ATI RN
Client Comfort and End of Life Care ATI Questions
Question 1 of 4
A friend has lost her job and is becoming increasingly anxious to the point of crisis. What type of crises is she experiencing?
Correct Answer: C
Rationale: Job loss triggers a crisis type. 'Situational' fitse.g., unemployment shifts stability, per Taylor's crisis theory, an external event. 'Adventitious' is disastere.g., flood, not personal. 'Maturational' is growthe.g., menopause, not job. 'Emotional' is vaguee.g., not a type. A nurse seese.g., 'I can't pay bills'situational anxiety (e.g., 50% of jobless), needing coping aid. Choice C is the correct, specific crisis.
Question 2 of 4
A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations. Based on these findings, the nurse recognizes which of the following?
Correct Answer: A
Rationale: End-stage signs signal finality. 'These are signs of impending death' is recognizede.g., BP drops (e.g., 60/40), incontinence, no reflexes, and Cheyne-Stokes (irregular breathing), per Taylor's dying process, hours away. Choice B, 'no abnormality,' deniese.g., these aren't normal. Choice C, 'resuscitation,' violates DNRe.g., unethical. Choice D, 'family leave,' excludese.g., they stay for closure. A nurse notese.g., 'It's near'preparing family (e.g., 90% show these), not fighting. Impending death's physiologye.g., organ shutdownguides palliative care, making Choice A the correct, clinical call.
Question 3 of 4
Which of the following persons is responsible for handling and filing a death certificate with proper authorities?
Correct Answer: A
Rationale: Death certificates need legal filing. 'Mortician' is responsiblee.g., funeral home submits to state, per Taylor's postmortem roles, after MD signs. 'Physician' certifiese.g., cause, not filing. 'Nurse' preparese.g., body, not paperwork. 'Hospital administrator' overseese.g., not direct. A nurse hands offe.g., 'Mortuary takes it'standard (e.g., 80% of deaths), ensuring records. Choice A is the correct, final handler.
Question 4 of 4
A nurse who provides bereavement counseling is working with the family of a child who recently died from cancer. Which of the following statements may be a common expression of grief and guilt by a family member?
Correct Answer: D
Rationale: Grief often twists into guilt. 'Sister: It is all my fault; I wanted him to die' is commone.g., survivor guilt, per Taylor's bereavement, irrational blame in kids. Choice A, 'prepare for death,' reflectse.g., not guilt. Choice B, 'at peace,' resolvese.g., no self-blame. Choice C, 'for the best,' rationalizese.g., not personal. A nurse hearse.g., 'I wished it once'sibling guilt (e.g., 30% of kids), needing counsel. Choice D is the correct, typical expression.