Ethics & Issues in Contemporary Nursing

Questions 113

ATI RN

ATI RN Test Bank

Ethics & Issues in Contemporary Nursing Questions

Question 1 of 5

Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?

Correct Answer: D

Rationale: The correct answer is D: National Disaster Medical System (NDMS). This system is designed to provide medical care during disasters, including addressing mental health needs like posttraumatic stress syndrome in victims and compassion fatigue in care providers. NDMS coordinates federal medical response resources and personnel to support communities during disasters. A: Strategic National Stockpile focuses on providing medicines, vaccines, and medical supplies, but does not directly address mental health needs or provide medical care. B: Metropolitan Medical Response System (MMRS) focuses on local response capabilities for mass casualty incidents, but does not have the same scope as NDMS in providing comprehensive medical care. C: Commissioned Corps Readiness Force is a team of healthcare professionals within the U.S. Public Health Service, but it is not specifically designated for disaster medical response like NDMS.

Question 2 of 5

A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?

Correct Answer: C

Rationale: The nurse's communication style of working independently, sharing ideas with the team, and suggesting a collaborative approach aligns with Generation X characteristics. Generation X values independence, work-life balance, and collaboration. Baby Boomers (A) tend to be more hierarchical, Traditionalists (B) prioritize loyalty and respect for authority, and Millennials (D) are known for their tech-savvy and collaborative nature, but the nurse's approach best fits Generation X.

Question 3 of 5

A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?

Correct Answer: A

Rationale: The correct answer is A: Blocking. In both situations, the patient's actions are ignored or dismissed, indicating a lack of active listening. Blocking involves avoiding communication by not acknowledging the patient's gestures or needs. The nurse fails to engage with the patient and address their non-verbal cues. Summary: B: Filtration is not relevant as it involves selectively presenting information. C: Empathy is not demonstrated as the nurse is not responding to the patient's non-verbal cues. D: False assurance is not applicable as it involves giving misleading reassurance, which is not present in the scenario.

Question 4 of 5

Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?

Correct Answer: B

Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.

Question 5 of 5

A nurse is reading an abstract about a study related to Rocky Mountain Spotted Fever. The purpose is stated as follows: "To examine the generalizability of two randomized placebo-controlled clinical trials in patients with Rocky Mountain Spotted Fever to determine whether steroid therapy resulted in the positive outcomes." The nurse knows generalizability refers to the:

Correct Answer: A

Rationale: The correct answer is A. Generalizability refers to the conclusion that findings from a sample can be applied to the entire population. In this case, the purpose of the study is to determine if the positive outcomes of steroid therapy in two randomized placebo-controlled trials for Rocky Mountain Spotted Fever can be generalized to a broader population of patients with the same condition. Choice B is incorrect because generalizability is not about the type of steroids used but about the applicability of study findings. Choice C is incorrect as it refers to selection bias, not generalizability. Choice D is incorrect as generalizability is about the application of findings, not the universality of bacteria types.

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