ATI LPN
Introduction to Professional Nursing Practice Questions
Question 1 of 5
Which of the following statements, made by a senior citizen who has taken a class on stress reduction, would indicate to the nurse the need for further instruction?
Correct Answer: D
Rationale: Statement D suggests a misconception requiring further instruction. Aging doesn't inherently reduce stress; seniors face unique stressors like health decline or loss, often increasing stress. Statements A, B, and C are accurate: adults use lifelong coping skills, family can provide support, and stress can be eustress (positive) or distress (negative). Misunderstanding stress in aging could lead to inadequate preparation for challenges, necessitating education on how stress persists or shifts, not diminishes, with age, ensuring realistic expectations and effective coping strategies.
Question 2 of 5
Clients reactions of intense hostility or dependence toward the nurse are common forms of:
Correct Answer: D
Rationale: Transference occurs when clients project feelings (e.g., hostility, dependence) onto the nurse, based on past experiences. Emotional catharsis is emotional release, not projection. Counter-resistance isn't a term; counter-transference is the nurse's reaction. Transference is common in therapeutic settings, requiring the nurse to manage it professionally, making it the correct answer.
Question 3 of 5
A 34 year old single male client has very few close friends and relatives. He was very dependent on his mother before her death, although he often complained about her intrusiveness. What statement best describes his risk for problems in resolving his grief?
Correct Answer: D
Rationale: High risk fits due to dependency, ambivalence, and poor support, complicating grief resolution. Parental death isn't risk-free , independence isn't assured , and moderate risk underestimates factors. Dependency and unresolved feelings predict prolonged grief, per attachment theory, making it the best description.
Question 4 of 5
A client hospitalized after a myocardial infarction is restlessly moving about in bed. The client's pulse, blood pressure, and respiratory rate are elevated. In a shaky voice, the client tells the nurse 'I think I am going to die. The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the doctor here with me?' The nurse should analyze this behavior as suggesting the nursing diagnosis of
Correct Answer: D
Rationale: Elevated vitals, restlessness, and fear of death suggest Anxiety , a common post-MI reaction. Noncompliance lacks evidence, breathing issues are secondary, and spiritual distress isn't indicated. Anxiety fits NANDA criteria, driving care, making it the diagnosis.
Question 5 of 5
Which client would the nurse assess as having ineffective coping skills?
Correct Answer: B
Rationale: Ineffective coping involves maladaptive responses. Mr. C's guilt and hopelessness indicate poor coping, unlike Mr. D's proactivity , Ms. B's resilience , and Ms. A's support-seeking . B's rumination suggests ineffective coping per Lazarus, making him the match.