ATI RN
ATI Client Comfort and End of Life Care Questions
Question 1 of 5
A young mother tells the nurse, I cant stop smoking. That is what I do to make myself feel better. What is the term used to describe this behavior?
Correct Answer: B
Rationale: Smoking to feel better is a strategy. 'Coping mechanism' describese.g., nicotine calms her stress, per Taylor's stress response, a conscious act. 'Defense mechanism' is unconsciouse.g., denial, not smoking choice. 'Caregiver burden' is straine.g., not her issue. 'Crisis' is evente.g., not behavior. A nurse hearse.g., 'It's my crutch'coping via habit, 40% of smokers report, needing alternatives. Choice B is the correct, deliberate term.
Question 2 of 5
Which of the following is an example of a perceived loss?
Correct Answer: C
Rationale: Perceived loss is felt, not seen. 'An older patient grieves for the loss of his independence' exemplifiese.g., 'I can't drive,' per Taylor's grief, subjective not physical. Choice A, 'amputated leg,' is actuale.g., gone limb. Choice B, 'wife to cancer,' is actuale.g., death. Choice D, 'job,' is actuale.g., fired. Independencee.g., 'I'm weak'shifts self-concept (e.g., 60% of elders), a nursing focus. Choice C is the correct, perceived example.
Question 3 of 5
A patient is diagnosed with a terminal illness. Who is usually responsible for deciding what, when, and how the patient should be told?
Correct Answer: D
Rationale: Terminal news delivery has a lead. 'Physician' is usually responsiblee.g., MD breaks 'It's cancer,' per Taylor's roles, setting timing and detail. 'Family' may requeste.g., 'Wait,'but doesn't decide. 'Clergy' supportse.g., spiritually, not medically. 'Nurse' reinforcese.g., explainsbut follows. A nurse seese.g., doc says 'Today, gently'physician's duty (e.g., 90% of cases), legal/ethical lead, not family's call or nurse's initiation. Choice D is the correct, standard role.
Question 4 of 5
Although all of the following are factors that affect grief, which one is most likely to influence a persons expression of grief?
Correct Answer: B
Rationale: Grief expression varies most by culture. 'Cultural influences' leade.g., wailing in some vs. silence in others, per Taylor's anthropology, shaping outward grief. 'Socioeconomic factors' limite.g., funeral cost, not style. 'Religious influences' guidee.g., afterlife calms, but secondary. 'Cause of death' impacts feelinge.g., sudden vs. expected, not show. A nurse seese.g., 'We don't cry' (Asian) vs. 'We mourn loud' (Latino)cultural norm (e.g., 70% variance), not just faith or cash. Choice B is the correct, dominant driver.
Question 5 of 5
A hospice nurse is providing emotional care and support for a family who lost a son. The care will be provided based on what knowledge?
Correct Answer: C
Rationale: Hospice care knows grief's nature. 'Stages of grief reactions may overlap and are individualized' guidese.g., mom denies, dad accepts, per Taylor's Kübler-Ross, not uniform. Choice A, 'same way,' deniese.g., kids cry, adults numb. Choice B, 'abnormal physical,' mislabelse.g., grief's natural. Choice D, 'little intervention,' undercutse.g., support's key. A nurse seese.g., 'She's stuck, he's not'overlap (e.g., 70% vary), tailoring aid. Choice C is the correct, nuanced knowledge.