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ATI RN · Contemporary Issues Trends and Management · Contemporary Issues in Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is concerned because novice nurses are having their orientation period shortened and are being placed in charge nurse positions. The nurse has documented unsafe care and decisions by these novice nurses. To be protected from retaliation by the employer, this nurse must "blow the whistle" by:

A. holding a public forum in the agency cafeteria to discuss concerns.
B. reporting concerns to state and/or national agencies regulating the agency.
C. calling coworkers outside the workplace to informally discuss wrongdoing.
D. contacting The Joint Commission to report unsafe conditions.

Expert Explanatory Rationale

Correct Answer: reporting concerns to state and/or national agencies regulating the agency.

Question 2 of 5

A new nurse asks, "Since Electronic Medical Records can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts"? Barriers to a universal health information infrastructure include the fact that: (select all that apply)

A. competition from individual companies to build EMR prevent a universal infrastructure.
B. cost is prohibitive even with federal funding for larger health care systems.
C. preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making.
D. insurance companies have halted sharing of some patient data due to fear of law suits.

Expert Explanatory Rationale

Correct Answer: competition from individual companies to build EMR prevent a universal infrastructure.

Question 3 of 5

A nurse is very interested in learning more about health care economics and how she can use that knowledge to become a better patient advocate. She comments, "Nurses should not only deliver care one day at a time in one facility but should coordinate patient care as they move from acute care to rehabilitation to home care." This nurse would be a candidate for which nursing role?

A. Disease management program (DMP) for chronic illnesses
B. A hospital-based utilization management nurse who reviews medical records to determine the most appropriate DRG for patients
C. Case management
D. Reviewer for Managed Care Organization

Expert Explanatory Rationale

Correct Answer: Case management

Question 4 of 5

A nurse who is conducting a staff in-service on the phases of a disaster continuum teaches participants that, during the impact/response stage, activities focus on:

A. community awareness in anticipation of a terrorist attack or natural disaster.
B. determining the effectiveness of the disaster medical assistance team (DMAT).
C. the use of an all-hazards approach.
D. initiating response activities.

Expert Explanatory Rationale

Correct Answer: initiating response activities.

Question 5 of 5

A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:

A. Commissioned Corps Readiness Force.
B. Strategic National Stockpile.
C. Department of Homeland Security.
D. local Young Men's Christian Association (YMCA).

Expert Explanatory Rationale

Correct Answer: Strategic National Stockpile.

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