ATI RN
Client Comfort and End of Life Care ATI Quizlet Questions
Question 1 of 5
A patient who has had a recent below-knee amputation tells the nurse that he feels as though his toes are cramping. What would the nurse say in return?
Correct Answer: B
Rationale: Post-amputation sensations need validation. 'That is called phantom pain, and it is not unusual' is correct; phantom limb paine.g., cramping in absent toesarises from neural reorganization, per Taylor's neurology, affecting 60-80% of amputees. Choice A, 'all in your mind,' dismisses ite.g., it's real, not imaginary, via spinal/brain misfiring. Choice C, 'really strange,' undermines normalcye.g., it's common, not odd, needing no urgent MD call. Choice D, 'refer to a psychiatrist,' mislabels; it's neuropathic, not psychiatrice.g., managed with meds (gabapentin), not therapy alone. For instance, a patient feels 'toes' because nerves still signal the brain, a known phenomenon. Nurses educate and reassuree.g., 'It'll lessen over time'fostering coping. Choice B is the empathetic, accurate response.
Question 2 of 5
Which of the following is the drug of choice to treat chronic pain in the home?
Correct Answer: A
Rationale: Chronic pain at home needs accessible relief. 'Oral morphine' is the choicee.g., 15 mg q4h manages cancer pain, per Taylor's home care, balancing efficacy and ease. 'Intravenous morphine' is hospital-basede.g., not home-feasible. 'NSAIDs' suit mild paine.g., ibuprofen caps at arthritis, not severe chronicity. 'Antidepressants' aid neuropathic paine.g., duloxetine, adjunctive only. Morphine's potencye.g., WHO ladder step 3fits unremitting pain (e.g., 8/10), with oral forms (tablets, liquid) practical. Nurses teach safe usee.g., lockbox storagemaking Choice A correct.
Question 3 of 5
A teenager describes herself as tall, attractive, female, student, intelligent. What part of her self-concept is she describing?
Correct Answer: C
Rationale: Self-description reflects awareness. 'Self-knowledge' fitse.g., 'tall, attractive' shows what she knows about herself, per Taylor's components, a factual base. 'Self-expectations' are goalse.g., 'I'll be a doctor,' not current traits. 'Self-esteem' is valuee.g., 'I'm great,' not descriptors. 'Self-evaluation' judgese.g., 'I'm smart enough,' not listing. Her wordse.g., 'student'map her identity/body image, not worth or aims. Nurses use this for rapport, making Choice C correct.
Question 4 of 5
In which of the following age groups do interpersonal losses play a role in disturbances in self-concept?
Correct Answer: D
Rationale: Interpersonal losses disrupt self-concept by role loss, most in 'older adult' e.g., a 70-year-old widow redefines 'spouse,' per Taylor's aging lens, impacting global self. 'Child' feels losse.g., pet diesbut self-concept is fluid, less tied to roles. 'Teenager' focuses on peerse.g., breakup hurts, but identity's forming, not fixed. 'Adult' balances lossese.g., job shiftwith resilience, less cumulative than aging. Older adults face serial lossese.g., spouse, friendsaltering identity (70% report esteem drops post-loss). Nurses note thise.g., 'I'm nobody now'targeting support. Choice D fits this life-stage vulnerability correctly.
Question 5 of 5
Which of the following strategies can be used to help patients overcome powerlessness?
Correct Answer: B
Rationale: Powerlessness needs empowerment. 'Encourage patients to identify their strengths' helpse.g., 'I'm good at planning' boosts control, per Taylor's self-concept care, countering helplessness. Choice A, 'weaknesses,' deepens despaire.g., 'I fail,' not healing. Choice C, 'provide advice,' guidese.g., 'Try this,' but doesn't own power. Choice D, 'set goals for them,' disempowerse.g., 'I'll decide,' not patient-led. A nurse saying, 'What are you strong at?'e.g., 'I cook well'shifts a bedridden patient to agency, a key intervention. Choice B is the correct, empowering strategy.