ATI RN
Client Comfort Questions
Question 1 of 5
A postoperative patient has not voided for 8 hours (since surgery). He is restless and complains of abdominal pain. How and what would the nurse assess before administering pain medications?
Correct Answer: D
Rationale: Post-op urinary retention mimics pain. 'Palpate abdomen for distended bladder' is correcte.g., a firm, tender suprapubic mass suggests 400 mL retention, per Taylor's assessment, causing pain and restlessness. Choice A, 'last bowel movement,' tracks constipatione.g., unrelated to 8-hour void gap. Choice B, 'auscultate bowel sounds,' checks GIe.g., hypoactive post-op, not urinary. Choice C, 'percuss for tympany,' assesses aire.g., bowel, not bladder fullness. Palpatione.g., dullness over bladderconfirms retention (common post-anesthesia) before opioids, which worsen it. Nurses prioritize causee.g., catheterize, not mask with medsmaking Choice D the right step.
Question 2 of 5
What is the name given to the evaluative and affective component of the selfconcept?
Correct Answer: C
Rationale: Self-concept includes judgment. 'Self-esteem' is the evaluative/affective parte.g., 'I feel good about me,' per Taylor's model, blending worth and emotion. 'Ideal self' is desirede.g., 'perfect me,' not current feeling. 'Body image' is physical perceptione.g., 'I'm thin,' not value. 'Self-knowledge' is factse.g., 'I'm a nurse,' not affect. A patient saying 'I'm proud'e.g., post-recoveryshows esteem's role. Nurses bolster this, making Choice C correct.
Question 3 of 5
Which of the following statements is an example of the effect of aging, illness, or trauma on self-concept?
Correct Answer: B
Rationale: Aging and illness reshape self-view through external lens. 'Society devalues aging and chronic illness' exemplifies thise.g., a 65-year-old with arthritis feels 'useless' amid youth-centric norms, per Taylor's sociology, hitting esteem. 'Society values wisdom' is ideale.g., rare in practice, not typical effect. 'Few take a healthy body for granted' reflects awarenesse.g., not self-concept's core shift. 'Most accept inevitability' is copinge.g., not societal impact. A patient saying 'I'm a burden'e.g., post-strokemirrors devaluation, a nursing care focus. Choice B is the correct effect.
Question 4 of 5
A nurse caring for critically ill patients uses interventions to help patients maintain a sense of self. Which of the following are recommended interventions?
Correct Answer: C
Rationale: Critically ill patients need selfhood preserved. 'Converse with the patient about his or her life experience' is recommendede.g., 'Tell me about your kids,' per Taylor's holistic care, reinforces identity. Choice A, 'disregard status,' dismissese.g., rank doesn't define self here. Choice B, 'no touch,' isolatese.g., a hand on shoulder aids, unless refused. Choice D, 'no negative feelings,' blockse.g., 'I'm scared' needs airing. Talkinge.g., a comatose patient's pastkeeps them 'person,' not 'case,' a nursing staple. Choice C is correct.
Question 5 of 5
A student is preparing for her first patient care assignment. She wakes up at 4:00 a.m. with a pounding pulse and diarrhea. What type of adaptive response to stress is she experiencing?
Correct Answer: B
Rationale: Stress symptoms blend mind and body. 'Mindbody interaction' fitse.g., anxiety (mind) causes pulse/diarrhea (body), per Taylor's psychosomatic view, not just GAS. 'General adaptation syndrome' is broadere.g., alarm, resistance, exhaustion, not instant. 'Local adaptation syndrome' is tissue-specifice.g., swelling, not systemic. 'Coping or defense mechanism' is behaviorale.g., denial, not physical. A student's 'I'm terrified'e.g., HR up 30 bpmshows psyche triggering soma, a nursing cue for calm. Choice B is the correct, holistic response.