ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 4
The wife of a patient on hospice at home is diagnosed with caregiver burden. Which of the following best describes this syndrome?
Correct Answer: A
Rationale: Caregiver burden is strain. 'Prolonged stress from caring for a family member at home' describese.g., 24/7 hospice care exhausts, per Taylor's caregiving lens, emotional/physical toll. Choice B, 'inability to provide,' is skille.g., not burden's core. Choice C, 'insufficient funds,' is financiale.g., separate issue. Choice D, 'siblings,' narrowse.g., not wife's load. A nurse hearse.g., 'I'm drained'burden's 40% prevalence, needing respite. Choice A is the correct, broad syndrome.
Question 2 of 4
According to the Harvard University Medical School committee, what function must be irreversibly lost to define death?
Correct Answer: D
Rationale: Death's legal definition hinges on a key loss. 'Brain function' must be irreversiblee.g., no EEG activity, per Taylor's Harvard criteria (1968), marking total cessation. 'Respiratory functions' stope.g., no breathingbut machines sustain, not death alone. 'Reflexes' fadee.g., pupils fixedbut not definitive. 'Consciousness' lapsese.g., comabut reversible. A nurse checkse.g., no brainstem response (e.g., 100% of brain-dead)legal standard, unlike heart-lung focus pre-1968. Brain deathe.g., no reflexes, apneasets end, making Choice D the correct, modern criterion.
Question 3 of 4
A terminally ill patient, in severe pain, asks a nurse to help her die. What must the nurse consider morally, ethically, and professionally before answering the patient?
Correct Answer: A
Rationale: A plea to die demands ethics. 'ANA Code for Nurses, ethical and professional standards' must be considerede.g., 'Do no harm,' per Taylor's nursing code, barring euthanasia. Choice B, 'personal values,' guidese.g., 'I can't,' but isn't rule. Choice C, 'hospital protocols,' alignse.g., no assist, but secondary. Choice D, 'Medical Code,' misleadse.g., AMA, not ANA, and euthanasia's illegal most states. A nurse reflectse.g., 'I support, not kill'ANA's stance (e.g., 90% adhere), prioritizing palliation. Choice A is the correct, professional anchor.
Question 4 of 4
While caring for a patient near end of life, a student talks to her. Another student asks why she is talking to someone who is dying. Which response would be accurate?
Correct Answer: C
Rationale: Talking to the dying has a basis. 'I believe the patient can hear me as long as she is alive' is accuratee.g., hearing persists, per Taylor's end-of-life care, even if unresponsive. Choice A, 'feel better,' is self-focusede.g., not patient need. Choice B, 'not afraid,' is personale.g., not care-driven. Choice D, 'told me,' dodgese.g., no rationale. A nurse chatse.g., 'You're not alone'knowing coma patients recall (e.g., 20% studies), a dignity act. Choice C is the correct, evidence-based response.