ATI RN
Client Comfort Questions
Question 1 of 5
Which of the following patients would be classified as having chronic pain?
Correct Answer: A
Rationale: Chronic pain persists beyond healing, typically >3-6 months. 'A patient with rheumatoid arthritis' fitse.g., joint pain for years, per Taylor's pain typology, from ongoing inflammation. 'A patient with pneumonia' has acute paine.g., pleuritic pain resolves with antibiotics in weeks. 'A patient with controlled hypertension' rarely has paine.g., asymptomatic unless crisis. 'A patient with the flu' has acute myalgiae.g., 5-7 days, not chronic. RA's unremitting naturee.g., daily stiffnesscontrasts with temporary illnesses, making Choice A correct.
Question 2 of 5
A postoperative patient has not voided for 8 hours (since surgery). He is restless and complains of abdominal pain. How and what would the nurse assess before administering pain medications?
Correct Answer: D
Rationale: Post-op urinary retention mimics pain. 'Palpate abdomen for distended bladder' is correcte.g., a firm, tender suprapubic mass suggests 400 mL retention, per Taylor's assessment, causing pain and restlessness. Choice A, 'last bowel movement,' tracks constipatione.g., unrelated to 8-hour void gap. Choice B, 'auscultate bowel sounds,' checks GIe.g., hypoactive post-op, not urinary. Choice C, 'percuss for tympany,' assesses aire.g., bowel, not bladder fullness. Palpatione.g., dullness over bladderconfirms retention (common post-anesthesia) before opioids, which worsen it. Nurses prioritize causee.g., catheterize, not mask with medsmaking Choice D the right step.
Question 3 of 5
A nurse is teaching an alert patient how to use a PCA system in the home. How will she explain to the patient what he must do to self-manage pain?
Correct Answer: C
Rationale: PCA (patient-controlled analgesia) empowers self-dosing. 'When you push the button, you will get the medicine' is correcte.g., a 1 mg morphine bolus every 10 minutes, per Taylor's teaching, gives control. Choice A, 'machine does it all,' is falsee.g., no patient input risks overdose. Choice B, 'teach your family,' undermines autonomye.g., alert patients manage it. Choice D, 'going in all the time,' confuses PCA with infusione.g., PCA has lockouts (e.g., 6 mg/hour max). Nurses demoe.g., 'Press when it's 5/10'ensuring safety/efficacy. Choice C is the clear, correct explanation.
Question 4 of 5
What is the name given to the evaluative and affective component of the selfconcept?
Correct Answer: C
Rationale: Self-concept includes judgment. 'Self-esteem' is the evaluative/affective parte.g., 'I feel good about me,' per Taylor's model, blending worth and emotion. 'Ideal self' is desirede.g., 'perfect me,' not current feeling. 'Body image' is physical perceptione.g., 'I'm thin,' not value. 'Self-knowledge' is factse.g., 'I'm a nurse,' not affect. A patient saying 'I'm proud'e.g., post-recoveryshows esteem's role. Nurses bolster this, making Choice C correct.
Question 5 of 5
Which of the following statements is an example of the effect of aging, illness, or trauma on self-concept?
Correct Answer: B
Rationale: Aging and illness reshape self-view through external lens. 'Society devalues aging and chronic illness' exemplifies thise.g., a 65-year-old with arthritis feels 'useless' amid youth-centric norms, per Taylor's sociology, hitting esteem. 'Society values wisdom' is ideale.g., rare in practice, not typical effect. 'Few take a healthy body for granted' reflects awarenesse.g., not self-concept's core shift. 'Most accept inevitability' is copinge.g., not societal impact. A patient saying 'I'm a burden'e.g., post-strokemirrors devaluation, a nursing care focus. Choice B is the correct effect.