ATI RN
Client Comfort Questions
Question 1 of 5
What independent nursing action can be used to facilitate sleep in hospitalized patients who are on bedrest?
Correct Answer: D
Rationale: Independent nursing actions don't require orders, aiding sleep autonomously. 'Giving a back massage' is correct; it relaxes muscles and boosts parasympathetic tonee.g., 10 minutes reduces cortisol, cutting sleep latency by 15 minutesper nursing scope in Taylor. 'Administering prescribed sleep medications' is dependent, needing a physician's ordere.g., zolpidem isn't nurse-initiated. 'Changing the bed with fresh linens' comforts but doesn't directly induce sleepe.g., no physiological trigger. 'Encouraging naps during the daytime' disrupts night sleepe.g., a 2 p.m. nap delays 11 p.m. onset. Massage, a hands-on skill, promotes rest without drugs, making Choice D the correct independent action.
Question 2 of 5
A nurse implements a back massage as an intervention to relieve pain. What theory is the motivation for this intervention?
Correct Answer: A
Rationale: Back massage for pain relief leverages neuroscience. 'Gate control theory' motivates it; non-painful touch (e.g., massage) activates large A-beta fibers, closing spinal 'gates' to pain signals from smaller A-delta/C fibers, per Melzack and Wall, cited in Taylor. 'Neuromodulation' involves devices (e.g., TENS), not handse.g., electrical, not manual. 'Large/small fiber theory' is a misnomer; it's part of gate control, not distinct. 'Prostaglandin stimulation' worsens paine.g., inflammation, not relief. Massagee.g., 10 minutes on the backreduces perceived intensity (e.g., 6/10 to 3/10) by competing stimuli, a nursing staple. Choice A is the correct theoretical basis.
Question 3 of 5
A postoperative patient has not voided for 8 hours (since surgery). He is restless and complains of abdominal pain. How and what would the nurse assess before administering pain medications?
Correct Answer: D
Rationale: Post-op urinary retention mimics pain. 'Palpate abdomen for distended bladder' is correcte.g., a firm, tender suprapubic mass suggests 400 mL retention, per Taylor's assessment, causing pain and restlessness. Choice A, 'last bowel movement,' tracks constipatione.g., unrelated to 8-hour void gap. Choice B, 'auscultate bowel sounds,' checks GIe.g., hypoactive post-op, not urinary. Choice C, 'percuss for tympany,' assesses aire.g., bowel, not bladder fullness. Palpatione.g., dullness over bladderconfirms retention (common post-anesthesia) before opioids, which worsen it. Nurses prioritize causee.g., catheterize, not mask with medsmaking Choice D the right step.
Question 4 of 5
A nurse is teaching an alert patient how to use a PCA system in the home. How will she explain to the patient what he must do to self-manage pain?
Correct Answer: C
Rationale: PCA (patient-controlled analgesia) empowers self-dosing. 'When you push the button, you will get the medicine' is correcte.g., a 1 mg morphine bolus every 10 minutes, per Taylor's teaching, gives control. Choice A, 'machine does it all,' is falsee.g., no patient input risks overdose. Choice B, 'teach your family,' undermines autonomye.g., alert patients manage it. Choice D, 'going in all the time,' confuses PCA with infusione.g., PCA has lockouts (e.g., 6 mg/hour max). Nurses demoe.g., 'Press when it's 5/10'ensuring safety/efficacy. Choice C is the clear, correct explanation.
Question 5 of 5
What is the name given to the evaluative and affective component of the selfconcept?
Correct Answer: C
Rationale: Self-concept includes judgment. 'Self-esteem' is the evaluative/affective parte.g., 'I feel good about me,' per Taylor's model, blending worth and emotion. 'Ideal self' is desirede.g., 'perfect me,' not current feeling. 'Body image' is physical perceptione.g., 'I'm thin,' not value. 'Self-knowledge' is factse.g., 'I'm a nurse,' not affect. A patient saying 'I'm proud'e.g., post-recoveryshows esteem's role. Nurses bolster this, making Choice C correct.