ATI RN
Ethics and Issues in Contemporary Nursing Questions
Question 1 of 5
As part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurse's initials. The nurse is hoping to be promoted to a full-time position within the quality department, and her success on this project is very important to her receiving the position. The nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. The nurse discusses her concerns with the manager, who frees her for 1 hour each day to make rounds. During this 1 hour each day the nurse will organize herself and environment by practicing the:
Correct Answer: B
Rationale: The correct answer is B: reducing stacked-desk syndrome. This term refers to the practice of organizing tasks and environment to prevent work from piling up. In this scenario, the nurse is given 1 hour each day to focus solely on the quality assurance project, helping her prevent tasks from accumulating and ensuring she can complete her rounds efficiently. This practice enhances productivity and enables the nurse to manage her workload effectively. Choice A, "art of 'no detourism,'" is irrelevant in this context as it does not address the issue of organizing tasks and environment. Choice C, "art of 'wastebasketry,'" is not applicable as it pertains to the skill of decision-making and prioritization, which is not the primary concern in this scenario. Choice D, "managing e-mail and memo mania," is also not directly related to the nurse's need to organize herself and environment for the quality assurance project.
Question 2 of 5
A nurse is responsible for determining the incidence rates of hospital-acquired diarrhea on a pediatric ward after receiving reports that five children admitted with uncontrolled asthma had developed diarrhea while hospitalized. The nurse is working in the role of:
Correct Answer: B
Rationale: The correct answer is B: infection control. In this scenario, the nurse is focusing on preventing and controlling the spread of hospital-acquired diarrhea among pediatric patients. By investigating the incidence rates and implementing measures to reduce the risk of infection transmission, the nurse is fulfilling the role of infection control. Quality management (A) focuses on improving processes and outcomes, not specifically on infection prevention. Occupational health (C) involves ensuring workplace safety for employees, not patient infection control. Forensics (D) involves investigating and analyzing evidence related to crimes or legal matters, not infection control in a healthcare setting.
Question 3 of 5
The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?
Correct Answer: D
Rationale: The Karnofsky Prognostication Scale is commonly used in patients with terminal illness, such as AIDS, to assess their functional status and predict their prognosis. Patients with AIDS often experience rapid decline in health, making this scale useful in determining their overall well-being and potential outcomes. Incorrect choices: A: Respiratory diseases - The Karnofsky scale is not commonly used for screening patients with respiratory diseases. B: Cancers - While the Karnofsky scale can be used for cancer patients, it is most commonly associated with terminal illnesses like AIDS. C: Cardiac diseases - The Karnofsky scale is not typically used for screening patients with cardiac diseases.
Question 4 of 5
The emergency response team responded to a terrorist attack where hundreds of people died following symptoms of chest tightness, palpations, seizures, and finally paralysis. A colorless odorless liquid known as Sarin (GB) was the agent, which is primarily inhaled with limited exposure through the skin. The concentration of Sarin has not been measured. What level is the minimum level of personal protection and safety equipment (PPE) that would be needed?
Correct Answer: B
Rationale: The correct answer is B: Level B. In a scenario involving Sarin, a highly toxic nerve agent primarily inhaled, Level B protective equipment is required. Level B PPE includes a chemical-resistant suit, chemical-resistant gloves, chemical-resistant boots, and a full-face respirator with appropriate filter cartridges. The choice of Level B is based on the fact that Sarin is primarily inhaled, indicating the need for respiratory protection. Level A is typically used for the highest level of protection, including protection against highly toxic chemicals in both the air and on the skin, which is not necessary in this scenario. Level C and D do not provide adequate protection against a highly toxic chemical like Sarin.
Question 5 of 5
A nurse asks, "What is meant by 'internal' customers?" The correct response is: (select all that apply)
Correct Answer: C
Rationale: The correct answer is C: X-ray technicians. Internal customers refer to individuals or departments within the same organization who rely on each other's services to fulfill their roles effectively. X-ray technicians work within the healthcare facility and depend on other staff like nurses for patient care coordination. Insurance companies (A) and accreditors (B) are external entities. Clinical pharmacists (D) are also internal, but X-ray technicians have a direct service-dependency relationship with nurses in healthcare settings, making them the most relevant internal customers in this context.
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