ATI RN
Client Comfort and End of Care ATI Questions
Question 1 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 2 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.
Question 3 of 5
What philosophy for handling stress can nurses encourage patients to adopt?
Correct Answer: D
Rationale: Stress needs pragmatic wisdom. 'Accept what can't be changed, change what can't be accepted' workse.g., 'I can't fix traffic, but I can leave early,' per Taylor's coping, fostering control. Choice A, 'one for all,' is teamworke.g., not personal. Choice B, 'do today,' pushese.g., risks overwhelm. Choice C, 'get busy,' ignores limitse.g., burnout at 60 tasks. A nurse teachese.g., 'Let go of weather, plan your day' serenity prayer's echo, 70% stress drop. Choice D is the correct, effective philosophy.
Question 4 of 5
According to the Harvard University Medical School committee, what function must be irreversibly lost to define death?
Correct Answer: D
Rationale: Death's legal definition hinges on a key loss. 'Brain function' must be irreversiblee.g., no EEG activity, per Taylor's Harvard criteria (1968), marking total cessation. 'Respiratory functions' stope.g., no breathingbut machines sustain, not death alone. 'Reflexes' fadee.g., pupils fixedbut not definitive. 'Consciousness' lapsese.g., comabut reversible. A nurse checkse.g., no brainstem response (e.g., 100% of brain-dead)legal standard, unlike heart-lung focus pre-1968. Brain deathe.g., no reflexes, apneasets end, making Choice D the correct, modern criterion.
Question 5 of 5
A terminally ill patient, in severe pain, asks a nurse to help her die. What must the nurse consider morally, ethically, and professionally before answering the patient?
Correct Answer: A
Rationale: A plea to die demands ethics. 'ANA Code for Nurses, ethical and professional standards' must be considerede.g., 'Do no harm,' per Taylor's nursing code, barring euthanasia. Choice B, 'personal values,' guidese.g., 'I can't,' but isn't rule. Choice C, 'hospital protocols,' alignse.g., no assist, but secondary. Choice D, 'Medical Code,' misleadse.g., AMA, not ANA, and euthanasia's illegal most states. A nurse reflectse.g., 'I support, not kill'ANA's stance (e.g., 90% adhere), prioritizing palliation. Choice A is the correct, professional anchor.