ATI RN
Client Comfort and End of Life Care Questions
Question 1 of 5
Steps in good communication include:
Correct Answer: A
Rationale: Good communication steps , per the answer key, involve a structured process: setting the stage, assessing understanding, sharing info, gauging perspective, and planning next steps. Phone messages lack interaction, supervisor reliance shifts responsibility, and expecting coworker duty skips collaboration. This method, per AHRQ, ensures clarity and teamwork in patient care, critical for nursing assistants in long-term facilities to maintain safety and coordination.
Question 2 of 5
Which of the following best promotes rest in patients?
Correct Answer: B
Rationale: A quiet, dark environment best promotes rest in patients by minimizing sensory stimulation, allowing the body and mind to relax and enter a restorative state. Darkness supports melatonin production, aiding sleep, while quietness reduces arousal, key for those with sleep-rest disorders or fatigue. Choice A, bright lighting, disrupts rest by suppressing melatonin and signaling wakefulness, often used to keep patients alert, not relaxed. Choice C, frequent interruptions, fragments rest, preventing deep sleep or recovery, a common issue in busy hospital settings. Choice D, high noise levels, stimulates the nervous system, increasing stress and hindering rest, especially for sensitive patients. Choice B is the optimal answer, reflecting evidence-based nursing practices that create a conducive rest environment, essential for healing and comfort across various conditions.
Question 3 of 5
The nurse is caring for a client who reports chronic pain. Which statement by the client indicates a need for further education?
Correct Answer: C
Rationale: The statement I only take my pain medication when I can't stand the pain anymore' indicates a need for further education, as it suggests the client delays medication until pain peaks, undermining chronic pain management. Effective control requires consistent dosing to maintain steady relief, preventing escalation that's harder to reverse. Choice A, taking medication as prescribed, shows adherence to a regimen, not a gap in understanding. Choice B, using relaxation techniques, reflects a proactive, educated approach to complement medication. Choice D, keeping a pain diary, demonstrates awareness and engagement in tracking pain patterns, aiding treatment adjustments. Choice C is correct, highlighting a misconceptionwaiting until pain is unbearable can increase suffering and medication needs. Nurses should educate on scheduled dosing, explaining how proactive management stabilizes pain levels, reduces flare-ups, and improves function, contrasting with reactive use that perpetuates a pain cycle.
Question 4 of 5
A client with chronic pain reports difficulty sleeping. What would be the nurse's initial action?
Correct Answer: B
Rationale: The nurse's initial action is to assess the client's pain level, as chronic pain likely disrupts sleep via discomfort or stress, and understanding its intensity or pattern guides intervention. Assessment (e.g., 0-10 scale) identifies if pain control needs adjustment before adding sleep aids. Choice A, administering a sedative, risks masking pain or causing side effects without addressing the rootpain relief may suffice alone. Choice C, encouraging a warm bath, is a valid nonpharmacological option but premature without knowing pain's role; it might not help severe pain. Choice D, telling the client to relax, dismisses the issuerelaxation is hard with unmanaged pain. Choice B is correct, prioritizing assessment, a nursing fundamental, to pinpoint pain's impact on sleep, enabling targeted solutions like adjusting analgesics or adding sleep strategies, improving rest and overall well-being.
Question 5 of 5
The nurse is assessing the pain of a client who has had abdominal surgery and finds the client laughing with visitors. How would the nurse proceed?
Correct Answer: C
Rationale: The nurse would ask the client to rate the pain, as laughter with visitors doesn't reliably indicate pain absenceclients may mask discomfort socially or feel temporary relief, but post-abdominal surgery pain is expected. Self-report remains the gold standard. Choice A, assuming no pain, risks undertreatmentlaughter isn't a clinical sign; pain can surge later. Choice B, giving medication anyway, could overtreat without evidence, risking side effects like sedation in a seemingly coping client. Choice D, charting comfort, is premature and inaccurate without confirmationobjective observation alone doesn't suffice. Choice C is correct, ensuring accuracy via a scale (e.g., 0-10), respecting the client's subjective experience, and guiding appropriate post-op care, like PRN analgesics, to prevent suffering despite outward appearances.