ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
During a community health fair the disaster medical assistance team (DMAT) informs participants that every community must be ready to provide disaster care. A participant asks, "In a disaster, the local community cannot possibly be effective, so why not have a plan to call federal agencies immediately to provide relief?" The correct response by the DMAT is:
Correct Answer: B
Rationale: The correct answer is B because communities are indeed the first responders in any disaster. Local resources are typically the first to mobilize and provide immediate assistance due to their proximity to the affected area. Federal agencies may take time to arrive on the scene, so it is crucial for communities to have their own disaster response plans in place. Choice A is incorrect because the federal government can become involved in disasters even without known terrorist activities, especially in large-scale disasters. Choice C is incorrect as it oversimplifies the roles of different agencies in disaster response. Choice D is incorrect because state and federal agencies may still provide assistance even if local health care facilities are operational.
Question 2 of 5
After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?
Correct Answer: A
Rationale: The correct answer is A because responding to recurring crises at work or in one's personal life is an internal distraction. Internal distractions originate from within the individual, affecting focus and productivity. In this scenario, the nurse's response to crises is within their control and can be managed through personal strategies. Choices B, C, and D are external distractions as they involve interactions with others or unclear job responsibilities imposed from outside sources, making them not directly related to the individual's internal state of mind. Hence, option A is the correct classification of an internal distraction in this context.
Question 3 of 5
While participating in a task force to proactively plan for nursing care delivery over the next 20 years, a nurse learns that dramatic changes will occur as a result of: (select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: the increase in the number of minimally invasive procedures being performed for disease treatment. This is because advancements in medical technology have led to a shift towards less invasive procedures, impacting how nursing care is delivered. Minimally invasive procedures often require specialized care and monitoring, necessitating changes in nursing practice. Choice B is incorrect as care provided for patients over an extended period in acute care settings is not a significant factor driving dramatic changes in nursing care delivery over the next 20 years. This scenario is more related to the current healthcare system rather than future changes. Choice C is incorrect as the reduction in the number of nurses and healthcare professionals available to provide care is unlikely to be a driving force for dramatic changes. In fact, efforts are being made to address the nursing shortage through various initiatives. Choice D is incorrect as widespread illiteracy and decreased self-efficacy of the aging patient population, while important considerations for nursing care, are not the primary factors driving dramatic changes in
Question 4 of 5
Throughout the history of health care in our nation, one particular piece of federal legislation provided funds for hospital construction. As the number of hospitals rapidly increased, the need for nurses to staff hospitals also increased, and the shift from community-based nursing care to hospital-based nursing care began. This fundamental piece of legislation was the:
Correct Answer: B
Rationale: The correct answer is B: Hill-Burton Act. The Hill-Burton Act, passed in 1946, provided federal funds for hospital construction, leading to a significant increase in the number of hospitals. This increase in hospital facilities created a higher demand for nurses to staff them, thereby initiating the shift from community-based nursing care to hospital-based care. The Sheppard-Towner Act (A) focused on maternal and child health programs, not hospital construction. The Veterans Bill (C) primarily addresses healthcare benefits for veterans. The Access to Health Care Bill (D) is a generic term and does not refer to a specific piece of legislation related to hospital construction or nursing staffing.
Question 5 of 5
A nurse who has practiced for 1 year on a medical-surgical unit is very interested in a position in the operating room. She traces the nursing history of surgery to learn how nursing has evolved in this practice. To determine if, historically, surgery methods advanced the practice of nursing, select the correct statements. (select all that apply)
Correct Answer: B
Rationale: The correct answer is B: The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections. This statement is correct because during the Middle Ages, barbers often performed surgical procedures and used techniques like boiling water and alcohol to sterilize instruments, reducing the risk of wound infections. This practice contributed to advancing the field of surgery and indirectly influenced nursing practice by emphasizing the importance of infection control. Incorrect choices: A: The Ancient Egyptians were the first to use anesthesia in the operating room - This statement is incorrect as anesthesia was not used in surgery until the 19th century. C: The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses - This statement is incorrect as while Indian culture had early hospitals and female nurses, their practices were not comparable to modern nursing. D: During the Renaissance, advances in nursing education, including surgery, were nonexistent - This statement is incorrect as the Renaissance saw advancements in medical and surgical knowledge
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