Ethics & Issues in Contemporary Nursing

Questions 113

ATI RN

ATI RN Test Bank

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 nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?

Correct Answer: C

Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health. Summary: A: Working in payroll does not directly connect the nurse to the unit's financial goals. B: Personal finance CEUs are not specific to the unit's budget goals. D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.

Question 3 of 5

A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is known as:

Correct Answer: A

Rationale: The correct answer is A: mentoring. Mentoring involves an experienced individual guiding and supporting a less experienced individual to help them develop skills, confidence, and knowledge. In this scenario, the certified oncology nurse is providing guidance and support to the novice nurse, helping them gain confidence and improve decision-making and technical skills. Mentoring fosters a personalized and supportive relationship that allows for growth and development. Summary of other choices: B: Role modeling involves observing and emulating behaviors of others, but it does not necessarily involve the direct guidance and support seen in mentoring. C: Preceptorship typically refers to a structured program where a more experienced individual (preceptor) guides a less experienced individual (preceptee) for a specific period, which is more formalized than the relationship described in the scenario. D: Socialization refers to the process of adapting to the norms and values of a group or society, which is not directly related to the mentorship relationship described in the scenario.

Question 4 of 5

When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:

Correct Answer: A

Rationale: The correct answer is A: develop. When delegating tasks, it is important for the nurse to choose the most qualified person to ensure safe and effective care. By delegating tasks to someone who needs development, the nurse can provide opportunities for growth and skill enhancement. This benefits both the individual being delegated to and the overall team. Choices B, C, and D are incorrect because promoting, punishing, or rewarding someone based on task delegation can lead to bias, unfairness, or inappropriate incentives, which are not conducive to effective delegation practices.

Question 5 of 5

Three illegal immigrants with no health insurance or money sustained life-threatening injuries during an automobile accident. Two of these individuals had head trauma and lacerated internal organs. The decision was made to provide extended care in the trauma center after emergency surgery was performed to save their lives. The third individual received only minor injuries, which were treated in the emergency department. The care of the two critical clients was based on the ethical principle of:

Correct Answer: A

Rationale: The correct answer is A: utilitarianism. Utilitarianism is an ethical principle that focuses on maximizing overall well-being and minimizing harm. In this scenario, the decision to provide extended care to the two critical individuals with life-threatening injuries aligns with utilitarianism as it prioritizes saving the most lives and reducing suffering. By choosing to allocate resources to those with the most severe injuries, the healthcare providers are aiming to maximize the overall benefit to society. Summary of why the other choices are incorrect: B: Deontology focuses on following rules and duties regardless of the consequences. In this case, the decision to provide care based on severity of injuries goes against a strict deontological approach. C: Autonomy emphasizes respecting individuals' rights to make their own decisions about their care, which is not the primary consideration in this scenario. D: Veracity pertains to honesty and truthfulness in communication, which is not directly relevant to the decision-making process in this healthcare scenario.

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