Ethics and Issues in Contemporary Nursing PDF

Questions 112

ATI RN

ATI RN Test Bank

Ethics and Issues in Contemporary Nursing PDF Questions

Question 1 of 5

Mandatory overtime and reduction in RN staff have resulted in decreased client satisfaction and a sentinel event. Management is unwilling to discuss a change in staffing, and collective bargaining interest is sparked. During the pre-election period, what actions by management are prohibited? (select all that apply)

Correct Answer: A

Rationale: The correct answer is A because seeking individuals to spy on coworkers who are possible union supporters is a violation of the National Labor Relations Act (NLRA). This action is considered an unfair labor practice as it interferes with employees' rights to engage in protected concerted activities, including discussing unionization. It creates a hostile work environment and undermines the employees' right to organize. Choices B, C, and D are incorrect because they do not directly violate the NLRA. Photographing employees participating in union-related activities may be considered intimidating but is not explicitly prohibited. Visiting managers outside of work to gain their perception of union popularity is not inherently illegal, as long as it does not coerce or intimidate them. Threatening to relocate the company if the union wins is considered an unfair labor practice, but in this scenario, it is mentioned that there is no intention to relocate, so it does not apply.

Question 2 of 5

The first step in the nursing process and in the problem-solving process is to:

Correct Answer: B

Rationale: The correct answer is B: gather information. This step is essential as it allows nurses to collect data, assess the situation, and make informed decisions. Identifying the problem (A) comes after gathering information. Considering consequences (C) and implementing interventions (D) are later steps in the process once information has been gathered. Gathering information is foundational to problem-solving as it provides the necessary data to understand the situation fully and determine the appropriate course of action.

Question 3 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 4 of 5

When reading Peplau's theory, a nurse was unable to determine the relationships among concepts. The nurse listed each concept and drew lines denoting relationships to be able to understand the effect of each element. The nurse created a:

Correct Answer: B

Rationale: The correct answer is B: model. In this scenario, the nurse used visual representation to illustrate the relationships among concepts in Peplau's theory. A model is a simplified representation of a real-world system that helps understand complex relationships. By listing concepts and drawing lines to denote relationships, the nurse created a visual model to clarify the interconnections between elements. A hypothesis (A) is a testable prediction, not a visual representation. A construct (C) is an abstract concept, not a visual representation of relationships. A variable (D) is a measurable factor that can change, not a visual representation of relationships.

Question 5 of 5

A nurse is removing a saturated dressing from an abdominal incision and must cut the tape to remove the dressing. The nurse accidentally cuts the sutures holding the incision, and evisceration occurs. In quality improvement, this incident is best identified as a:

Correct Answer: B

Rationale: The correct answer is B: sentinel event. A sentinel event is an unexpected occurrence involving death or serious physical or psychological harm to a patient. In this scenario, the accidental cutting of sutures leading to evisceration constitutes a serious harm to the patient, making it a sentinel event. This event requires immediate investigation, analysis, and implementation of preventive measures to ensure patient safety. A: Root cause refers to the underlying reason for a problem, not the event itself. C: Variation in performance is related to inconsistencies in processes, not a specific critical incident like evisceration. D: Causal factor is a contributing element to an event, but it does not capture the severity and significance of a sentinel event like evisceration.

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