ATI RN
ATI Client Comfort and End of Life Care Quizlet Questions
Question 1 of 4
A man has noticed bright red blood in his bowel movements for over a month. He says to himself, Oh, its just my hemorrhoids. What defense mechanism is the man using?
Correct Answer: C
Rationale: Ignoring blood is psychological. 'Denial' is usede.g., 'It's hemorrhoids' dismisses cancer fear, per Taylor's Freudian defenses, avoiding reality. 'Rationalization' justifiese.g., 'I deserve it,' not this. 'Repression' buriese.g., forgets, not acknowledges. 'Compensation' offsetse.g., excels elsewhere, not here. A nurse notese.g., 'He won't see a doc'denial's risk (e.g., 20% delay diagnosis), needing gentle push. Choice C is the correct, unconscious shield.
Question 2 of 4
Which of the following statements is typical of the first stage of grieving described by Engel?
Correct Answer: A
Rationale: Engel's first grief stage is disbelief. 'No, not me' typifiese.g., shock at diagnosis denies reality, per Taylor's Engel model, a protective buffer. Choice B, 'Why me?,' fits angere.g., stage two, questioning fate. Choice C, 'best man,' is idealizatione.g., later reflection, not initial. Choice D, 'funeral helped,' is resolutione.g., stage three, not start. A nurse hearse.g., 'It can't be'first reaction (e.g., 90% of sudden loss), stalling pain. Engel's sequencedisbelief, developing awareness, restitutionstarts with rejection, not rage or closure. Unlike Kübler-Ross's denial, Engel's is raw refusal, making Choice A the correct, initial statement.
Question 3 of 4
A dying patient states in writing ahead of time what her choices would be for healthcare should certain circumstances develop. What is the term for this document?
Correct Answer: B
Rationale: Written care choices have a broad term. 'Advance directives' appliese.g., her 'No CPR' document, per Taylor's legal terms, encompassing living wills and more. 'Living will' is specifice.g., one type, not all directives. 'Durable power of attorney' names a proxye.g., not choices itself. 'Comfort measures only' is an ordere.g., not a document. A nurse filese.g., 'Her wishes'advance directives (e.g., 60% of terminal plans), covering all pre-stated care. Choice B is the correct, umbrella term.
Question 4 of 4
A nurse is developing a plan of care for a dying patient. Which of the following physiologic basic human needs should be addressed?
Correct Answer: A
Rationale: Dying patients need basic care. 'Personal hygiene' should be addressede.g., clean skin prevents sores, per Taylor's Maslow base, maintaining dignity. 'Risk for infection' lessense.g., not key in hours left. 'Family support' is psychosociale.g., not physiologic. 'Spirituality' is highere.g., peace, not body need. A nurse bathese.g., 'He's comfortable'meeting essentials (e.g., 90% of plans), not just spirit. Choice A is the correct, physical priority.