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 patient wants to reduce health care costs by being a model for making wise decisions that both promote health and reduce cost. Which statement by the patient would indicate a need for further teaching?

Correct Answer: A

Rationale: The correct answer is A because asking for the brand name drug Tylenol instead of the generic acetaminophen would likely increase healthcare costs without providing any additional benefit. Acetaminophen is the active ingredient in Tylenol, so choosing the brand name would be more expensive without improving health outcomes. This decision does not align with the goal of reducing healthcare costs while promoting health. Choice B is correct as looking up information on urinary tract infection prevention shows the patient is proactively seeking knowledge to improve health outcomes. Choice C is correct as getting health measurements at a health fair demonstrates an interest in monitoring health status. Choice D is correct as seeking advice from a pharmacist for allergies is a cost-effective and health-promoting decision.

Question 2 of 5

While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:

Correct Answer: A

Rationale: The correct answer is A: cultural competence. By enrolling in Spanish classes to better communicate with Mexican-Americans in Laredo, the nursing student is demonstrating an understanding and appreciation of different cultures. Cultural competence involves having the knowledge, skills, and attitudes to effectively interact with individuals from diverse backgrounds. This student's actions show a commitment to providing culturally sensitive care in a multicultural setting. Choices B, C, and D are incorrect: B: Ethnocentrism refers to the tendency to view one's own culture as superior to others. The student's actions of learning Spanish do not align with this mindset. C: Prejudice involves preconceived opinions or attitudes towards a group. The student's actions are aimed at improving cross-cultural understanding, not perpetuating negative stereotypes. D: Stereotyping involves making assumptions about individuals based on their group membership. The student's choice to learn Spanish is about building connections and understanding, not generalizing about an entire group.

Question 3 of 5

A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, "These rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do." The nurse is exhibiting:

Correct Answer: B

Rationale: The correct answer is B: ethnocentrism. This is because the nurse is judging the client's cultural beliefs as inferior to American practices, implying that American ways are the only correct ones. Ethnocentrism involves viewing one's own culture as superior to others. A: Stereotyping is not the correct answer because the nurse is not making a generalization about a group based on limited information. C: Cultural accommodation is not the correct answer because the nurse is not demonstrating an understanding or acceptance of the client's cultural practices. D: Empathy is not the correct answer because the nurse is not showing understanding or compassion towards the client's cultural beliefs.

Question 4 of 5

Which task is appropriate for the RN to delegate to the unlicensed assistive personnel (UAP) provided the delegatee has had experience and training?

Correct Answer: D

Rationale: The correct answer is D because obtaining a sterile urine sample from a patient with a Foley catheter connected to a closed drainage system is a task that can be safely delegated to UAP who have experience and training. Here's the rationale: 1. Task Complexity: This task involves a straightforward procedure that does not require specialized medical knowledge. 2. Training and Experience: UAP can be trained to perform this task under supervision and with specific guidelines. 3. Minimal Risk: When performed correctly, obtaining a sterile urine sample carries minimal risk to the patient. 4. Routine Procedure: This task is a common and routine procedure that UAP can be trained to perform effectively. Other Choices: A: Evaluating the ability of a patient to swallow ice after a gastroscopy involves medical assessment and potential risk of aspiration, which should be done by a licensed healthcare professional. B: Assisting a postoperative hip replacement patient to ambulate for the first time requires monitoring for complications and assessing patient response, which should be done

Question 5 of 5

Time can be maximized to produce the best outcomes by:

Correct Answer: A

Rationale: The correct answer is A because starting the workday productively sets a positive tone, leading to better focus and efficiency. By utilizing the first hour effectively, one can tackle important tasks when energy and concentration levels are at their peak. This approach helps in prioritizing and accomplishing key objectives early on, maximizing productivity throughout the day. Choice B is incorrect because completing trivial tasks first can waste valuable time and energy that could be better spent on more significant tasks. Choice C is incorrect as recreational activities can provide necessary mental breaks, leading to increased productivity and overall well-being. Choice D is incorrect because breaks are essential for maintaining focus and preventing burnout, ultimately enhancing productivity in the long run.

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