ATI RN
Client Comfort and End of Life Care ATI Quizlet Questions
Question 1 of 5
What name is given to the rhythmic biologic clock that exists in humans?
Correct Answer: C
Rationale: The rhythmic biologic clock in humans is the 'circadian rhythm' , a roughly 24-hour cycle governed by the hypothalamic suprachiasmatic nucleus (SCN), syncing bodily functions like sleep, temperature, and hormone release to day-night cues. 'Sleep-wake cycle' is a component of this rhythm, not its name; it's the observable outcome, not the mechanism. 'Alert-unaware process' is fictitious, lacking scientific basis. 'Yo-yo theory' doesn't exist in sleep science. For instance, the SCN adjusts melatonin release at dusk, promoting sleep, and cortisol at dawn, enhancing alertnessdisruptions (e.g., jet lag) show its 24-hour rule. Nursing education, per Taylor, emphasizes circadian rhythm as the internal pacemaker, evident in shift workers' struggles. Unlike a mere cycle, it's a genetically driven clock, making Choice C the precise term and correct answer.
Question 2 of 5
The parents of a 10-year-old son are worried about his sleepwalking (somnambulism). What topic should the nurse discuss with the parents?
Correct Answer: D
Rationale: Sleepwalking (somnambulism), a parasomnia, occurs in NREM stage 3, posing risks. 'Safety' is key; a 10-year-old might wandere.g., downstairs or outsiderisking falls or injury, per sleep disorder texts. 'Sleep deprivation' might exacerbate it but isn't the discussion's focuse.g., it's a trigger, not the issue. 'Privacy' is irrelevant; sleepwalking isn't about exposuree.g., no dignity loss. 'Schoolwork' might reflect fatigue but isn't immediatee.g., a sprained ankle trumps grades. Nurses, per Taylor, advise locks, alarms, or floor paddinge.g., 80% of sleepwalkers injure themselves yearly. Choice D addresses this primary concern correctly.
Question 3 of 5
Of the following individuals, who can best determine the experience of pain?
Correct Answer: A
Rationale: Pain is subjective, per IASP's definition. 'The person who has the pain' best determines ite.g., only they feel 'stabbing' vs. 'dull,' guiding care, per Taylor's patient-centered ethos. 'The person's immediate family' guessese.g., 'He looks bad'but lacks internal insight. 'The nurse caring for the patient' assesses signs (e.g., grimacing) but can't feel ite.g., rating 8 might seem 4 outwardly. 'The physician diagnosing the cause' identifies etiologye.g., fracturebut not sensation. A patient's self-reporte.g., 'It's 10/10'trumps all, making Choice A correct.
Question 4 of 5
A patient who has had a recent below-knee amputation tells the nurse that he feels as though his toes are cramping. What would the nurse say in return?
Correct Answer: B
Rationale: Post-amputation sensations need validation. 'That is called phantom pain, and it is not unusual' is correct; phantom limb paine.g., cramping in absent toesarises from neural reorganization, per Taylor's neurology, affecting 60-80% of amputees. Choice A, 'all in your mind,' dismisses ite.g., it's real, not imaginary, via spinal/brain misfiring. Choice C, 'really strange,' undermines normalcye.g., it's common, not odd, needing no urgent MD call. Choice D, 'refer to a psychiatrist,' mislabels; it's neuropathic, not psychiatrice.g., managed with meds (gabapentin), not therapy alone. For instance, a patient feels 'toes' because nerves still signal the brain, a known phenomenon. Nurses educate and reassuree.g., 'It'll lessen over time'fostering coping. Choice B is the empathetic, accurate response.
Question 5 of 5
A nurse asks a patient to rate his pain on a scale of 0 to 10, with 0 being no pain and 10 being worst pain. What characteristic of pain is the nurse assessing?
Correct Answer: D
Rationale: Pain assessment uses specific dimensions. 'Intensity' is assessed with a 0-10 scalee.g., '6' quantifies severity, guiding treatment, per Taylor's standards. 'Duration' is time-basede.g., '2 hours,' not scaled. 'Location' pinpointse.g., 'left leg,' not rated 0-10. 'Chronology' tracks onset/progressione.g., 'since yesterday,' not numeric intensity. A patient saying '8'e.g., post-optells the nurse pain's strength, not where or how long. Joint Commission mandates this for tailoring reliefe.g., 8/10 might mean morphine. Choice D is the correct characteristic.