ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?
Correct Answer: C
Rationale: The correct answer is C. The Unlicensed Assistive Personnel (UAP) can be delegated the task of obtaining the initial blood pressure reading because this task is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The UAP can be trained and supervised to accurately measure blood pressure, freeing up the RN to focus on assessing the patient's overall condition and providing necessary interventions. Delegating this task to the UAP is cost-effective and efficient, allowing the RN to prioritize critical nursing assessments and interventions for the patient's presenting symptoms. Incorrect choices: A: RN - The RN should not perform tasks that can be safely delegated to other members of the healthcare team to optimize efficiency and resource utilization. B: LPN/LVN - While LPNs/LVNs have more advanced training than UAPs, obtaining a blood pressure reading is a basic task that can be appropriately delegated to UAPs. D: Using the blood pressure obtained in the ambulance - This option does
Question 2 of 5
A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. At the committee meeting, the nurse learns that:
Correct Answer: D
Rationale: Step 1: Many younger workers prioritize professional advancement and flexible work hours over longevity. Step 2: This mindset leads them to change institutions to achieve their career goals. Step 3: The nurse learns about this behavior during the committee meeting. Step 4: Therefore, the correct answer is D as it aligns with the behavior and motivations of younger nurses. Summary: A: Encouraging older nurses to retire is age discrimination and does not address retention issues. B: Magnet hospitals attract nurses with benefits, but lack of autonomy is not the primary reason for retention issues. C: Multitasking preferences do not directly relate to recruitment and retention challenges.
Question 3 of 5
A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?
Correct Answer: B
Rationale: The correct answer is B: Clinical consultant. In this scenario, the DON is providing guidance and expertise to the ad hoc committee in developing strategies to meet the organization's goal of providing quality patient care. As a clinical consultant, the DON utilizes their clinical knowledge and experience to coach and support the committee in achieving desired outcomes related to patient care. The other choices are incorrect because: A: Transactional leadership focuses on exchanging rewards for performance and does not align with the DON's role in providing clinical guidance. C: Corporate supporter role involves advocating for organizational goals at a higher level and is not directly related to coaching a committee on clinical matters. D: Autocratic leadership style is characterized by making decisions without input from others, which is not demonstrated in the scenario where the DON is coaching and guiding the committee.
Question 4 of 5
A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?
Correct Answer: B
Rationale: The correct answer is B: Right-to-work law. This law prohibits requiring union membership or payment of union fees as a condition of employment. The nurse can work in the unionized trauma center without being obligated to join or pay fees due to the provisions of the Right-to-work law. A: National Labor Relations Act - This act protects the rights of employees to join or form unions but does not specifically address the issue of mandatory union membership or fees. C: National Labor Relations Act - This is a duplicate choice. D: Taft-Hartley Act - This act regulates labor unions but does not specifically address the issue of mandatory union membership or fees.
Question 5 of 5
The nurse is preparing a plan of care for an black patient who has had a change of bowel habits from being constipated and having only two firm stools weekly to having three or more loose stools daily. Which comment is related to cultural variation for health information?
Correct Answer: A
Rationale: The correct answer is A because it reflects the patient's cultural variation in seeking health information from family members, specifically the grandmother. This shows respect for family opinions and involvement in decision-making. Option B is incorrect as it generalizes that the eldest male makes all health decisions, which may not be true for every cultural group. Option C is incorrect as nodding approvingly and not complying with instructions does not necessarily indicate cultural variations. Option D is incorrect as speaking quietly and reaching for the nurse's hand may simply indicate a patient's communication style rather than cultural variation in seeking health information.
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