choices B, C, and D are incorrect because: B: Mandatory continuing education is a requirement for maintaining licensure but not typically for obtaining initial licensure in a new state. C: Being "grandfathered" usually refers to exempting individuals from new requirements based on previous qualifications, which is not applicable in this scenario. D: Sunset legislation refers to laws that automatically expire unless reauthorized, which is not relevant to the process of obtaining licensure in a new state.
Question 4 of 5
A member of a nursing students study group comments, "I wish our instructor would just tell us the important information that we will be tested on in our course and on NCLEX®. Instead, we spend some time early in the class discussing key facts then the most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents:
Correct Answer: D
Rationale: The correct answer is D: practice-based competency. This teaching-learning style focuses on developing practical skills and competencies through hands-on experiences such as case studies and simulator practice. This approach is more effective in preparing nursing students for real-world scenarios and NCLEX� exams compared to just memorizing basic facts (choice A). Objective Structured Clinical Examinations (OSCE) (choice B) involve structured assessments of clinical skills and are not the primary focus of the teaching style described. Peer-to-peer learning (choice C) emphasizes collaborative learning among students, which may be a component of the teaching style but not the central focus. Practice-based competency (choice D) aligns best with the emphasis on practical application and skill development described in the scenario.
Question 5 of 5
A nurse is assigned to a unit other than the one she is normally assigned due to increased census on the alternate unit. She is assigned to care for seven patients and participates in walking rounds where the patient's condition and needs are discussed between oncoming and off-going shifts of the interdisciplinary team. The nurse carefully makes notes of all pending orders and prioritizes needs. The nurse enters the cafeteria later and the notes accidentally fall from her pocket, which contain the above information that contains patient sensitive datThe liabilities arising from this incident would be covered under:
Correct Answer: A
Rationale: Step-by-step rationale for why Choice A is correct: 1. The scenario involves the accidental disclosure of patient-sensitive data. 2. The Health Insurance Portability and Accountability Act (HIPAA) specifically addresses the protection of patient information. 3. HIPAA requires healthcare providers to safeguard patient data and maintain confidentiality. 4. In this case, the nurse's unintentional disclosure of patient information falls under HIPAA violations. 5. Therefore, the liabilities arising from this incident would be covered under HIPAA. Summary of why other choices are incorrect: B. The ANA Scope and Practice Act focuses on the scope of nursing practice and does not specifically address patient data protection like HIPAA. C. Affirmative duty failing to question order relates to a nurse's responsibility to question unsafe orders, not patient data protection. D. Personal liability with floating and cross-training does not cover the accidental disclosure of patient information, which falls under HIPAA.
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