ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
A nurse wants to become an advanced practice nurse and investigates the requirements for a: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A: nurse practitioner. Nurse practitioners are advanced practice nurses who provide comprehensive healthcare services, including diagnosing and managing common acute and chronic illnesses. They require additional education and certification beyond basic nursing. Nurse executives focus on leadership and management roles in healthcare organizations, not direct patient care. Certified nurse-midwives specialize in providing prenatal, postpartum, and gynecological care to women. Certified registered nurse anesthetists specialize in administering anesthesia but do not provide the same scope of primary care as nurse practitioners.
Question 2 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 3 of 5
During the night, a patient fell in the bathroom and sustained a hip injury. The patient was very upset because of being unable to attend a granddaughter's wedding in 2 days. The team looked at the process and determined that the patient had been medicated with a narcotic, had urinary urgency so had not taken the time to put on shoes, failed to turn on the light because the door to the hall let in some light, and stumbled over a towel that had been placed to collect water leaks caused by construction that was in progress to replace damaged sinks. Which factor was a special cause variation?
Correct Answer: D
Rationale: The correct answer is D: Improper construction that caused the leak and towel placement. This is a special cause variation because it is an external factor outside the patient's control that directly contributed to the incident. The construction causing water leaks and the placement of a towel to collect water created a hazardous environment leading to the fall. The other choices, A, B, and C, are common cause variations as they are related to the patient's behavior or medical condition which could have been managed or controlled within the usual process.
Question 4 of 5
The first step in the nursing process and in the problem-solving process is to:
Correct Answer: B
Rationale: The correct answer is B: gather information. This step is essential as it allows nurses to collect data, assess the situation, and make informed decisions. Identifying the problem (A) comes after gathering information. Considering consequences (C) and implementing interventions (D) are later steps in the process once information has been gathered. Gathering information is foundational to problem-solving as it provides the necessary data to understand the situation fully and determine the appropriate course of action.
Question 5 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.
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