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

Six cultural phenomena that vary among cultural groups are known to affect health care. The influence of the consequences of these phenomena can be seen in which of the following? (select all that apply)

Correct Answer: B

Rationale: The correct answer is B. Some cancers such as stomach cancer occur less frequently among blacks due to genetic factors. Stomach cancer is more common in Asian populations due to dietary and lifestyle factors. This variation in cancer incidence among different racial groups is influenced by genetic predisposition and environmental factors. Therefore, the influence of cultural phenomena on health care can be observed in the differing rates of specific diseases among various cultural groups. Other choices are incorrect: A: This choice does not directly relate to the influence of cultural phenomena on health care, but rather discusses medication adherence based on beliefs about fate and the environment. C: Direct eye contact is a cultural behavior that may vary among different cultural groups, but it does not directly relate to the influence of cultural phenomena on health care. D: Standing close and touching health care providers is a cultural behavior that may be more common among certain cultural groups like Mexican Americans, but it does not directly demonstrate the influence of cultural phenomena on health care in the context of disease incidence

Question 2 of 5

While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:

Correct Answer: A

Rationale: The correct answer is A: cultural competence. By enrolling in Spanish classes to better communicate with Mexican-Americans in Laredo, the nursing student is demonstrating an understanding and appreciation of different cultures. Cultural competence involves having the knowledge, skills, and attitudes to effectively interact with individuals from diverse backgrounds. This student's actions show a commitment to providing culturally sensitive care in a multicultural setting. Choices B, C, and D are incorrect: B: Ethnocentrism refers to the tendency to view one's own culture as superior to others. The student's actions of learning Spanish do not align with this mindset. C: Prejudice involves preconceived opinions or attitudes towards a group. The student's actions are aimed at improving cross-cultural understanding, not perpetuating negative stereotypes. D: Stereotyping involves making assumptions about individuals based on their group membership. The student's choice to learn Spanish is about building connections and understanding, not generalizing about an entire group.

Question 3 of 5

A nurse researcher determines whether findings are substantial by calculating the level of significance. Which aspect of the scientific inquiry is being conducted?

Correct Answer: D

Rationale: The correct answer is D: Evaluation. In this scenario, the nurse researcher is determining the significance of findings, which falls under the evaluation phase of scientific inquiry. Evaluation involves assessing the results and determining their importance and relevance. It is crucial in determining the validity and impact of the research findings. A: Hypothesis - While formulating a hypothesis is an important step in the scientific method, it is not directly related to determining the significance of findings. B: Method - Refers to the procedures used to conduct the research study, not specifically related to evaluating the significance of findings. C: Data collection - Involves the process of gathering data, not directly related to determining the level of significance of findings.

Question 4 of 5

People are living longer and with older age comes a higher risk of terminal illness. Many individuals have chosen to maximize their quality of life but stop aggressive life- sustaining treatments. Nurses who work with terminally ill patients and their families to provide end-of-life care, pain management, and family support are practicing in which role?

Correct Answer: A

Rationale: The correct answer is A: Hospice. Rationale: 1. Hospice care focuses on providing end-of-life care, pain management, and family support for terminally ill patients. 2. Nurses in hospice work closely with patients and their families to ensure comfort and dignity during the end-of-life process. 3. Hospice care emphasizes quality of life over aggressive life-sustaining treatments, aligning with the scenario described in the question. 4. Infection control and coordination roles do not specifically focus on end-of-life care or pain management for terminally ill patients. 5. While case managers may provide support and coordination of care, they do not specialize in end-of-life care like hospice nurses do.

Question 5 of 5

A physician orders a drug for a patient with a known allergy resulting in anaphylactic shock. The nurse:

Correct Answer: C

Rationale: The correct answer is C because disclosure is a key component of the national patient safety movement. By disclosing the error to the patient and involving them in the decision-making process, the nurse promotes transparency, trust, and patient-centered care. This approach also allows for timely interventions to address the allergic reaction effectively. Choice A is incorrect because prioritizing agency consequences over patient safety goes against ethical principles. Choice B is incorrect as it suggests disclosing before discussing with the physician or management, which could lead to confusion and potential miscommunication. Choice D is incorrect since reporting to the patient's insurance company does not address the immediate patient safety concern of the allergic reaction.

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