which of the following is a challenge the profession of nursing faced

ATI RN

Leadership ATI Proctored

1. Which of the following is a challenge the profession of nursing faced?

A. Nursing contributing to the stigma of AIDS in the 1980s out of fear.
B. Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment.
C. Many nurses feeling frustrated with the lack of independent functioning after the Vietnam War.
D. A decline in the number of hospice nurses due to ethical dilemmas.

Correct answer: C

Rationale: The correct answer is C. After the Vietnam War, many nurses felt frustrated with the lack of independent functioning when they returned home. This challenge was faced by the profession of nursing as nurses who functioned independently in mobile hospital units during the war found themselves restricted in their practice upon returning. Choices A, B, and D are incorrect because they do not address the specific challenge of lack of independent functioning faced by nurses after the Vietnam War.

2. After correcting the IVF infusion rate, what should be the next step in the client's care?

A. Notify family
B. Discipline the previous nurse
C. Complete an incident report
D. Obtain legal consultation

Correct answer: C

Rationale: The correct next step in the client's care after correcting the IVF infusion rate is to complete an incident report. This report is crucial for documenting the event, identifying the root cause of the error, and implementing measures to prevent similar incidents in the future. Notifying the family, disciplining the previous nurse, and obtaining legal consultation are not immediate priorities in this situation. Family notification may be necessary later but ensuring patient safety and proper documentation come first. Disciplining the previous nurse should be handled through the appropriate professional channels, not as an immediate response to the incident. Legal consultation may be needed in some cases but is not the initial step required after correcting the error and ensuring the client's safety.

3. Which of the following should be included in a discussion of advance directives with new nurse graduates?

A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
D. The advance directive designates a health-care surrogate who will make known the client�s wishes regarding medical treatment if the client is unable to do so.

Correct answer: D

Rationale: One function of the advance directive is to appoint a health-care surrogate who will make known the client�s wishes for medical treatment to the medical and nursing team if the client is unable to do so.

4. What is the main purpose of health informatics?

A. To manage patient care
B. To store patient records
C. To enhance clinical decision making
D. To improve healthcare policies

Correct answer: C

Rationale: The main purpose of health informatics is to enhance clinical decision making. While managing patient care (choice A) and storing patient records (choice B) are important functions within health informatics, the primary goal is to improve decision making processes by utilizing technology and data. Improving healthcare policies (choice D) is not the main purpose of health informatics, although it can be a byproduct of better-informed decision making.

5. The changes brought forth by the state boards of nursing are an example of which type of change agent?

A. Resistance
B. Empirical–rational
C. Normative–reeducative
D. Power–coercive

Correct answer: D

Rationale: The changes implemented by state boards of nursing typically fall under the category of Power–coercive change agents. State boards of nursing have the authority to enforce changes through regulations and policies, making use of their legitimate power. Resistance (choice A) is not the correct answer as it refers to opposition to change rather than the entity driving change. Empirical–rational (choice B) focuses on convincing individuals through empirical evidence and rational arguments, which is not reflective of the state boards' authority. Normative–reeducative (choice C) involves persuading individuals to change based on shared values and beliefs, which is not the primary approach of state boards of nursing.