ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 5
CUS is another communication tool. All of the following are correct except:
Correct Answer: B
Rationale: CUS (Concerned, Uncomfortable, Safety at risk) isn't for all situations , per the answer key; it's for urgent escalation when initial communication fails or safety is at stake. It's correctly defined and usable by assistants . Nurses, per AHRQ, apply CUS selectively in critical moments, not routinely, making B the exception and correct answer for its misuse.
Question 2 of 5
Which medication is commonly used for chronic pain management?
Correct Answer: B
Rationale: Morphine is commonly used for chronic pain management, especially in severe cases like cancer or post-surgical pain persisting beyond acute phases. As an opioid, it targets the central nervous system to dull pain perception, offering relief where milder drugs fail. Choice A, aspirin, is better suited for mild to moderate acute pain or inflammation, lacking the potency for chronic, intense pain. Choice C, antibiotics, treat infections, not pain, making them irrelevant here. Choice D, antidepressants, may adjunctively manage chronic pain (e.g., neuropathic pain) by altering neurotransmitters, but they're not primaryopioids like morphine take precedence for severe cases. Choice B is correct, reflecting its widespread use in chronic pain protocols, though nurses must monitor for tolerance, dependence, and side effects, balancing efficacy with safety in long-term care plans.
Question 3 of 5
A client with chronic pain is reluctant to take prescribed opioid analgesics. What is the basis for this reluctance likely to be?
Correct Answer: A
Rationale: The basis for reluctance to take prescribed opioid analgesics in a client with chronic pain is likely fear of addiction, a common concern rooted in opioids' reputation for dependence. Clients may worry about physical or psychological reliance, even when medically justified, due to stigma or past experiences. Choice B, desire for more pain, is illogicalpain prompts treatment-seeking, not avoidance, unless psychological factors like self-punishment exist, which isn't typical. Choice C, allergic reaction, could deter use, but reluctance suggests hesitation, not a confirmed reaction, and allergies are less common than addiction fears. Choice D, lack of finances, might limit access but isn't implied herereluctance points to personal choice, not cost. Choice A is correct, highlighting a key barrier nurses address through education, explaining safe use, monitoring, and tapering plans to ease fears, ensuring pain relief without compromising trust or safety.
Question 4 of 5
What does the nurse understand to be the primary goal when working with clients experiencing chronic pain?
Correct Answer: D
Rationale: The nurse understands the primary goal for clients with chronic pain is the ability to enjoy life again, focusing on quality of life despite persistent pain. Complete elimination isn't feasible, so enhancing function, mood, and activity tolerance takes precedence. Choice A, elimination of all pain, is unrealisticchronic pain endures, and treatments aim to manage, not erase it. Choice B, return to full physical ability, may be limited by pain or disease; partial improvement is more practical. Choice C, significant reduction of pain, is a means, not the goalreduction aids enjoyment but isn't the endpoint. Choice D is correct, embodying holistic nursing aimsthrough pain control, therapy, and support, clients regain pleasure in daily life, aligning with realistic, patient-centered outcomes for chronic conditions.
Question 5 of 5
The nurse is caring for a client who reports relief of pain after a placebo was administered during a research study. What does the nurse understand about this response?
Correct Answer: B
Rationale: The nurse understands that pain relief after a placebo reflects psychological factors, as placebos lack active ingredients but can trigger endorphin release via expectation or belief, reducing perceived pain. This mind-body effect is well-documented in studies. Choice A, not really in pain, dismisses the client's experiencepain is real, but perception shifts. Choice C, addicted to placebos, is implausible; addiction requires substances, not inert pills, and relief isn't dependence. Choice D, placebo contained an analgesic, contradicts placebo definitionresearch uses controls like sugar pills, not drugs. Choice B is correct, informing nurses that psychological relief (e.g., placebo effect) can complement care, though ethical use is limited; it underscores pain's subjective nature, guiding holistic approaches beyond pharmacology.