ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
A nurse is concerned about safe staffing levels at a facility and observes that several units have no RN coverage but instead have RNs who float among several units. In determining whether this staffing concern should be reported to an outside agency, the nurse understands that, with whistle-blowing:
Correct Answer: A
Rationale: The correct answer is A because reporting unsafe staffing levels to The Joint Commission is an appropriate course of action for addressing concerns about patient safety. The Joint Commission is an independent organization that accredits healthcare facilities and promotes high-quality care standards. Whistleblower protection laws safeguard employees who report violations of laws, regulations, or standards that threaten public health or safety. Reporting to The Joint Commission can lead to an investigation and potential improvement in staffing levels to ensure patient safety. Incorrect answers: B: Keeping copies of documented inappropriate staffing patterns in the nurse's personal file is not illegal, but it may not be the most effective way to address the issue. C: Recording personal thoughts on outcomes is not as effective as taking action to report concerns to the appropriate regulatory body. D: Seeking guidance is important, but in cases of unsafe staffing levels, it is crucial to report the issue to the appropriate regulatory agency for resolution.
Question 2 of 5
An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients. The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to:
Correct Answer: B
Rationale: The correct answer is B: stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner. This is the priority intervention because it addresses the immediate issue of potentially incorrect documentation and allows for clarity and understanding between the RN and LPN/LVN. It promotes open communication and a chance to correct any errors that may have occurred. Choice A is incorrect because checking the drug packages after the fact does not address the issue of potentially incorrect documentation and missed medications. Choice C is incorrect as it is an extreme response that does not promote a collaborative and educational approach to resolving the situation. Choice D is incorrect as calling the pharmacy for replacement medications is not necessary at this stage and does not address the immediate concern of potentially incorrect documentation.
Question 3 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 the following steps in order: (items on left will be moved in correct order on the right) Open inner package, taking care not to touch inner surface. Put the glove on the nondominant hand using the sterile gloved hand. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. Adjust each glove carefully by sliding finders under the cuffs. 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: Drag-and-drop item, comprehension. This question requires the nurse to demonstrate understanding of the correct sequence for applying sterile gloves. The drag-and-drop format assesses the ability to organize steps in a specific order, which falls under the comprehension level of Bloom's taxonomy, where the individual is required to understand the information provided. The other choices are incorrect because: B: Chart/exhibit item, analysis - This choice involves interpreting data or information presented in a chart or exhibit, which is not the case in this question. C: Multiple-response, application - This choice requires selecting multiple correct responses to a scenario, which is not the format of this question. D: Hot-spot item, knowledge - This choice involves identifying a specific area or point on an image, which is not relevant to the question about the correct sequence for applying sterile gloves.
Question 4 of 5
The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:
Correct Answer: C
Rationale: The correct answer is C because the crisis communication officer's primary responsibility is to provide clear and factual information about the event within the facility and potentially to the news media. This helps to ensure transparency, maintain credibility, and prevent misinformation. Choice A is incorrect as containing facts within the administration group limits transparency. Choice B is incorrect as inciting panic is counterproductive. Choice D is incorrect as withholding information until confirmed by state and federal agencies may lead to unnecessary delays in communication.
Question 5 of 5
A valuable tool for determining whether a potential employer is suitable for your career goals is to:
Correct Answer: B
Rationale: The correct answer is B because assessing the work climate by walking through the facility allows you to gain firsthand insight into the organization's culture, values, and overall environment. By observing how employees interact, the cleanliness of the facility, and the general atmosphere, you can assess if it aligns with your career goals and preferences. This method provides tangible and direct evidence that can help you make an informed decision. Choice A is incorrect because contacting The Joint Commission is not relevant to evaluating a potential employer's suitability for your career goals. Choice C is incorrect as reviewing financial statements may not provide insights into the work environment and culture. Choice D is incorrect because focusing solely on what the employer can do for you may not give a comprehensive understanding of whether the organization is a good fit for your career aspirations.
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