ATI RN
Client Comfort and End of Care ATI Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A young woman has been in an automobile crash and sustained a laceration across the left side of her face, resulting in a large scar. What nursing diagnosis would be appropriate for this disfigurement?
Correct Answer: B
Rationale: Facial scarring alters self-view. 'Disturbed Body Image' fitse.g., 'I'm ugly now' reflects perception shift, per Taylor's NANDA, post-crash. 'Anxiety' may coexiste.g., 'Will it heal?'but isn't specific. 'Deficient Knowledge' is learning neede.g., scar care, not image. 'Impaired Memory' is cognitivee.g., unrelated to disfigurement. A scare.g., 5 cm across her cheektriggers esteem loss (e.g., avoiding mirrors), a nursing priority for counseling. Choice B is the correct, targeted diagnosis.
Question 5 of 5
Cold temperatures and loud noises are stressors to one person but not another. Why does this occur?
Correct Answer: C
Rationale: Stress varies by person. 'The perception and effects of stressors are highly individualized' explainse.g., cold bothers a thin person, not a hardy one, per Taylor's stress theory, due to appraisal and tolerance. Choice A, 'same perception,' is falsee.g., noise annoys one, not both. Choice B, 'same response,' ignorese.g., a musician loves loud, others hate it. Choice D, 'internal environment selective,' half-fitse.g., physiology matters, but perception's key. A nurse notes 'Cold kills me' vs. 'I'm fine'e.g., 50% report stress from noiseshowing subjectivity. Choice C is correct.