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

With the crisis in health care and the nursing shortage, why is the image of nursing still important?

Correct Answer: A

Rationale: The correct answer is A because during times of uncertainty in healthcare, patients rely on nurses for care and support. The image of nursing as trustworthy and competent can strengthen the nurse-patient relationship. This fosters a sense of security and confidence in patients. Option B is incorrect because nursing has its own distinct body of knowledge, including theories, principles, and skills that guide practice. Option C is incorrect because while presenting a unified image is important, it is not the sole factor in establishing nursing as a profession. Option D is incorrect because while technologic competence is essential in modern healthcare, the caring aspect of nursing remains crucial, especially during times of crisis.

Question 2 of 5

A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, "These rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do." The nurse is exhibiting:

Correct Answer: B

Rationale: The correct answer is B: ethnocentrism. This is because the nurse is judging the client's cultural beliefs as inferior to American practices, implying that American ways are the only correct ones. Ethnocentrism involves viewing one's own culture as superior to others. A: Stereotyping is not the correct answer because the nurse is not making a generalization about a group based on limited information. C: Cultural accommodation is not the correct answer because the nurse is not demonstrating an understanding or acceptance of the client's cultural practices. D: Empathy is not the correct answer because the nurse is not showing understanding or compassion towards the client's cultural beliefs.

Question 3 of 5

A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is:

Correct Answer: B

Rationale: The correct answer is B: moving. In Lewin's change management model, the process involves three stages: unfreeze, move, and refreeze. In this scenario, the hospital has already identified the need for change (unfreeze) by recognizing the issue with patient satisfaction scores. The change agent's recommendations and the implementation of interdisciplinary walking rounds and involving patients and families in rounds indicate the active phase of making changes and transitioning to new practices (moving). The actions taken, such as rounding every shift, updating the team through huddles, monitoring nurse participation, and interviewing patients, all demonstrate movement towards the desired change. Refreeze would come after the changes have been successfully implemented to stabilize and institutionalize the new practices. The options A (unfreeze) and C (refreeze) are incorrect as the hospital is currently in the implementation phase of change, and option D (resistance) does not apply as there is no indication of significant resistance to the proposed changes in the scenario provided.

Question 4 of 5

A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence. To enhance employee satisfaction related to staffing, the management team:

Correct Answer: C

Rationale: Step-by-step rationale for choice C: 1. Participatory management involves nurses in decision-making, increasing job satisfaction. 2. Involving nurses in staffing decisions can lead to better scheduling and workload distribution. 3. This empowerment can improve morale and foster a sense of ownership among nurses. 4. Ultimately, participatory management enhances job satisfaction and retention. Summary: - Choice A (additional agency nurses) may address short-term staffing needs but doesn't directly improve job satisfaction. - Choice B (more part-time employees) may not address underlying issues of satisfaction and can lead to scheduling challenges. - Choice D (using float nurses) may help cover vacancies but doesn't involve nurses in decision-making or address satisfaction directly.

Question 5 of 5

A nurse in a rehabilitation unit plans activities of daily living to prevent excessive fatigue, helps the patient dress before the family visits, assists with range of motion, and allows the patient to decide which clothes to wear during the visit. This nurse is best applying which theory to practice?

Correct Answer: A

Rationale: The correct answer is A: Watson's Theory of Caring. This theory emphasizes the importance of caring relationships in nursing practice. In this scenario, the nurse is demonstrating caring by helping the patient prevent fatigue, assisting with dressing, and respecting the patient's autonomy in choosing clothes. Watson's theory focuses on promoting holistic care and building a therapeutic nurse-patient relationship. Choices B, C, and D are incorrect: B: Rogers' Theory of Unitary Humans focuses on the interconnectedness of humans with their environment, which is not the primary focus of the nurse's actions in the scenario. C: Levine's Theory of Conservation emphasizes maintaining the patient's energy and structural integrity, which is not the main focus of the nurse's actions in the scenario. D: Leininger's Theory of Transcultural Nursing focuses on providing culturally competent care, which is not the central theme of the nurse's actions in the scenario.

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