ATI RN
Client Comfort and End of Life Care Questions
Question 1 of 5
A physician orders a placebo for a patient. What is a placebo?
Correct Answer: A
Rationale: A placebo lacks active ingredients. 'An inactive substance given in place of a drug' defines ite.g., a sugar pill mimics morphine, per Taylor's ethics, testing perception. Choice B, 'smaller dose,' is still activee.g., 2 mg vs. 10 mg, not placebo. Choice C, 'no side effects,' misleadse.g., placebos can cause placebo effects, not drug-free. Choice D, 'intravenous potent analgesic,' is activee.g., fentanyl, not inert. Used rarelye.g., 10% of pain studiesplacebos exploit expectation (e.g., 20% report relief). Nurses note ethical debates but recognize Choice A as the correct definition.
Question 2 of 5
During an assessment of a patients self-esteem, a 45-year-old man tells the nurse that he lost his job due to downsizing and has been unemployed for 6 months. What would be the appropriate response from the nurse?
Correct Answer: C
Rationale: Job loss dents esteem, needing empathy. 'How has losing your job affected your life and the lives of your significant others?' is appropriatee.g., 'I feel worthless,' opens impact, per Taylor's therapeutic communication, probing self-concept. Choice A, 'shouldn't feel bad,' minimizese.g., invalidates his 6-month struggle. Choice B, 'support a family,' narrowse.g., assumes roles, not feelings. Choice D, 'more important things,' dismissese.g., belittles his identity as provider. A nurse asking Ce.g., gets 'I'm failing my kids'builds trust, targeting care (e.g., counseling). Choice C is the correct, patient-focused response.
Question 3 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 4 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 5 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.