ATI RN
ATI Fundamentals Exam Final Questions
Question 1 of 5
When a patient admitted for terminal care is asked by the admitting nurse,What has your doctor told you about your illness? the patient states,"She says that I have a terminal illness, but I know she's wrong. The nurse recognizes that:
Correct Answer: B
Rationale: This option assumes that the doctor does not inform patients about terminal illnesses, which may not necessarily be the case. Denial is a common defense mechanism in response to distressing or overwhelming information. While it may be important for the patient to have an understanding of their prognosis, pushing the patient to accept the reality may not be helpful. Avoiding conversation about the disease or symptoms may not address the underlying issue of denial and may hinder open communication.
Question 2 of 5
A dying patient who verbalizes that he "is ready" is indicating that he is in the following stage.
Correct Answer: B
Rationale: Final: This option does not correspond to any stage of the grieving process or Kubler-Ross's stages of dying. Acceptance: In Kubler-Ross's stages of dying, acceptance is the final stage. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome. Denial: Denial is one of the initial stages where individuals refuse to accept the reality of their situation.
Question 3 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "I feel so hopeless about Mom's condition."
Correct Answer: A
Rationale: Depression: The statement expresses feelings of hopelessness, which is characteristic of depression. Anger: While hopelessness can sometimes lead to feelings of anger, the statement primarily conveys a sense of despair. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. Denial is the initial stage where individuals refuse to accept the reality of their situation.
Question 4 of 5
A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Tell me why you want to take your child home.' This response could be perceived as questioning or challenging the parents' decision. 'I will help you get ready to leave.' This response shows support and understanding for the parents' decision. 'You have not given the medication a chance to work.' This response may come across as dismissive of the parents' wishes. 'The pediatrician is the only one who can discharge your child.' While it is true that discharge typically requires a physician's order, this response does not offer the supportive tone needed.
Question 5 of 5
A 33-year-old patient has been told that her disease is terminal. The patient is crying and states,I will just be a dependent drain on my family. I hate being a burden to them. The nurse can best respond:
Correct Answer: C
Rationale: I know. I would feel terrible if I had been told I was dying.' This response does not effectively address the patient's concerns or provide therapeutic communication. 'Is there any reason to tell your family about this now? You still have some time in which you can enjoy life.' This response minimizes the patient's emotions and fails to acknowledge her distress. 'You have heard some very bad news today. Can you describe what you mean by burden?' This response acknowledges the patient's feelings and invites further discussion. 'I doubt that your loving family will view your terminal care as a burden.' While this response attempts to provide reassurance, it may come across as dismissive.