ATI RN
Ethics and Issues in Contemporary Nursing PDF Questions
Question 1 of 5
Which situation would be considered a workforce advocacy issue that is reportable to the state nurses association or the Center for American Nurses if it is not resolved at the local level?
Correct Answer: D
Rationale: Step 1: Identification of the Issue - The situation described in option D directly impacts the safety of nurses by preventing them from changing the sharps container when needed, posing a risk for needlestick injuries. Step 2: Significance of the Issue - Needlestick injuries are a serious occupational hazard for healthcare workers and can result in exposure to bloodborne pathogens, leading to infections such as HIV and Hepatitis. Step 3: Advocacy Relevance - The inability to access the key to change the sharps container compromises the safety of nurses and violates their right to a safe work environment, making it a workforce advocacy issue. Step 4: Reporting to Higher Authorities - If the issue is not resolved at the local level, it should be reported to the state nurses association or the Center for American Nurses for intervention and resolution to ensure the safety of healthcare workers. Summary: Options A, B, and C do not directly relate to workforce advocacy issues that pose a significant risk to nurses' safety. Option
Question 2 of 5
During the night, a patient fell in the bathroom and sustained a hip injury. The patient was very upset because of being unable to attend a granddaughter's wedding in 2 days. The team looked at the process and determined that the patient had been medicated with a narcotic, had urinary urgency so had not taken the time to put on shoes, failed to turn on the light because the door to the hall let in some light, and stumbled over a towel that had been placed to collect water leaks caused by construction that was in progress to replace damaged sinks. Which factor was a special cause variation?
Correct Answer: D
Rationale: The correct answer is D: Improper construction that caused the leak and towel placement. This is a special cause variation because it is an external factor outside the patient's control that directly contributed to the incident. The construction causing water leaks and the placement of a towel to collect water created a hazardous environment leading to the fall. The other choices, A, B, and C, are common cause variations as they are related to the patient's behavior or medical condition which could have been managed or controlled within the usual process.
Question 3 of 5
A male nurse hired to work in the emergency department is observed throwing a contaminated needle into the trash can. The team leader reprimands the nurse for not appropriately disposing of sharps. The nurse states, "You don't care that I threw the needle in the trash. You just want an all-female staff," putting the team leader in a defensive position. This communication technique is known as:
Correct Answer: B
Rationale: The correct answer is B: red herring. In this scenario, the male nurse deflects the issue of improper sharps disposal by accusing the team leader of having ulterior motives related to gender discrimination. This is a classic example of a red herring, where the nurse introduces an irrelevant topic to divert attention from the original issue. The nurse's response does not address the concern raised about sharps disposal but instead shifts the focus to an unrelated accusation. The other choices are incorrect because they do not accurately describe the communication technique used in the scenario. A straw man involves misrepresenting an opponent's argument to make it easier to attack, slippery slope is a form of logical fallacy, and confusing cause and effect refers to a mistaken understanding of the relationship between two events.
Question 4 of 5
A primary function of the budgeting process is to provide managers with an opportunity to:
Correct Answer: B
Rationale: The correct answer is B because the primary function of the budgeting process is to discuss concerns about resource allocation with leaders capable of resolving issues. This allows managers to make informed decisions on how to allocate resources effectively. Choice A is incorrect as the budgeting process is not primarily about insisting on specific salary increases. Choice C is incorrect as it focuses on changing budgeting methods rather than the purpose of budgeting itself. Choice D is incorrect as developing an educational program is not the primary purpose of the budgeting process.
Question 5 of 5
According to the Needlestick Safety and Prevention Act (2000):
Correct Answer: D
Rationale: The correct answer is D. The Needlestick Safety and Prevention Act (2000) mandates that employers must document how and where a sharps injury occurred, including the brand of device involved. This helps in identifying patterns of injuries and evaluating the effectiveness of safety devices. Choice A is incorrect because the Act does not specifically mention nurses in managerial positions evaluating safe needle devices. Choice B is incorrect as there is no requirement for registered nurses to pass a test after sustaining a needle stick. Choice C is incorrect as the Act sets federal standards for safe needle devices, not leaving it up to individual states to determine.
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