ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates resources to achieve optimal health outcomes for clients efficiently. They assess, plan, implement, and evaluate care while considering cost-effectiveness. Informatics specialists focus on data and technology, educators provide knowledge, and quality managers ensure high standards. In this scenario, the key role is coordinating resources, making C the best choice.
Question 2 of 5
Nurses on a unit provide personal hygiene, administer medications, educate the patient and family about treatments, and provide emotional support. These nurses provide patient care based on which nursing delivery system?
Correct Answer: A
Rationale: The correct answer is A: Total patient care. Total patient care system involves one nurse being responsible for all aspects of care for a specific patient, including personal hygiene, medication administration, education, and emotional support. This system ensures continuity, individualized care, and better communication between the nurse, patient, and family. Partnership nursing (B) involves collaboration between the nurse and patient, team nursing (C) involves a team of healthcare providers working together, and functional nursing (D) involves dividing tasks among different healthcare professionals, none of which fully align with the comprehensive care provided in total patient care system.
Question 3 of 5
A patient has fallen at home and complains that joints are very painful when trying to climb stairs. The patient desires to use an alternative complementary medicine rather than pain medication. The practitioner begins treatment with touch consisting of rocking, rhythmical motions to loosen tense, sore muscles and joints. The patient is receiving which type of treatment?
Correct Answer: C
Rationale: The correct answer is C: Trager approach. This treatment involves gentle rocking and rhythmic motions to release tension in muscles and joints. The goal is to improve mobility and reduce pain. The other choices are incorrect because: A: Swedish massage focuses on kneading and rubbing muscles, not specifically on rhythmic motions to release tension. B: Rolfing is a deep tissue manipulation technique aimed at realigning the body's structure, not specifically utilizing rocking and rhythmic motions. D: Reflexology involves applying pressure to specific points on the hands, feet, or ears to promote healing, not utilizing rocking and rhythmic motions.
Question 4 of 5
A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (select all that apply)
Correct Answer: A
Rationale: The correct answer is A because glaring at the nurse indicates potential aggression and hostility, which are red flags for violence risk. Glaring can be a non-verbal sign of anger or frustration, signaling a potential escalation. In contrast, nervousness and twisting of hands (choice B) may indicate anxiety or distress but not necessarily violence. Murmuring when talking (choice C) may suggest communication difficulties but does not directly indicate violence risk. Lastly, a diagnosis of a terminal illness (choice D) is not directly related to the immediate risk of violence in this scenario.
Question 5 of 5
Which statements concerning licensure as a registered nurse are correct? (select all that apply)
Correct Answer: A
Rationale: Rationale: A: Correct. Nurses with different education levels (e.g., associate vs. bachelor's degree) have varied scope of practice. BSN-prepared nurses typically have a broader scope compared to ADN-prepared nurses. B: Incorrect. Nursing licenses can be revoked or suspended for various reasons such as misconduct or negligence. C: Incorrect. Nurse practice acts outline licensure requirements, but not specifically for initial licensure. D: Incorrect. States may inquire about the mental or physical status of applicants to ensure they are fit to practice safely.
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