ATI RN
Client Comfort and End of Life Care Questions
Question 1 of 5
A nurse working with patients in a healthcare facility influences them to make healthy lifestyle choices. According to Coopersmith, which of the following bases of self-esteem for the nurse does this example represent?
Correct Answer: A
Rationale: Coopersmith ties self-esteem to influence. 'Power' fitse.g., the nurse's ability to guide patients (e.g., quitting smoking) reflects control, per Taylor's adaptation of Coopersmith. 'Significance' is being valuede.g., 'patients love me,' not action. 'Competence' is skille.g., giving shots, not influencing. 'Virtue' is moralitye.g., honesty, not lifestyle push. Powere.g., 'I changed her diet'shows esteem from impact, a nursing strength. Choice A is correct.
Question 2 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 3 of 5
A patient with an inflamed appendix is feeling pain in the stomach area. What is the term for this body response to stress?
Correct Answer: A
Rationale: Localized stress response has a term. 'Local adaptation syndrome' appliese.g., appendicitis pain/swelling is site-specific, per Taylor's stress types, not whole-body. 'General adaptation syndrome' is systemice.g., adrenaline rush, not one organ. 'Physiological homeostasis' is balancee.g., not pain's flare. 'Fight-or-flight response' is acutee.g., HR up, not inflammation. Paine.g., RLQ tendernessreflects local inflammatory mediators (e.g., cytokines), a nursing focus for surgery. Choice A is the correct, precise term.
Question 4 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 5 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.