ATI LPN
Introduction to Nursing Practice Questions
Question 1 of 5
The nurse is suffering from job burnout and has taken the first step of learning to recognize stress and personal reactions. Which of the following should the nurse do next?
Correct Answer: A
Rationale: After recognizing burnout, the next logical step is identifying triggers , allowing the nurse to address specific stressors systematically. Telling others may help but lacks proactive problem-solving. Stopping work is impractical and avoids root causes, while changing jobs is premature without analysis. Identifying high-stress situations builds on self-awareness, enabling targeted coping strategies like delegation or mindfulness. This aligns with stress management models, preventing escalation and fostering resilience, making it the most effective next step.
Question 2 of 5
The nurse should introduce information about the end of the nurse-patient relationship:
Correct Answer: D
Rationale: Per Peplau's theory, discussing termination a few sessions prior prepares the client, fostering closure and independence. At goal completion is too late, orientation too early, and ‘tolerance' vague. Preemptive notice reduces anxiety, aligns with therapeutic process, making it the best timing.
Question 3 of 5
Which of the following is a physiological response experienced during the exhaustion stage of general adaptation syndrome?
Correct Answer: D
Rationale: In Selye's General Adaptation Syndrome, exhaustion follows resistance, depleting resources. Decreased immune response occurs as cortisol overproduction weakens immunity. Alertness and neuroendocrine activity mark earlier stages, while Alpha state is unrelated. Exhaustion's immune decline explains illness susceptibility, making it the correct response.
Question 4 of 5
When attempting to take the blood pressure of a client newly admitted to a hospice program, the client pushes the stethoscope away, loudly stating that nothing the nurse can do will help anyway, and asks the nurse to leave. The nurses response should be based on the knowledge that
Correct Answer: B
Rationale: Anger at dying often targets caregivers, per Kübler-Ross's grief stages. Reducing anger isn't priority, vitals matter in hospice , and switching nurses avoids the issue. Recognizing anger's source guides empathetic response, making it the basis.
Question 5 of 5
A client tells the nurse, 'My doctor thinks my problems with stress relates to the negative way I think about things, and he wants me to learn a new way of thinking.' Which response would be in keeping with the doctor's recommendations?
Correct Answer: C
Rationale: The doctor suggests cognitive restructuring, addressed by reframing irrational thoughts , per Cognitive Behavioral Therapy. Biofeedback , journaling , and imagery don't directly target thinking patterns. Option C aligns with changing negative cognition, reducing stress, making it the response.