ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 5
Which of the following drugs normalizes sleep cycles by enabling the bodys supply of melatonin to naturally promote sleep?
Correct Answer: D
Rationale: Sleep drugs vary in mechanism. 'Ramelton (Rozerem)' normalizes cycles by mimicking melatonin, binding MT1/MT2 receptorse.g., aligning sleep to 11 p.m.per Taylor's pharmacology. 'Flurazepam (Dalmane)' and 'temazepam (Restoril)' , benzodiazepines, sedate via GABAe.g., 15 mg knocks out, not syncing cycles. 'Eszopiclone (Lunesta)' , a non-benzodiazepine, enhances GABA tooe.g., 3 mg aids sleep onsetbut doesn't target melatonin. Ramelton's unique actione.g., no tolerance vs. others' 2-week fademimics the body's clock, making Choice D correct.
Question 2 of 5
Which of the following misconceptions is common in patients in pain?
Correct Answer: A
Rationale: Pain misconceptions stem from fear and myths. 'I will get addicted to pain medications' is commone.g., patients refuse opioids, fearing dependency (e.g., 30% underreport pain), per Taylor's patient education needs. Choice B, 'need to ask,' is truee.g., PRN requires it, not a misconception. Choice C, 'nurses are here to help,' aligns with caree.g., no myth here. Choice D, 'not fight without help,' is accuratee.g., support exists, not a false belief. Addiction feare.g., 'Morphine's like heroin'ignores low risk (1-2% with short-term use), per studies. Nurses counter this with factse.g., 'It's safe short-term'making Choice A the correct, prevalent misconception.
Question 3 of 5
A patient with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the patient?
Correct Answer: B
Rationale: Morphine's opioid effect slows GI motility. 'Increase fluids and high-fiber foods, and use a mild laxative' is correcte.g., 2L water, prunes, and docusate prevent/treat constipation, per Taylor's management. Choice A, 'only when severe,' risks uncontrolled paine.g., cancer pain needs steady dosing. Choice C, 'enema every third day,' is invasivee.g., unnecessary vs. diet/laxatives. Choice D, 'nothing to worry about,' dismisses a real issuee.g., 50% of opioid users strain. Nurses teach proactive stepse.g., 'Drink more, try bran'balancing relief and side effects. Choice B is the practical, correct advice.
Question 4 of 5
A young woman patient admits to a nurse that she cannot control her jealousy when she and her partner are out together and states, Its like were back in high school again. This is an example of which of the following identity disorders?
Correct Answer: B
Rationale: Jealousy regressing to adolescence signals identity issues. 'Identity diffusion' fitse.g., unclear self-boundaries blur adult roles, per Taylor's Erikson-based disorders, reverting to immature patterns. 'Self-actualization' is growthe.g., not a disorder or jealousy. 'Depersonalization' detaches selfe.g., 'I'm unreal,' not relational. 'Lack of self-esteem' lowers worthe.g., 'I'm not good enough,' not identity confusion. Her 'high school' remarke.g., unformed adult identityshows diffusion, a nursing focus for therapy. Choice B is the correct diagnosis.
Question 5 of 5
Who or what plays the most influential role in the internalization of self-concept in children?
Correct Answer: B
Rationale: Children's self-concept internalizes through primary relationships. 'Parents' are most influentiale.g., a 5-year-old's 'I'm good' echoes parental praise, per Taylor's Erikson-based view, shaping identity via attachment and feedback. 'Peers' gain sway latere.g., adolescence, when 'cool' matters, not early core formation. 'School' reinforcese.g., grades boost esteembut follows home's lead. 'Church' impacts valuese.g., 'I'm kind'but less universally than parents. For example, a toddler mirrors a mother's tone'You're clever' builds self-knowledgeoutweighing a teacher's input at 3. Studies (e.g., attachment theory) show caregivers mold 70% of early self-perception, a nursing focus for family-centered care. Peers or institutions amplify, not originate, this. Choice B reflects this primary role correctly.