ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 5
A young woman patient admits to a nurse that she cannot control her jealousy when she and her partner are out together and states, Its like were back in high school again. This is an example of which of the following identity disorders?
Correct Answer: B
Rationale: Jealousy regressing to adolescence signals identity issues. 'Identity diffusion' fitse.g., unclear self-boundaries blur adult roles, per Taylor's Erikson-based disorders, reverting to immature patterns. 'Self-actualization' is growthe.g., not a disorder or jealousy. 'Depersonalization' detaches selfe.g., 'I'm unreal,' not relational. 'Lack of self-esteem' lowers worthe.g., 'I'm not good enough,' not identity confusion. Her 'high school' remarke.g., unformed adult identityshows diffusion, a nursing focus for therapy. Choice B is the correct diagnosis.
Question 2 of 5
A young woman has been in an automobile crash and sustained a laceration across the left side of her face, resulting in a large scar. What nursing diagnosis would be appropriate for this disfigurement?
Correct Answer: B
Rationale: Facial scarring alters self-view. 'Disturbed Body Image' fitse.g., 'I'm ugly now' reflects perception shift, per Taylor's NANDA, post-crash. 'Anxiety' may coexiste.g., 'Will it heal?'but isn't specific. 'Deficient Knowledge' is learning neede.g., scar care, not image. 'Impaired Memory' is cognitivee.g., unrelated to disfigurement. A scare.g., 5 cm across her cheektriggers esteem loss (e.g., avoiding mirrors), a nursing priority for counseling. Choice B is the correct, targeted diagnosis.
Question 3 of 5
Cold temperatures and loud noises are stressors to one person but not another. Why does this occur?
Correct Answer: C
Rationale: Stress varies by person. 'The perception and effects of stressors are highly individualized' explainse.g., cold bothers a thin person, not a hardy one, per Taylor's stress theory, due to appraisal and tolerance. Choice A, 'same perception,' is falsee.g., noise annoys one, not both. Choice B, 'same response,' ignorese.g., a musician loves loud, others hate it. Choice D, 'internal environment selective,' half-fitse.g., physiology matters, but perception's key. A nurse notes 'Cold kills me' vs. 'I'm fine'e.g., 50% report stress from noiseshowing subjectivity. Choice C is correct.
Question 4 of 5
An individual steps into a tub of very hot water and immediately jumps out again. What mechanism caused this response?
Correct Answer: B
Rationale: Hot water triggers instant withdrawal. 'Reflex pain response' caused ite.g., nociceptors signal spinal cord, pulling foot in 0.2 seconds, per Taylor's neurology, a protective arc. 'Inflammatory response' is slowere.g., swelling post-burn, not instant. 'General adaptation syndrome' is chronice.g., not a split-second act. 'Fight-or-flight response' is systemice.g., adrenaline, not localized reflex. A nurse knowse.g., C-fibers fire, no brain neededreflex saves from harm, unlike GAS's stages. Choice B is the correct, rapid mechanism.
Question 5 of 5
The wife of a patient on hospice at home is diagnosed with caregiver burden. Which of the following best describes this syndrome?
Correct Answer: A
Rationale: Caregiver burden is strain. 'Prolonged stress from caring for a family member at home' describese.g., 24/7 hospice care exhausts, per Taylor's caregiving lens, emotional/physical toll. Choice B, 'inability to provide,' is skille.g., not burden's core. Choice C, 'insufficient funds,' is financiale.g., separate issue. Choice D, 'siblings,' narrowse.g., not wife's load. A nurse hearse.g., 'I'm drained'burden's 40% prevalence, needing respite. Choice A is the correct, broad syndrome.