ATI RN
Client Comfort and End of Care Questions
Question 1 of 5
Which of the following best describes stress?
Correct Answer: A
Rationale: Stress is a systemic reaction. 'A response to changes in the normal balanced state' best describes ite.g., job loss shifts equilibrium, per Taylor's Selye-based view, triggering adaptation. Choice B, 'perception of threat,' is partiale.g., fear drives, but stress includes physical (e.g., fever). Choice C, 'internal environment,' narrowse.g., excludes external like noise. Choice D, 'localized response,' fits injurye.g., swelling, not whole-body stress. A nurse sees 'I'm overwhelmed'e.g., pulse up 20 bpmshowing broad imbalance, not just perception. Choice A is the correct, holistic definition.
Question 2 of 5
Which of the following illnesses has been associated with long-term stress?
Correct Answer: B
Rationale: Chronic stress harms systems. 'Cardiovascular disease' is linkede.g., cortisol raises BP (e.g., 10 mmHg), per Taylor's stress research, causing heart issues (e.g., 30% risk rise). 'Bacterial infections' spike short-terme.g., colds, not chronic. 'Renal disease' ties indirectlye.g., HTN, not direct. 'Fractures' are traumae.g., not stress-driven. A nurse seese.g., 'Stress killed his heart'atherosclerosis from years, a care focus. Choice B is the correct, proven illness.
Question 3 of 5
A nurse is teaching a patient about the benefits of exercise in reducing stress. How often would the nurse recommend the patient exercise?
Correct Answer: C
Rationale: Exercise cuts stress with frequency. '30 to 45 minutes, most days of the week' is recommendede.g., 5 days of brisk walking lowers cortisol, per Taylor's wellness, fitting ACSM (150 min/week). Choice A, '2 hours daily,' overtaxese.g., burnout risk. Choice B, '1 hour weekly,' underperformse.g., no stress drop. Choice D, '60-75 minutes, 4-5 times,' is highe.g., 300 min/week, not minimal need. A nurse sayse.g., 'Walk 40 min most days'easing tension (e.g., 20% mood lift), practical. Choice C is the correct, balanced advice.
Question 4 of 5
The husband of a patient who died of breast cancer is still grieving for his wife 2 years later. What type of grief is he experiencing?
Correct Answer: A
Rationale: Prolonged grief post-death has a label. 'Unresolved' fitse.g., 2 years of mourning breast cancer loss, per Taylor's grief types, exceeds normal adaptation. 'Situational' is event-basede.g., death itself, not duration. 'Inhibited' hidese.g., no tears, not this. 'Maturational' is growthe.g., aging, not loss. A nurse seese.g., 'I can't move on'unresolved (e.g., 10% of grievers), needing therapy. Normal griefe.g., 6-12 monthsfades; this lingers, impairing function (e.g., isolation), distinct from suppressed or developmental grief. Choice A is the correct, chronic type.
Question 5 of 5
A dying patient and family have requested that no attempts be made to resuscitate the patient in the event of death. A doctor has written a DNR order. What is the nurses responsibility if the patient dies?
Correct Answer: B
Rationale: DNR dictates nurse action. 'Make no attempt to resuscitate the patient' is responsibilitye.g., honor 'No CPR,' per Taylor's ethics, per written order. Choice A, 'own conscience,' violatese.g., personal belief can't override. Choice C, 'slow code,' defiese.g., unethical delay. Choice D, 'call 911 and CPR,' ignorese.g., DNR applies home/hospital. A nurse stands bye.g., 'It's her wish'legal duty (e.g., 100% compliance), ensuring dignity. Choice B is the correct, mandated response.