ATI RN
Client Comfort and End of Care Questions
Question 1 of 5
A patient who is being seen at a physicians office states that he has bad headaches all the time. Diagnostic tests are normal. What is this type of response to stress called?
Correct Answer: A
Rationale: Headaches sans cause link to stress. 'Psychosomatic disorder' appliese.g., tension headaches from anxiety, per Taylor's mind-body tie, no organic basis. 'Acute illness' is shorte.g., flu, not 'all the time.' 'Chronic illness' implies pathologye.g., migraines with MRI findings, not here. 'Pretend disorder' is malingeringe.g., faking, not real pain. A patiente.g., 'Work kills me'shows psyche (stress) causing soma (pain), 30% of such cases, a nursing cue for relaxation. Choice A is correct.
Question 2 of 5
A nurse is teaching a patient about the benefits of exercise in reducing stress. How often would the nurse recommend the patient exercise?
Correct Answer: C
Rationale: Exercise cuts stress with frequency. '30 to 45 minutes, most days of the week' is recommendede.g., 5 days of brisk walking lowers cortisol, per Taylor's wellness, fitting ACSM (150 min/week). Choice A, '2 hours daily,' overtaxese.g., burnout risk. Choice B, '1 hour weekly,' underperformse.g., no stress drop. Choice D, '60-75 minutes, 4-5 times,' is highe.g., 300 min/week, not minimal need. A nurse sayse.g., 'Walk 40 min most days'easing tension (e.g., 20% mood lift), practical. Choice C is the correct, balanced advice.
Question 3 of 5
The husband of a patient who died of breast cancer is still grieving for his wife 2 years later. What type of grief is he experiencing?
Correct Answer: A
Rationale: Prolonged grief post-death has a label. 'Unresolved' fitse.g., 2 years of mourning breast cancer loss, per Taylor's grief types, exceeds normal adaptation. 'Situational' is event-basede.g., death itself, not duration. 'Inhibited' hidese.g., no tears, not this. 'Maturational' is growthe.g., aging, not loss. A nurse seese.g., 'I can't move on'unresolved (e.g., 10% of grievers), needing therapy. Normal griefe.g., 6-12 monthsfades; this lingers, impairing function (e.g., isolation), distinct from suppressed or developmental grief. Choice A is the correct, chronic type.
Question 4 of 5
A dying patient and family have requested that no attempts be made to resuscitate the patient in the event of death. A doctor has written a DNR order. What is the nurses responsibility if the patient dies?
Correct Answer: B
Rationale: DNR dictates nurse action. 'Make no attempt to resuscitate the patient' is responsibilitye.g., honor 'No CPR,' per Taylor's ethics, per written order. Choice A, 'own conscience,' violatese.g., personal belief can't override. Choice C, 'slow code,' defiese.g., unethical delay. Choice D, 'call 911 and CPR,' ignorese.g., DNR applies home/hospital. A nurse stands bye.g., 'It's her wish'legal duty (e.g., 100% compliance), ensuring dignity. Choice B is the correct, mandated response.
Question 5 of 5
Which of the following phrases can do much to instill hope in the dying patient?
Correct Answer: D
Rationale: Hope in dying balances truth and care. 'Let me tell you about your illness' instillse.g., 'Here's what we can do,' per Taylor's palliative hope, offering control. Choice A, 'hopeless,' crushese.g., despair sets. Choice B, 'nothing more,' endse.g., no options. Choice C, 'fine, don't worry,' liese.g., denies reality. A nurse explainse.g., 'Pain's manageable'hope via facts (e.g., 70% feel empowered), not platitudes. Choice D is the correct, honest phrase.