ATI RN
Ethics & Issues in Contemporary Nursing Questions
Question 1 of 5
Time is becoming crucial for the nurse to address issues related to sponsoring programs to include hearing aid costs as part of Medicare coverage. The nurse involved in grassroots political actions realizes that the least timely method of reaching elected officials would be via:
Correct Answer: A
Rationale: The correct answer is A: letter. Writing a physical letter and sending it through traditional mail is the least timely method of reaching elected officials. It takes longer for letters to be delivered and processed compared to other electronic forms of communication like telephone, email, and fax. Elected officials may not receive and respond to letters in a timely manner, especially when time is crucial. Telephone, email, and fax offer quicker and more direct communication, allowing for faster responses and action. Therefore, choosing to reach out to elected officials via a letter would be the least timely method in this scenario.
Question 2 of 5
A daughter tells the nurse that, "Mom will be as good as new when we get this advanced cancer cured." How can the nurse best help the daughter in the role of caregiver?
Correct Answer: A
Rationale: The correct answer is A because setting realistic goals is crucial for managing expectations and promoting effective caregiving. By helping the daughter understand the reality of the situation and setting achievable goals, the nurse can support both the mother's care and the daughter's emotional well-being. Option B does not address the daughter's emotional needs or the importance of realistic expectations. Option C focuses on the patient's perspective rather than the daughter's role as a caregiver. Option D, while beneficial for emotional expression, does not directly address the need for realistic goal-setting in caregiving.
Question 3 of 5
A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on the unit." Which type of logical fallacy has influenced the nurse?
Correct Answer: B
Rationale: The correct answer is B: Appeal to common practice. The nurse's argument that "everyone just pushes the medicine slowly" and that "no one checks for compatibility" is based on the common practice in the unit rather than on scientific evidence or guidelines. This logical fallacy assumes that just because something is commonly done, it must be correct. In this case, the nurse is disregarding the importance of checking drug compatibility and following proper protocols. Incorrect choices: A: Ad hominem abusive - This choice involves attacking the person making the argument rather than addressing the argument itself, which is not evident in the scenario. C: Appeal to emotion - This choice would involve using emotions to manipulate the audience rather than relying on logic or evidence, which is not the case in the scenario. D: Appeal to tradition - This choice would involve arguing that something is right or good because it has been done that way for a long time, which is not explicitly stated in the scenario.
Question 4 of 5
A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Understanding one's values: It is essential for the nurse to know their own values and how these impact their nursing practice. 2. Relationship to beliefs and nursing philosophy: Knowing one's values helps align with the ethical principles and philosophy of nursing. 3. Ethical decision-making: By understanding personal values, the nurse can make informed and ethical decisions in the care of the client. 4. Professional integrity: Being aware of personal values promotes professional integrity and ensures the nurse's actions are in line with ethical standards. Summary: - Option B is incorrect as the focus should be on understanding and reconciling one's values rather than eliminating them. - Option C is incorrect as ignoring one's values can lead to ethical dilemmas and compromise the quality of care. - Option D is incorrect as values are subject to change and can be influenced by various factors, including professional experiences and education.
Question 5 of 5
The nurse managers of an organization are meeting with administration to plan the budget. The above graph shows last year's 2011 expenditures, and the team will trend the upcoming budget knowing that, with the slowdown in the economy, patient census will be lower. Which budget approach is being used?
Correct Answer: B
Rationale: The correct answer is B: Zero-based. Zero-based budgeting requires starting from scratch each budget cycle, meaning all expenses must be justified regardless of previous budgets. In this scenario, the nurse managers are planning for a budget based on the expectation of lower patient census due to the economic slowdown. This aligns with the zero-based approach as they will need to re-evaluate and justify all expenses to accommodate the changes in patient volume. A: Incremental budgeting involves making adjustments to the previous budget, which is not suitable for significant changes like a decrease in patient census. C: Productivity metrics focus on measuring efficiency and performance, rather than the budgeting approach. D: Capital budgeting is related to long-term investments in assets, which is not the primary focus in this scenario.
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