ATI RN
Client Comfort and End of Life Care Questions
Question 1 of 5
During an assessment of a patients self-esteem, a 45-year-old man tells the nurse that he lost his job due to downsizing and has been unemployed for 6 months. What would be the appropriate response from the nurse?
Correct Answer: C
Rationale: Job loss dents esteem, needing empathy. 'How has losing your job affected your life and the lives of your significant others?' is appropriatee.g., 'I feel worthless,' opens impact, per Taylor's therapeutic communication, probing self-concept. Choice A, 'shouldn't feel bad,' minimizese.g., invalidates his 6-month struggle. Choice B, 'support a family,' narrowse.g., assumes roles, not feelings. Choice D, 'more important things,' dismissese.g., belittles his identity as provider. A nurse asking Ce.g., gets 'I'm failing my kids'builds trust, targeting care (e.g., counseling). Choice C is the correct, patient-focused response.
Question 2 of 5
A patient with an inflamed appendix is feeling pain in the stomach area. What is the term for this body response to stress?
Correct Answer: A
Rationale: Localized stress response has a term. 'Local adaptation syndrome' appliese.g., appendicitis pain/swelling is site-specific, per Taylor's stress types, not whole-body. 'General adaptation syndrome' is systemice.g., adrenaline rush, not one organ. 'Physiological homeostasis' is balancee.g., not pain's flare. 'Fight-or-flight response' is acutee.g., HR up, not inflammation. Paine.g., RLQ tendernessreflects local inflammatory mediators (e.g., cytokines), a nursing focus for surgery. Choice A is the correct, precise term.
Question 3 of 5
A woman who was assaulted in the street is brought to the emergency room for observation. A nurse documents that the woman has difficulty communicating verbally, is agitated, and complains of chest pain and a sense of impending doom. What type of anxiety is this patient experiencing?
Correct Answer: D
Rationale: Extreme symptoms signal acute anxiety. 'Panic' fitse.g., verbal block, agitation, chest pain, and doom post-assault, per Taylor's anxiety scale, a fight-or-flight peak. 'Mild anxiety' sharpens focuse.g., test jitters, not doom. 'Moderate anxiety' narrowse.g., worry, not paralysis. 'Severe anxiety' disruptse.g., pacing, not chest pain's intensity. A nurse seese.g., HR 120 bpmpanic's chaos (e.g., 5% of trauma cases), needing calm (e.g., benzodiazepines). Choice D is the correct, intense level.
Question 4 of 5
Which of the following questions would be helpful in eliciting data about the effects of stress during a health history?
Correct Answer: D
Rationale: Stress effects need open inquiry. 'How does your body feel when you are upset?' elicitse.g., 'Tense, sick,' per Taylor's history-taking, revealing impact. Choice A, 'difficulty breathing,' assumese.g., not broad. Choice B, 'smoking and drinking,' judgese.g., 'Why' closes off. Choice C, 'drink too much,' narrowse.g., misses other signs. D'se.g., 'My chest hurts'uncovers stress (e.g., 60% somatic complaints), a nursing key. Choice D is the correct, effective question.
Question 5 of 5
Which one of the following statements accurately describes the process known as grief reaction?
Correct Answer: D
Rationale: Grief reaction varies widely. 'Reactions to grief may differ from patient to family' is accuratee.g., a dying patient accepts, family denies, per Taylor's grief theory, showing individuality. Choice A, 'grief and dying are different,' is vaguee.g., processes overlap, not distinct. Choice B, 'similar for all,' denies diversitye.g., culture alters expression (e.g., stoic vs. vocal). Choice C, 'follow all stages,' assumes Kübler-Ross's fivee.g., many skip bargaining. A nurse notese.g., 'He's calm, she's raging'differing paths (e.g., 80% show variance), not uniform stages or responses. Grief's personal naturee.g., patient's relief vs. family's despairrequires tailored care, not rigid models. Choice D captures this relational divergence correctly.