ATI RN
Client Comfort and End of Care Questions
Question 1 of 5
An infant learns that the physical self is different from the environment. What term is used to describe this stage of self-concept?
Correct Answer: A
Rationale: An infant's realization of physical separation from the environment marks a foundational developmental milestone. 'Self-awareness' is correcte.g., by 6 months, an infant notices their hand moves independently of a crib, per Taylor's developmental psychology, forming the earliest self-concept layer. 'Self-recognition' emerges latere.g., at 18 months, passing the mirror test, identifying 'me' visually, not just physically. 'Self-definition' involves traitse.g., 'I'm smart,' a preschool skill, not infancy. 'Self-concept' is the broader outcomee.g., encompassing identity and esteem, built over years, not a stage. For instance, an infant batting a mobile senses 'I caused that,' distinct from external objects, a precursor to later self-understanding. Nurses observe this in reflexes or object permanence tasks, per Piaget's sensorimotor stage, where self-awareness begins the self-concept journey. Choice A precisely names this initial differentiation, making it the correct answer.
Question 2 of 5
Which of the following best describes stress?
Correct Answer: A
Rationale: Stress is a systemic reaction. 'A response to changes in the normal balanced state' best describes ite.g., job loss shifts equilibrium, per Taylor's Selye-based view, triggering adaptation. Choice B, 'perception of threat,' is partiale.g., fear drives, but stress includes physical (e.g., fever). Choice C, 'internal environment,' narrowse.g., excludes external like noise. Choice D, 'localized response,' fits injurye.g., swelling, not whole-body stress. A nurse sees 'I'm overwhelmed'e.g., pulse up 20 bpmshowing broad imbalance, not just perception. Choice A is the correct, holistic definition.
Question 3 of 5
A patient who is being seen at a physicians office states that he has bad headaches all the time. Diagnostic tests are normal. What is this type of response to stress called?
Correct Answer: A
Rationale: Headaches sans cause link to stress. 'Psychosomatic disorder' appliese.g., tension headaches from anxiety, per Taylor's mind-body tie, no organic basis. 'Acute illness' is shorte.g., flu, not 'all the time.' 'Chronic illness' implies pathologye.g., migraines with MRI findings, not here. 'Pretend disorder' is malingeringe.g., faking, not real pain. A patiente.g., 'Work kills me'shows psyche (stress) causing soma (pain), 30% of such cases, a nursing cue for relaxation. Choice A is correct.
Question 4 of 5
Which of the following illnesses has been associated with long-term stress?
Correct Answer: B
Rationale: Chronic stress harms systems. 'Cardiovascular disease' is linkede.g., cortisol raises BP (e.g., 10 mmHg), per Taylor's stress research, causing heart issues (e.g., 30% risk rise). 'Bacterial infections' spike short-terme.g., colds, not chronic. 'Renal disease' ties indirectlye.g., HTN, not direct. 'Fractures' are traumae.g., not stress-driven. A nurse seese.g., 'Stress killed his heart'atherosclerosis from years, a care focus. Choice B is the correct, proven illness.
Question 5 of 5
A nurse is teaching a patient about the benefits of exercise in reducing stress. How often would the nurse recommend the patient exercise?
Correct Answer: C
Rationale: Exercise cuts stress with frequency. '30 to 45 minutes, most days of the week' is recommendede.g., 5 days of brisk walking lowers cortisol, per Taylor's wellness, fitting ACSM (150 min/week). Choice A, '2 hours daily,' overtaxese.g., burnout risk. Choice B, '1 hour weekly,' underperformse.g., no stress drop. Choice D, '60-75 minutes, 4-5 times,' is highe.g., 300 min/week, not minimal need. A nurse sayse.g., 'Walk 40 min most days'easing tension (e.g., 20% mood lift), practical. Choice C is the correct, balanced advice.