ATI RN
Client Comfort and End of Life Care ATI Questions
Question 1 of 5
Which of the following nursing diagnoses reflects disturbance in self-concept as the etiology?
Correct Answer: D
Rationale: Self-concept as etiology means it causes the issue. 'Impaired Adjustment' reflects thise.g., 'due to disturbed self-concept' after job loss, per Taylor's NANDA, struggles adapting. 'Disturbed Personal Identity' is the disturbancee.g., 'Who am I?' not a cause. 'Ineffective Role Performance' is outcomee.g., 'Can't parent,' not etiology. 'Chronic Low Self-Esteem' is symptome.g., 'I'm worthless,' not driver. Adjustment falterse.g., 'I can't move on'when self-view (e.g., 'provider') crumbles, a nursing link. Choice D is correct.
Question 2 of 5
If a nurse assessed the vital signs of a person who was in the initial alarm reaction stage (shock phase) of the GAS, what would be the expected findings?
Correct Answer: D
Rationale: Alarm reaction kicks GAS off with arousal. 'Hypertension' is expectede.g., BP jumps (e.g., 120/80 to 140/90) from adrenaline, per Taylor's Selye model, prepping fight-or-flight. 'Slow, deep breathing' is calme.g., not alarm's tachypnea (e.g., 20/min). 'Fatigue and lethargy' fits exhaustione.g., not initial surge. 'Hypotension' is shock's ende.g., not early vigor. A nurse seese.g., pulse 100 bpmstress hitting, a care cue. Choice D is the correct, acute finding.
Question 3 of 5
A friend has lost her job and is becoming increasingly anxious to the point of crisis. What type of crises is she experiencing?
Correct Answer: C
Rationale: Job loss triggers a crisis type. 'Situational' fitse.g., unemployment shifts stability, per Taylor's crisis theory, an external event. 'Adventitious' is disastere.g., flood, not personal. 'Maturational' is growthe.g., menopause, not job. 'Emotional' is vaguee.g., not a type. A nurse seese.g., 'I can't pay bills'situational anxiety (e.g., 50% of jobless), needing coping aid. Choice C is the correct, specific crisis.
Question 4 of 5
A nurse teaches a patient deep-breathing exercises to help control his anxiety. This is considered what type of stress management technique?
Correct Answer: B
Rationale: Deep breathing eases anxiety via calm. 'Relaxation' classifiese.g., slow breaths (e.g., 4-7-8) lower HR 10 bpm, per Taylor's stress tools, a physical unwind. 'Meditation' focuses minde.g., mantra, not just breath. 'Anticipatory guidance' prepse.g., 'Expect this,' not technique. 'Guided imagery' visualizese.g., 'See a beach,' not breathing. A nurse demose.g., 'Inhale deep, out slow'relaxing body (e.g., 50% tension drop), a staple. Choice B is the correct, broad method.
Question 5 of 5
A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations. Based on these findings, the nurse recognizes which of the following?
Correct Answer: A
Rationale: End-stage signs signal finality. 'These are signs of impending death' is recognizede.g., BP drops (e.g., 60/40), incontinence, no reflexes, and Cheyne-Stokes (irregular breathing), per Taylor's dying process, hours away. Choice B, 'no abnormality,' deniese.g., these aren't normal. Choice C, 'resuscitation,' violates DNRe.g., unethical. Choice D, 'family leave,' excludese.g., they stay for closure. A nurse notese.g., 'It's near'preparing family (e.g., 90% show these), not fighting. Impending death's physiologye.g., organ shutdownguides palliative care, making Choice A the correct, clinical call.