ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
An experienced nurse working in oncology is shocked to realize that he feels little empathy when a patient explains, "I developed cancer from having to work in the dry cleaning industry since I was only 8 years old to help support my younger siblings during the depression. Now they have all moved away and refuse to help me financially, and it takes everything I have to pay for my chemotherapy medicine." The nurse is experiencing:
Correct Answer: B
Rationale: The correct answer is B: compassion fatigue. Compassion fatigue refers to the emotional and physical exhaustion that healthcare providers may experience from caring for patients in distressing situations over a prolonged period. In this scenario, the nurse's lack of empathy despite the patient's heart-wrenching story indicates emotional exhaustion and desensitization, which are common symptoms of compassion fatigue. This nurse has likely become overwhelmed by the emotional toll of consistently supporting patients facing difficult circumstances, leading to a diminished capacity for empathy. Incorrect choices: A: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. While the nurse may be experiencing emotional exhaustion, the specific lack of empathy in response to the patient's situation aligns more closely with compassion fatigue. C: Reality shock typically refers to the discrepancy between the expectations of a new role and the actual experiences encountered. This term does not accurately describe the nurse's emotional response to the patient's situation. D: Horizontal hostility refers to negative
Question 2 of 5
A nurse is preparing a presentation using different websites to collect information. The nurse is concerned that contact information and the author's credentials are not listed for one of the websites reviewed. Which criterion required to establish a reputable website is missing?
Correct Answer: A
Rationale: The correct answer is A: Authority. Authority refers to the credibility and expertise of the source or author of the information. Without listing contact information and author credentials, the website lacks transparency regarding who is providing the information, which undermines its credibility. This can lead to potential inaccuracies or biases in the content. Objectivity (B) pertains to presenting information without bias, Usability (C) relates to how easily users can navigate and access information, and Currency (D) refers to the timeliness of the information. While these are important criteria, the missing authority undermines the overall reliability and trustworthiness of the website.
Question 3 of 5
A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because the legislative branch determines which laws are constitutional by passing or rejecting proposed legislation. In the case of the PPACA, the legislative branch, specifically the Congress, passed the law. The Supreme Court's role is to interpret the constitutionality of laws (not determine which laws are constitutional), as seen in the case where the PPACA was upheld as a form of taxation. Choices B, C, and D are incorrect: B is incorrect because while the legislative branch appropriates funds, the actual allocation of federal dollars is determined through the budget process, not solely by the legislative branch. C is incorrect because the executive branch, not the legislative branch, consists of the President and executive departments that implement laws like the PPACA. D is incorrect because the legislative branch can override a presidential veto with a two-thirds majority vote, not vice versa. The President does not have the power to veto laws found constitutional by the Supreme Court.
Question 4 of 5
Physical therapists are represented by a union, nurses are represented by a separate union, and pharmacists have yet another union within a single agency. This type of union representation is known as:
Correct Answer: A
Rationale: The correct answer is A: occupational unionism. This type of union representation categorizes workers based on their occupation or profession rather than industry. In this scenario, physical therapists, nurses, and pharmacists each have their own specialized union based on their specific professions within the single agency. Summary of incorrect choices: B: Industrial unionism refers to unions that represent all workers within a particular industry, regardless of their specific occupation or profession. C: Union shop refers to a workplace where all employees must join the union after a certain period of employment, not the type of union representation described in the question. D: Power sharing is a concept related to governance and decision-making processes, not specific to union representation based on occupation.
Question 5 of 5
A male nurse hired to work in the emergency department is observed throwing a contaminated needle into the trash can. The team leader reprimands the nurse for not appropriately disposing of sharps. The nurse states, "You don't care that I threw the needle in the trash. You just want an all-female staff," putting the team leader in a defensive position. This communication technique is known as:
Correct Answer: B
Rationale: The correct answer is B: red herring. In this scenario, the male nurse deflects the issue of improper sharps disposal by accusing the team leader of having ulterior motives related to gender discrimination. This is a classic example of a red herring, where the nurse introduces an irrelevant topic to divert attention from the original issue. The nurse's response does not address the concern raised about sharps disposal but instead shifts the focus to an unrelated accusation. The other choices are incorrect because they do not accurately describe the communication technique used in the scenario. A straw man involves misrepresenting an opponent's argument to make it easier to attack, slippery slope is a form of logical fallacy, and confusing cause and effect refers to a mistaken understanding of the relationship between two events.
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