ATI RN
Client Comfort and End of Life Care Questions
Question 1 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.
Question 2 of 5
Which one of the following statements accurately describes the process known as grief reaction?
Correct Answer: D
Rationale: Grief reaction varies widely. 'Reactions to grief may differ from patient to family' is accuratee.g., a dying patient accepts, family denies, per Taylor's grief theory, showing individuality. Choice A, 'grief and dying are different,' is vaguee.g., processes overlap, not distinct. Choice B, 'similar for all,' denies diversitye.g., culture alters expression (e.g., stoic vs. vocal). Choice C, 'follow all stages,' assumes Kübler-Ross's fivee.g., many skip bargaining. A nurse notese.g., 'He's calm, she's raging'differing paths (e.g., 80% show variance), not uniform stages or responses. Grief's personal naturee.g., patient's relief vs. family's despairrequires tailored care, not rigid models. Choice D captures this relational divergence correctly.
Question 3 of 5
A patient asks a nurse to explain a living will. What is the nurses best answer?
Correct Answer: C
Rationale: A living will clarifies care wishes. 'It lists specific instructions for healthcare provisions' is beste.g., 'No ventilator,' per Taylor's end-of-life terms, guiding providers. Choice A, 'inherit estate,' is a wille.g., property, not health. Choice B, 'quality of life,' is outcomee.g., not directive. Choice D, 'trusted person,' is power of attorneye.g., not instructions. A nurse explainse.g., 'You choose treatments'living will's role (e.g., 50% of elderly use), distinct from proxy. Choice C is the correct, precise answer.
Question 4 of 5
A dying patient is undergoing terminal weaning. What is the purpose of this intervention?
Correct Answer: D
Rationale: Terminal weaning ends artificial breathing. 'To gradually withdraw mechanical ventilation' is purposee.g., reduce settings over hours, per Taylor's palliative care, easing death. Choice A, 'manage symptoms,' is broadere.g., morphine, not weaning. Choice B, 'prepare resuscitation,' contradictse.g., DNR context. Choice C, 'life-sustaining,' opposese.g., not prolonging. A nurse adjustse.g., 'Down to 5 bpm'comfort-focused (e.g., 80% of terminal cases), not cure. Choice D is the correct, specific intent.
Question 5 of 5
A nurse is providing postmortem care. Which of the following nursing actions is a legal responsibility?
Correct Answer: D
Rationale: Postmortem care has legal duties. 'Placing ID tags on the shroud and ankle' is legale.g., ensures identity, per Taylor's protocol, required by law. Choice A, 'anatomic position,' aidse.g., viewing, not mandated. Choice B, 'removing tubes,' prepse.g., nurse's task, not legal. Choice C, 'washing,' comfortse.g., family, not required. A nurse tagse.g., 'John Doe, ankle/shroud'legal record (e.g., 100% compliance), avoiding mix-ups. Choice D is the correct, binding action.