ATI RN
foundation of nursing practice questions Questions
Question 1 of 5
The nurse is part of the health care team at an oncology center. A patient has been diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the bad news best be conveyed to the patient?
Correct Answer: B
Rationale: When delivering bad news to a patient, it is important to create an environment that is supportive, compassionate, and conducive to effective communication. Having the patient at eye level when discussing difficult information helps to establish a sense of equality and respect between the healthcare provider and the patient. This can increase the patient's comfort level and help them feel more connected and engaged in the conversation. Additionally, eye level communication allows for better non-verbal cues to be exchanged, such as eye contact and facial expressions, which are important for conveying empathy and understanding during such sensitive discussions. It is crucial for the patient to be met at eye level, both physically and emotionally, when discussing a poor prognosis like the diagnosis of leukemia.
Question 2 of 5
A patients rapid cancer metastases have prompted a shift from active treatment to palliative care. When planning this patients care, the nurse should identify what primary aim?
Correct Answer: B
Rationale: The primary aim when transitioning a patient with rapid cancer metastases from active treatment to palliative care is to prevent and relieve suffering. Palliative care focuses on enhancing quality of life, managing symptoms, and addressing physical, emotional, and spiritual needs. By prioritizing the prevention and relief of suffering, healthcare providers can work towards improving the patient's comfort and overall well-being during this difficult time. This approach aligns with the goals of palliative care, which aim to provide holistic support and care for patients facing serious illnesses like cancer.
Question 3 of 5
Patients who are enrolled in hospice care through Medicare are often felt to suffer unnecessarily because they do not receive adequate attention for their symptoms of the underlying illness. What factor most contributes to this phenomenon?
Correct Answer: C
Rationale: The factor that most contributes to patients in hospice care not receiving adequate attention for their symptoms of the underlying illness is the unwillingness of patients and families to acknowledge that the patient is terminal. When patients and families are in denial or struggle to accept the terminal nature of the illness, they may avoid focusing on symptom management and comfort care that is essential in hospice care. This can prevent healthcare providers from effectively addressing and managing the patient's symptoms, leading to unnecessary suffering for the patient. Accepting the terminal nature of the illness allows for a shift in focus towards providing quality end-of-life care that prioritizes symptom management and comfort for the patient.
Question 4 of 5
A patients daughter has asked the nurse about helping him end his terrible suffering. The nurse is aware of the ANA Position Statement on Assisted Suicide, which clearly states that nursing participation in assisted suicide is a violation of the Code for Nurses. What does the Position Statement further stress?
Correct Answer: B
Rationale: The ANA Position Statement on Assisted Suicide stresses the importance of identifying patient and family concerns and fears. This reflects the nurse's responsibility to provide holistic care and support to patients and their families who may be struggling with end-of-life decisions. By identifying concerns and fears, the nurse can address these issues through compassionate communication, education, and appropriate interventions. This proactive approach aligns with the ethical principles of beneficence and nonmaleficence in nursing practice.
Question 5 of 5
You are caring for a patient who has just been told that his illness is progressing and nothing more can be done for him. After the physician leaves, the patient asks you to stay with him for a while. The patient becomes tearful and tries several times to say something, but cannot get the words out. What would be an appropriate response for you to make at this time?
Correct Answer: C
Rationale: This response shows empathy and allows the patient to express their thoughts and feelings without feeling rushed or pressured. By asking the patient if there is anything they want to say, you are showing that you are there to listen and support them during this difficult time. It is important to give the patient the space and opportunity to communicate their emotions and concerns. Offering advice or making assumptions about the patient's feelings may not be as helpful as simply providing a listening ear.