ATI RN
Client Comfort and End of Life Care Questions
Question 1 of 5
A nurse who works on the pediatric unit wants to help a child cope with the loss of a leg in a hunting accident. What would the nurse implement to help the child express feelings?
Correct Answer: D
Rationale: Kids express via play. 'Dolls or animals' helpe.g., a teddy 'loses a leg,' per Taylor's pediatric care, letting a child say 'It hurts,' externalizing grief. 'Support from family' comfortse.g., hugsbut doesn't express. 'Television cartoons' distracte.g., no outlet. 'Story books' educatee.g., 'Others cope,' not personal. A nurse hands a dolle.g., 'Show me how it feels'unlocks emotions (e.g., 80% of kids open up), a therapeutic tool. Choice D is the correct, expressive method.
Question 2 of 5
A woman who was assaulted in the street is brought to the emergency room for observation. A nurse documents that the woman has difficulty communicating verbally, is agitated, and complains of chest pain and a sense of impending doom. What type of anxiety is this patient experiencing?
Correct Answer: D
Rationale: Extreme symptoms signal acute anxiety. 'Panic' fitse.g., verbal block, agitation, chest pain, and doom post-assault, per Taylor's anxiety scale, a fight-or-flight peak. 'Mild anxiety' sharpens focuse.g., test jitters, not doom. 'Moderate anxiety' narrowse.g., worry, not paralysis. 'Severe anxiety' disruptse.g., pacing, not chest pain's intensity. A nurse seese.g., HR 120 bpmpanic's chaos (e.g., 5% of trauma cases), needing calm (e.g., benzodiazepines). Choice D is the correct, intense level.
Question 3 of 5
Which of the following questions would be helpful in eliciting data about the effects of stress during a health history?
Correct Answer: D
Rationale: Stress effects need open inquiry. 'How does your body feel when you are upset?' elicitse.g., 'Tense, sick,' per Taylor's history-taking, revealing impact. Choice A, 'difficulty breathing,' assumese.g., not broad. Choice B, 'smoking and drinking,' judgese.g., 'Why' closes off. Choice C, 'drink too much,' narrowse.g., misses other signs. D'se.g., 'My chest hurts'uncovers stress (e.g., 60% somatic complaints), a nursing key. Choice D is the correct, effective question.
Question 4 of 5
Which one of the following statements accurately describes the process known as grief reaction?
Correct Answer: D
Rationale: Grief reaction varies widely. 'Reactions to grief may differ from patient to family' is accuratee.g., a dying patient accepts, family denies, per Taylor's grief theory, showing individuality. Choice A, 'grief and dying are different,' is vaguee.g., processes overlap, not distinct. Choice B, 'similar for all,' denies diversitye.g., culture alters expression (e.g., stoic vs. vocal). Choice C, 'follow all stages,' assumes Kübler-Ross's fivee.g., many skip bargaining. A nurse notese.g., 'He's calm, she's raging'differing paths (e.g., 80% show variance), not uniform stages or responses. Grief's personal naturee.g., patient's relief vs. family's despairrequires tailored care, not rigid models. Choice D captures this relational divergence correctly.
Question 5 of 5
A patient asks a nurse to explain a living will. What is the nurses best answer?
Correct Answer: C
Rationale: A living will clarifies care wishes. 'It lists specific instructions for healthcare provisions' is beste.g., 'No ventilator,' per Taylor's end-of-life terms, guiding providers. Choice A, 'inherit estate,' is a wille.g., property, not health. Choice B, 'quality of life,' is outcomee.g., not directive. Choice D, 'trusted person,' is power of attorneye.g., not instructions. A nurse explainse.g., 'You choose treatments'living will's role (e.g., 50% of elderly use), distinct from proxy. Choice C is the correct, precise answer.