ATI RN
ATI Client Comfort and End of Life Care Quizlet Questions
Question 1 of 5
A patient who has a sleep disorder is trying stimulus control to improve amount and quality of sleep. What is recommended in this type of therapy?
Correct Answer: A
Rationale: Stimulus control reconditions the bedroom as a sleep cue, per CBT-I protocols. 'Use the bedroom for sleep and sex only' is correct; limiting activitiese.g., no TV or workstrengthens the bed-sleep link, cutting sleep latency (e.g., from 40 to 15 minutes). Choice B, 'use the bedroom for reading and eating,' undermines this; multi-use (e.g., snacking at 10 p.m.) signals wakefulness, per sleep science. Choice C, 'go to bed at the same time every night,' is sleep hygiene, not stimulus control's coree.g., it's complementary, not defining. Choice D, 'sleep alone with minimal coverings,' is irrelevant; company or blankets don't dictate conditioning unless disruptive. For example, a patient leaving the bedroom if awake >20 minutes reinforces sleep association, per Taylor's behavioral approach. Choice A is the precise, correct recommendation.
Question 2 of 5
A patient in the Emergency Department is diagnosed with a myocardial infarction (heart attack). The patient describes pain in his left arm and shoulder. What name is given to this type of pain?
Correct Answer: B
Rationale: Pain location can mislead its origin. 'Referred pain' fits a myocardial infarction's left arm/shoulder paine.g., cardiac ischemia projects via shared nerve pathways (T1-T5), per Taylor's pain science. 'Cutaneous pain' is skin-specifice.g., a burn, not heart. 'Allodynia' is pain from non-painful stimulie.g., touch hurts in neuropathy, not MI. 'Nociceptive' is a category (tissue damage), not a typee.g., too broad here. MI's classic referrale.g., angina radiatingmakes Choice B the correct term.
Question 3 of 5
How may a nurse demonstrate cultural competence when responding to patients in pain?
Correct Answer: D
Rationale: Cultural competence in pain care respects diversity. 'Avoid stereotyping responses to pain by patients' is correcte.g., not assuming a stoic Asian patient feels less pain, per Taylor's cultural framework, ensures individualized assessment. Choice A, 'treat every patient the same,' ignores cultural normse.g., some groups (e.g., Hispanic) express pain vocally. Choice B, 'skilled in medication administration,' is technical, not culturale.g., giving morphine doesn't address beliefs. Choice C, 'know action and side effects,' is clinical knowledge, not competencee.g., unrelated to a patient's pain expression style. A nurse asking, 'How do you usually handle pain?'e.g., prayer for someavoids bias, aligning with holistic care. Choice D is the culturally adept answer.
Question 4 of 5
What type of nonpharmacologic pain relief measure uses electrical stimulation to inhibit transmission of painful impulses?
Correct Answer: A
Rationale: Electrical stimulation targets pain pathways. 'TENS' , transcutaneous electrical nerve stimulation, inhibits paine.g., electrodes at 50 Hz block A-delta signals via gate control, per Taylor's neuromodulation. 'Acupressure' uses pressuree.g., thumb on points, not electricity. 'Acupuncture' uses needlese.g., meridian-based, not electrical primarily. 'Hypnosis' alters perceptione.g., trance, no current. TENSe.g., 20-minute sessioncuts pain (e.g., 5/10 to 2/10) in back injuries, a nursing tool. Choice A is the correct, specific method.
Question 5 of 5
A nurse consults with a nurse practitioner trained to perform acupressure to teach the method to a patient being discharged. What process is involved in this pain relief measure?
Correct Answer: B
Rationale: Acupressure uses physical touch for pain. 'Cutaneous stimulation' is involvede.g., thumb pressure on points (e.g., LI4) stimulates skin receptors, per Taylor's nonpharmacologic care, gating pain. 'Biofeedback' trains self-regulatione.g., heart rate, not touch-based. 'Patient controlled analgesia' is drug-basede.g., PCA pump, not manual. 'Percutaneous electrical nerve stimulation' uses electrodese.g., TENS, not pressure. Acupressuree.g., 5 minutes on a wristeases tension headaches, a nursing skill. Choice B is the correct process.