ATI RN
Contemporary Ethical Issues in Nursing Questions
Question 1 of 5
A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which is a correctly written outcome?
Correct Answer: A
Rationale: The correct answer is A because it specifies a measurable and achievable goal related to improving cardiac function through physical activities. It follows the SMART criteria (Specific, Measurable, Achievable, Relevant, Time-bound). Option B does not provide a specific outcome, while Option C focuses on pharmaceutical approaches rather than outcomes. Option D is unrelated to the goal of improving outcomes for heart failure patients. Thus, option A is the most appropriate choice for a well-defined and relevant outcome for the care of heart failure patients.
Question 2 of 5
A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room. The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as:
Correct Answer: B
Rationale: The correct answer is B: variance. In this scenario, the nurse manager planned a budget based on a patient census of 6 but the actual census remained constant at 10, leading to higher-than-planned RN staff salaries. The difference between the planned budget and the actual cost is known as a variance. Variances help identify discrepancies between planned and actual expenses, enabling managers to adjust budgets accordingly. Revenue (A) refers to income generated, not the difference between planned and actual expenses. Monitoring (C) is the process of overseeing and evaluating activities, not specifically related to budget discrepancies. Capital expenditures (D) are long-term investments in assets, not related to budget variances.
Question 3 of 5
The informed consent documents must include: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because informed consent documents must provide participants with an explanation of potential risks and benefits to ensure they fully understand what they are agreeing to. This helps participants make an informed decision about participating. Option B is incorrect because using medical terminology can actually increase misunderstanding; lay terms are recommended. Option C is incorrect as it is essential to include a statement on protecting anonymity and confidentiality to ensure participant privacy. Option D is incorrect as explaining the cost of the study is not a necessary component of informed consent.
Question 4 of 5
A nurse preparing a resume for the first position is anxious to demonstrate all achievements, which included completing a rigorous accelerated program and maintaining a high GPA while also serving in many community projects and leadership positions. The applicant finds it impossible to include all the accolades on one page and researches tips for professional cover letters and resumes and learns:
Correct Answer: A
Rationale: The correct answer is A because having margins of at least 0.5 inch on all four sides allows for a clear and organized presentation of information. By adhering to this guideline, the resume will appear neat and professional, making it easier for the recruiter to read and comprehend the content. This promotes conciseness by forcing the applicant to prioritize the most relevant achievements and information. The other choices are incorrect because using bright colored paper (B) may come across as unprofessional and distracting. Legal size paper (C) is not recommended as it deviates from the standard letter size and can make it difficult for the recruiter to handle and file the resume. Standardized cover letters (D) may appear generic and fail to highlight the unique qualifications and achievements of the applicant.
Question 5 of 5
A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to chair taskforces to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager's approach to improve their own units. This nurse is which type of leader?
Correct Answer: A
Rationale: The correct answer is A: Transformational. This nurse manager is focused on creating a positive work environment, encouraging innovation, empowering staff, and promoting interdisciplinary collaboration. Transformational leaders inspire and motivate followers to achieve high levels of performance by emphasizing shared vision, personal growth, and values. This nurse manager's approach aligns with the characteristics of a transformational leader. Incorrect Choices: B: Transactional leaders focus on rewards, punishments, and exchanges with followers based on performance. This nurse manager's approach goes beyond transactional interactions. C: Laissez-faire leaders are hands-off and provide little guidance or direction. This nurse manager is actively involved in guiding and supporting staff. D: Authoritative leaders make decisions independently and expect followers to follow orders. This nurse manager encourages staff involvement and input in decision-making processes.
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