ATI RN
Client Comfort and End of Life Care ATI Quizlet Questions
Question 1 of 5
Which of the following indicates a sleep-rest disorder?
Correct Answer: B
Rationale: Difficulty falling asleep indicates a sleep-rest disorder, such as insomnia, where initiating or maintaining sleep is impaired, leading to fatigue and reduced function. This contrasts with normal rest, where sleep comes easily and restores energy. Choice A, feeling refreshed after sleep, suggests healthy sleep, not a disorder. Choice C, increased energy in the morning, also points to restorative sleep, the opposite of a disorder's impact. Choice D, consistent 8-hour sleep, implies a regular, sufficient pattern, not a problemdisorders involve disrupted quality or quantity despite time spent. Choice B is correct, highlighting a common symptom nurses assess, prompting interventions like sleep hygiene education or addressing stressors, critical for patient recovery and well-being.
Question 2 of 5
The nurse would expect a client with severe chronic pain to exhibit which of the following?
Correct Answer: B
Rationale: The nurse expects depression in a client with severe chronic pain, as persistent pain often leads to emotional distress, hopelessness, and isolation, disrupting serotonin and mood regulation. It's a common comorbidity, impacting quality of life. Choice A, increased social activity, is unlikelypain limits engagement, fostering withdrawal, not extroversion. Choice C, excessive sleeping, may occur as escape or from fatigue, but depression's broader emotional toll (e.g., sadness, anhedonia) is more consistent and primary. Choice D, euphoria, contradicts pain's burdenclients feel despair, not joy, unless medicated heavily, which isn't implied. Choice B is correct, aligning with chronic pain's psychological toll nurses assess, prompting interventions like counseling or antidepressants alongside pain management to address both mind and body, mitigating depression's amplifying effect on suffering.
Question 3 of 5
The nurse would expect a client receiving an opioid analgesic to report which of the following side effects?
Correct Answer: B
Rationale: The nurse expects constipation from an opioid analgesic, as opioids slow gastrointestinal motility by binding to mu receptors in the gut, reducing peristalsisa common, dose-related side effect. Proactive management (e.g., laxatives) is standard. Choice A, increased appetite, is unlikelyopioids may cause nausea, suppressing hunger, not boosting it. Choice C, fever, isn't typical; opioids don't induce temperature spikes unless allergic reactions occur, which is rare. Choice D, diarrhea, contradicts opioids' constipating effectantidiarrheals mimic this action. Choice B is correct, reflecting a frequent issue nurses monitor, educating clients on hydration, diet, or stool softeners to mitigate discomfort, ensuring opioid benefits (pain relief) outweigh this manageable drawback in acute or chronic use.
Question 4 of 5
What does the nurse understand to be the primary reason for using adjuvant medications with opioid analgesics?
Correct Answer: A
Rationale: The nurse understands the primary reason for using adjuvant medications with opioid analgesics is to reduce the opioid dose, as adjuvants (e.g., gabapentin for neuropathy, NSAIDs for inflammation) target specific pain types, enhancing relief and allowing lower opioid amounts. This minimizes risks like dependence or respiratory depression. Choice B, eliminate side effects, is inaccurateadjuvants add their own (e.g., sedation), not erase opioid ones. Choice C, increase sedation, may occur (e.g., with antidepressants), but it's not the goalpain control is. Choice D, prevent addiction, isn't direct; lower doses reduce risk, but adjuvants address efficacy, not addiction itself. Choice A is correct, reflecting multimodal pain strategies nurses employ, optimizing therapy, and tailoring regimens to balance efficacy and safety in chronic or complex pain cases.
Question 5 of 5
A client asks the nurse why pain seems worse when the client is tired. What would be the basis of the nurse's response?
Correct Answer: A
Rationale: The basis of the nurse's response is reduced pain tolerance, as fatigue lowers the brain's ability to modulate pain signals, heightening perceptionexhaustion depletes coping reserves, making pain feel worse without changing its source. This is a psychological-physiological link. Choice B, increased inflammation, isn't fatigue-driven; inflammation ties to disease, not tiredness alone. Choice C, poor circulation, may worsen some pain (e.g., ischemia), but fatigue's effect is broader, not vascular-specific. Choice D, muscle tension, could contribute, but fatigue typically relaxes muscles, not tenses themtolerance is key. Choice A is correct, guiding nurses to explain this perception shift, suggesting rest or timed analgesics to bolster tolerance, helping clients manage pain's amplified feel when tired.