ATI RN
Contemporary Issues in Nursing Questions
Question 1 of 5
Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
Correct Answer: A
Rationale: The correct answer is A: more secure. Electronic Health Records (EHR) typically have built-in security features such as encryption, access controls, and audit trails, making it more secure than paper-and-pencil records. EHRs offer better protection against unauthorized access, tampering, and loss compared to traditional paper records. This is due to the ability to restrict access to specific users, track changes made to the records, and implement authentication measures. Therefore, the security of EHRs surpasses that of paper-and-pencil records. Choices B, C, and D are incorrect because they do not acknowledge the enhanced security measures and advantages that EHRs provide over traditional paper records.
Question 2 of 5
An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement was based on a predetermined fixed price. This classification system is referred to as:
Correct Answer: A
Rationale: The correct answer is A: diagnosis-related groups (DRGs). This classification system assigns a fixed price to specific diagnoses or procedures, such as pneumonia, for reimbursement purposes. DRGs aim to standardize payment based on patient diagnosis and treatment, promoting efficiency and cost containment in healthcare. B: Subjective symptom management is not a classification system for reimbursement but rather a method of addressing patient symptoms. C: Acuity classification system refers to determining the level of care a patient needs based on severity, not reimbursement. D: Organized managed care involves coordination of healthcare services and providers, not specific classification for reimbursement.
Question 3 of 5
An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:
Correct Answer: B
Rationale: The correct answer is B: stereotyping. The nurse is making a generalization about an entire group based on a perceived characteristic. This statement is not only inaccurate but also perpetuates harmful stereotypes. Cultural humility (A) involves recognizing and respecting the differences and complexities of various cultures. Cultural assimilation (C) refers to adopting the cultural norms of a dominant group, which is not applicable in this scenario. Acculturation (D) is the process of adapting to a new culture, which is also not relevant to the nurse's statement. Stereotyping is the most appropriate choice as it directly addresses the nurse's biased and inaccurate assumption about intelligence based on race.
Question 4 of 5
A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?
Correct Answer: B
Rationale: The correct answer is B: Past experiences. In this scenario, the staff nurse's past experience of having a stillborn infant with Down syndrome is influencing her perception and behavior towards the new mother. This past experience is shaping her emotions, thoughts, and actions, demonstrating how personal experiences can impact communication in healthcare settings. This highlights the importance of self-awareness and reflection to understand how past experiences can influence interactions with patients. Incorrect choices: A: Personal perception - While personal perception plays a role in communication, the key factor in this scenario is the staff nurse's past experience, not just her perception. C: Filtration - Filtration refers to the process of selectively interpreting information. In this case, the staff nurse's behavior is more influenced by her past experience rather than selective filtering of information. D: Preconceived idea - While the staff nurse may have preconceived ideas about individuals with Down syndrome due to her past experience, the primary focus is on her past experience itself rather
Question 5 of 5
A nursing student planning to apply for licensure knows that being charged with which offense would result in a minor criminal offense?
Correct Answer: A
Rationale: The correct answer is A: Solicitation of illegal drugs. This offense typically results in a minor criminal offense because it involves attempting to purchase or obtain illegal drugs, which is considered a less serious crime compared to the other choices. Stealing a car (B) is a major criminal offense, as it involves theft of property. Failing to report elder abuse (C) is a serious offense as it neglects the duty to protect vulnerable individuals. Billing Medicare for services not rendered (D) is a form of fraud and can result in severe consequences. Therefore, the solicitation of illegal drugs is the least serious offense among the options provided.
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