Ethics and Issues in Contemporary Nursing PDF

Questions 112

ATI RN

ATI RN Test Bank

Ethics and Issues in Contemporary Nursing PDF Questions

Question 1 of 5

A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Which type of leader accurately describes this nurse?

Correct Answer: A

Rationale: The correct answer is A: Transactional. This type of leader focuses on routine tasks, maintaining order, and ensuring tasks are completed efficiently. In this scenario, the nurse is primarily concerned with daily operational tasks like restocking supplies and checking orders, which align with transactional leadership. Situational leadership focuses on adapting to different situations, transformational leadership inspires change and innovation, and contemporary leadership encompasses various modern leadership styles.

Question 2 of 5

A nurse groups patients with criteria such as "high risk for falls," "infection protocols," and "special communication needs" to determine the mix and number of staff needed on a telemetry unit. The nurse is using:

Correct Answer: A

Rationale: Rationale: A nurse grouping patients with specific criteria to determine staffing needs aligns with a patient classification system. This system helps allocate appropriate staff levels based on patient acuity and needs for safe and effective care. It focuses on matching patient needs with staff expertise to ensure quality care. Choices B, C, and D do not directly relate to determining staffing levels based on patient criteria. B refers to billing, C to coordination of care, and D to specific care plans.

Question 3 of 5

A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)

Correct Answer: A

Rationale: The correct answer is A because the legislative branch determines which laws are constitutional by passing or rejecting proposed legislation. In the case of the PPACA, the legislative branch, specifically the Congress, passed the law. The Supreme Court's role is to interpret the constitutionality of laws (not determine which laws are constitutional), as seen in the case where the PPACA was upheld as a form of taxation. Choices B, C, and D are incorrect: B is incorrect because while the legislative branch appropriates funds, the actual allocation of federal dollars is determined through the budget process, not solely by the legislative branch. C is incorrect because the executive branch, not the legislative branch, consists of the President and executive departments that implement laws like the PPACA. D is incorrect because the legislative branch can override a presidential veto with a two-thirds majority vote, not vice versa. The President does not have the power to veto laws found constitutional by the Supreme Court.

Question 4 of 5

Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks. Each member contributes based on his or her area of expertise but also recognize other members' strengths. Which of the QSEN competencies are being demonstrated?

Correct Answer: C

Rationale: The correct answer is C: Teamwork and collaboration. This is demonstrated as the nurses, physicians, and social workers work together to finalize the care plan and coordinate discharge for the homeless person. Each member contributes based on their expertise, recognizing and utilizing the strengths of other team members. This showcases effective communication, mutual respect, and shared decision-making, which are key aspects of teamwork and collaboration. Summary of other choices: A: Quality improvement - Not directly related to the collaborative effort described in the scenario. B: Evidence-based practice - While important, this choice does not specifically address the interprofessional collaboration demonstrated in the scenario. D: Patient-centered care - While important in overall patient care, this choice does not specifically address the teamwork and collaboration among the healthcare professionals in this 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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