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
To determine basic competency, the interview for a nursing position may include a test in:
Correct Answer: A
Rationale: The correct answer is A: pathophysiology. This is because understanding pathophysiology is fundamental for a nurse to comprehend how diseases affect the body. It helps nurses provide appropriate care and make critical decisions. Incorrect choices: B focuses on documentation, C on medication knowledge, and D on technical skills, which are important but not as essential as understanding the physiological mechanisms of diseases.
Question 3 of 5
A Southeast Asian woman brings her baby into the clinic because the baby is lethargic. The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to:
Correct Answer: A
Rationale: The correct answer is A: try to quiet the child and is considered child abuse. The small, round burns on the baby's abdomen are likely caused by cigarettes or burning cotton as a form of child abuse known as "cigarette burns." This type of abuse is characterized by deliberately causing harm to a child by burning them with cigarettes or other hot objects. The other choices (B, C, D) are incorrect as they do not address the intentional harm and abuse inflicted upon the child in this scenario. Choice B about bringing out toxic wind is not a valid cultural or medical practice and is not relevant in this context. Choice C about balancing heat loss is not related to the burns observed. Choice D about brushing the body with ruda for spirits to return is not a known or appropriate intervention for addressing burns or abuse.
Question 4 of 5
Patients with heart failure have extended lengths of stay and are often readmitted shortly after they have been discharged. To improve quality of care, a type of "road map" that included all elements of care for this disease and that standardized treatment by guiding daily care was implemented. This road map is referred to as a(n):
Correct Answer: B
Rationale: The correct answer is B: critical pathway. Critical pathways are structured, multidisciplinary care plans that detail essential steps in the care of patients with specific conditions, such as heart failure. They standardize treatment by outlining the sequence and timing of interventions, tests, and medications, helping to improve efficiency and quality of care. Critical pathways guide daily care by providing a roadmap for healthcare providers to follow, ensuring that patients receive appropriate and timely interventions. Explanation of other choices: A: Benchmark - Benchmarks are standards or reference points used for comparison, not a structured care plan like a critical pathway. C: Algorithm - Algorithms are step-by-step procedures for solving problems, not necessarily a comprehensive care plan like a critical pathway. D: Case management - Case management involves coordinating care and services for individual patients, not a standardized care plan for a specific disease like a critical pathway.
Question 5 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.
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