ATI RN
Client Comfort and End of Life Care Questions
Question 1 of 5
Which of the following nonpharmacologic pain relief measures has been found to be effective for soothing agitated newborns and comatose patients?
Correct Answer: B
Rationale: Nonpharmacologic relief suits non-communicative patients. 'Music' is effectivee.g., lullabies calm newborns (heart rate drops 10 bpm) and reduce agitation in comatose via auditory stimulation, per Taylor's evidence. 'Distraction' needs cognitione.g., games, unfit for newborns/comatose. 'Humor' requires understandinge.g., jokes, irrelevant here. 'Imagery' needs visualizatione.g., 'beach scene,' impossible for these groups. Studies show musice.g., 60 bpm tuneslowers stress hormones (cortisol) in NICUs or ICUs, soothing universally. Nurses use it bedsidee.g., soft Mozartmaking Choice B the correct, proven measure.
Question 2 of 5
A nurse working with patients in a healthcare facility influences them to make healthy lifestyle choices. According to Coopersmith, which of the following bases of self-esteem for the nurse does this example represent?
Correct Answer: A
Rationale: Coopersmith ties self-esteem to influence. 'Power' fitse.g., the nurse's ability to guide patients (e.g., quitting smoking) reflects control, per Taylor's adaptation of Coopersmith. 'Significance' is being valuede.g., 'patients love me,' not action. 'Competence' is skille.g., giving shots, not influencing. 'Virtue' is moralitye.g., honesty, not lifestyle push. Powere.g., 'I changed her diet'shows esteem from impact, a nursing strength. Choice A is correct.
Question 3 of 5
During an assessment of a patients self-esteem, a 45-year-old man tells the nurse that he lost his job due to downsizing and has been unemployed for 6 months. What would be the appropriate response from the nurse?
Correct Answer: C
Rationale: Job loss dents esteem, needing empathy. 'How has losing your job affected your life and the lives of your significant others?' is appropriatee.g., 'I feel worthless,' opens impact, per Taylor's therapeutic communication, probing self-concept. Choice A, 'shouldn't feel bad,' minimizese.g., invalidates his 6-month struggle. Choice B, 'support a family,' narrowse.g., assumes roles, not feelings. Choice D, 'more important things,' dismissese.g., belittles his identity as provider. A nurse asking Ce.g., gets 'I'm failing my kids'builds trust, targeting care (e.g., counseling). Choice C is the correct, patient-focused response.
Question 4 of 5
A nurse who works on the pediatric unit wants to help a child cope with the loss of a leg in a hunting accident. What would the nurse implement to help the child express feelings?
Correct Answer: D
Rationale: Kids express via play. 'Dolls or animals' helpe.g., a teddy 'loses a leg,' per Taylor's pediatric care, letting a child say 'It hurts,' externalizing grief. 'Support from family' comfortse.g., hugsbut doesn't express. 'Television cartoons' distracte.g., no outlet. 'Story books' educatee.g., 'Others cope,' not personal. A nurse hands a dolle.g., 'Show me how it feels'unlocks emotions (e.g., 80% of kids open up), a therapeutic tool. Choice D is the correct, expressive method.
Question 5 of 5
A patient with an inflamed appendix is feeling pain in the stomach area. What is the term for this body response to stress?
Correct Answer: A
Rationale: Localized stress response has a term. 'Local adaptation syndrome' appliese.g., appendicitis pain/swelling is site-specific, per Taylor's stress types, not whole-body. 'General adaptation syndrome' is systemice.g., adrenaline rush, not one organ. 'Physiological homeostasis' is balancee.g., not pain's flare. 'Fight-or-flight response' is acutee.g., HR up, not inflammation. Paine.g., RLQ tendernessreflects local inflammatory mediators (e.g., cytokines), a nursing focus for surgery. Choice A is the correct, precise term.