ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
A patient who is just beginning to use homeopathy to treat depression is concerned because symptoms are actually becoming worse with increasing sadness, anxiety, and fatigue. The practitioner of homeopathy bases teaching on the Law of Cure and instructs the patient to:
Correct Answer: D
Rationale: Step 1: The Law of Cure in homeopathy states that symptoms improve in the reverse order of their appearance. Step 2: The worsening of symptoms initially is known as a healing crisis or aggravation. Step 3: By remaining on the current regimen, the patient allows the body to go through the healing process. Step 4: This indicates that the body is responding to the remedy and working towards a deeper level of healing. Step 5: Discontinuing therapy or increasing potency/dosage may disrupt this natural healing process.
Question 2 of 5
According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?
Correct Answer: C
Rationale: The correct answer is C: Open systems. In an open system theory, organizations interact with their environment, adapting to changes and feedback. In this case, the nurse's repeated excessive call-ins affecting shift change demonstrate a lack of consideration for the team and patient care, disrupting the system's functioning. This theory emphasizes the interconnectedness and impact of individual actions on the entire system, refuting the nurse's claim of unfair treatment. Summary: A: Authoritative - Focuses on centralized decision-making authority, not relevant to addressing the nurse's behavior. B: Closed systems - Operate independently without external influences, not applicable as the nurse's actions impact the system. D: Trait - Focuses on individual characteristics, not addressing the systemic impact of the nurse's behavior.
Question 3 of 5
A nurse explaining the above graph indicates the frequency of falls in 2011 to detect and possibly explain causes of variation. The peaks in June were attributed to regular staff vacations during which agency nurses were used. The nurse is employed in which role?
Correct Answer: B
Rationale: Step 1: The nurse's role involves analyzing data to identify causes of variation in falls, indicating a focus on quality improvement. Step 2: As a Quality Manager, the nurse is responsible for monitoring and improving the quality of care provided. Step 3: Case Managers focus on coordinating patient care, Forensic Nurses deal with legal aspects, and Occupational Health Nurses focus on workplace health. Step 4: Therefore, the nurse's role aligns most closely with a Quality Manager in this scenario, making choice B the correct answer.
Question 4 of 5
When planning health care, the nurse should be mindful that members of the Asian culture tend to:
Correct Answer: C
Rationale: The correct answer is C because Asian culture tends to be future-oriented, emphasizing planning and preparation. This is reflected in their approach to health care where they prioritize preventive measures and long-term health goals. Choice A is incorrect as missing appointments is not a common behavior due to cultural time perception. Choice B is incorrect as while ancestors may hold significance, they do not guide health care decisions. Choice D is incorrect as Asians are often punctual and value time.
Question 5 of 5
A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the issue of time management during shift report by focusing on the essential tasks that need to be discussed. By starting with revisions to the plan of care and scheduled activities for the next shift, the nurse ensures that the most critical information is covered efficiently. This approach helps prioritize the discussion and prevent unnecessary time spent on non-essential topics. Option A is incorrect because limiting the discussion to just one movie does not address the overall time management issue during shift report. Option B is incorrect because discussing department store sales while walking between patient rooms may still lead to distractions and inefficiencies in the report. Option C is incorrect as it focuses on what went wrong during the shift rather than addressing the need for efficient time management during the report. The correct answer, D, is the most effective choice as it directly tackles the issue of time wasted during shift report by emphasizing the essential tasks that need to be covered.
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