ATI RN
Client Comfort Questions
Question 1 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.
Question 2 of 5
Which of the following groups of nurses experience the highest levels of stress in the work setting?
Correct Answer: C
Rationale: Work stress varies by experience. 'New graduates' face higheste.g., inexperience plus pressure (e.g., 70% report burnout), per Taylor's nursing stress data. 'Obstetric nurses' manage birthse.g., intense, but skilled. 'Pediatric nurses' handle kidse.g., emotional, but trained. 'Aging nurses' tiree.g., physical, not peak stress. A new RNe.g., 'I'm lost'struggles most, a transition issue. Choice C is the correct, vulnerable group.
Question 3 of 5
A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?
Correct Answer: B
Rationale: The wife's grief before death signals a specific loss type. 'Anticipatory loss' fitse.g., she mourns his impending death from kidney failure, per Taylor's grief framework, preparing for absence. 'Maturational loss' is developmentale.g., kids leaving home, not illness. 'Dysfunctional grieving' is abnormale.g., stuck years later, not current. 'Bereavement' follows deathe.g., post-funeral, not now. A nurse sees her crye.g., 'He'll be gone soon'anticipating loss (e.g., 70% of terminal cases), a care focus for support. Unlike actual loss (post-death), this is preemptive, emotional readiness for the inevitable, distinct from maturational transitions or prolonged dysfunction. Anticipatory grief aids copinge.g., planning goodbyesmaking Choice B the correct, forward-looking type.
Question 4 of 5
A nurse providing palliative care for a dying man and his family knows that the goal of palliative care is:
Correct Answer: C
Rationale: Palliative care prioritizes comfort. 'To aggressively treat the symptoms of the disease' is the goale.g., morphine for pain, per Taylor's palliative focus, not cure. Choice A, 'treat disease,' is curativee.g., chemo, not palliative. Choice B, 'in the home,' limitse.g., hospice varies (home/hospital). Choice D, 'support family,' is parte.g., counselingbut not core. A nurse givese.g., oxygen for dyspneasymptom relief (e.g., 80% aim), enhancing quality, not prolonging life. Choice C is the correct, symptom-centric goal.
Question 5 of 5
A nurse is talking to a patient who has been told he has a terminal illness and is responding in an angry manner. What statement by the nurse would best facilitate better patient outcomes?
Correct Answer: D
Rationale: Anger needs space and clarity. 'How much do you know and what do you want to know?' facilitatese.g., 'I know it's cancer, tell me options,' per Taylor's communication, opening dialogue. Choice A, 'why angry,' accusese.g., shuts down. Choice B, 'sorry, but talk,' pushese.g., ignores rage. Choice C, 'when ready,' delayse.g., misses now. A nurse asking De.g., gets 'Everything'meets anger with info (e.g., 60% calm), aiding coping. Choice D is the correct, outcome-driven response.