ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 5
Which of the following statements is true of chronic pain?
Correct Answer: C
Rationale: Chronic pain's defining trait is its impact over time. 'It interferes with normal functioning' is true e.g., arthritis pain limits mobility or sleep, per Taylor's chronic pain framework, persisting beyond 3-6 months and disrupting life (e.g., work absenteeism). Choice A, 'less than 6 months,' defines acute paine.g., a sprain heals in weeks, not chronic. Choice B, 'always present and intense,' overstates; chronic pain variese.g., fibromyalgia waxes and wanes, not constant 10/10. Choice D, 'disappears with treatment,' is false; chronic pain often resists curee.g., neuropathy lingers despite drugs. For example, a patient with back pain for years might skip social events, showing functional loss, not just discomfort. Unlike acute pain's warning, chronic pain's persistence shifts focus to management (e.g., PT, meds), not resolution. Nursing recognizes its biopsychosocial toll, making Choice C the accurate statement.
Question 2 of 5
A patient with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the patient?
Correct Answer: B
Rationale: Morphine's opioid effect slows GI motility. 'Increase fluids and high-fiber foods, and use a mild laxative' is correcte.g., 2L water, prunes, and docusate prevent/treat constipation, per Taylor's management. Choice A, 'only when severe,' risks uncontrolled paine.g., cancer pain needs steady dosing. Choice C, 'enema every third day,' is invasivee.g., unnecessary vs. diet/laxatives. Choice D, 'nothing to worry about,' dismisses a real issuee.g., 50% of opioid users strain. Nurses teach proactive stepse.g., 'Drink more, try bran'balancing relief and side effects. Choice B is the practical, correct advice.
Question 3 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 4 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 5 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.