ATI RN
ATI Client Comfort and End of Life Care Quizlet Questions
Question 1 of 5
What phase of the general adaptation syndrome is a patient in when he uses all of his adaptive mechanisms for dealing with stress, leaving no defense against the distress?
Correct Answer: D
Rationale: GAS phases track stress capacity. 'Stage of exhaustion' fitse.g., all reserves gone after chronic illness, per Taylor's Selye model, body collapses. 'Alarm reaction stage' is initiale.g., HR spikes, defenses up. 'Fight-or-flight stage' overlaps alarme.g., adrenaline, not depletion. 'Stage of resistance' copese.g., cortisol sustains, not out. A patiente.g., cancer draining energyhits exhaustion when 'I can't fight,' risking death, a nursing red flag. Choice D is the correct, final phase.
Question 2 of 5
Which one of the following diagnoses would be written for stress as the cause of the problem?
Correct Answer: A
Rationale: Stress as etiology needs direct link. 'Anxiety related to conflicts about values and goals in life' fitse.g., stress from 'I want both' causes worry, per Taylor's NANDA, a clear tie. Choice B, 'Caregiver Role Strain,' uses stress as descriptore.g., not pure cause. Choice C, 'Spiritual Distress,' ties to acceptancee.g., not stress-driven. Choice D, 'Hopelessness,' links injuriese.g., not stress per se. A nurse writese.g., 'Stress over career vs. family'anxiety as outcome, making Choice A correct.
Question 3 of 5
Which of the following statements is typical of the first stage of grieving described by Engel?
Correct Answer: A
Rationale: Engel's first grief stage is disbelief. 'No, not me' typifiese.g., shock at diagnosis denies reality, per Taylor's Engel model, a protective buffer. Choice B, 'Why me?,' fits angere.g., stage two, questioning fate. Choice C, 'best man,' is idealizatione.g., later reflection, not initial. Choice D, 'funeral helped,' is resolutione.g., stage three, not start. A nurse hearse.g., 'It can't be'first reaction (e.g., 90% of sudden loss), stalling pain. Engel's sequencedisbelief, developing awareness, restitutionstarts with rejection, not rage or closure. Unlike Kübler-Ross's denial, Engel's is raw refusal, making Choice A the correct, initial statement.
Question 4 of 5
A dying patient states in writing ahead of time what her choices would be for healthcare should certain circumstances develop. What is the term for this document?
Correct Answer: B
Rationale: Written care choices have a broad term. 'Advance directives' appliese.g., her 'No CPR' document, per Taylor's legal terms, encompassing living wills and more. 'Living will' is specifice.g., one type, not all directives. 'Durable power of attorney' names a proxye.g., not choices itself. 'Comfort measures only' is an ordere.g., not a document. A nurse filese.g., 'Her wishes'advance directives (e.g., 60% of terminal plans), covering all pre-stated care. Choice B is the correct, umbrella term.
Question 5 of 5
A nurse is developing a plan of care for a dying patient. Which of the following physiologic basic human needs should be addressed?
Correct Answer: A
Rationale: Dying patients need basic care. 'Personal hygiene' should be addressede.g., clean skin prevents sores, per Taylor's Maslow base, maintaining dignity. 'Risk for infection' lessense.g., not key in hours left. 'Family support' is psychosociale.g., not physiologic. 'Spirituality' is highere.g., peace, not body need. A nurse bathese.g., 'He's comfortable'meeting essentials (e.g., 90% of plans), not just spirit. Choice A is the correct, physical priority.