ATI RN
Client Comfort and End of Care ATI Questions
Question 1 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 2 of 5
Cold temperatures and loud noises are stressors to one person but not another. Why does this occur?
Correct Answer: C
Rationale: Stress varies by person. 'The perception and effects of stressors are highly individualized' explainse.g., cold bothers a thin person, not a hardy one, per Taylor's stress theory, due to appraisal and tolerance. Choice A, 'same perception,' is falsee.g., noise annoys one, not both. Choice B, 'same response,' ignorese.g., a musician loves loud, others hate it. Choice D, 'internal environment selective,' half-fitse.g., physiology matters, but perception's key. A nurse notes 'Cold kills me' vs. 'I'm fine'e.g., 50% report stress from noiseshowing subjectivity. Choice C is correct.
Question 3 of 5
An individual steps into a tub of very hot water and immediately jumps out again. What mechanism caused this response?
Correct Answer: B
Rationale: Hot water triggers instant withdrawal. 'Reflex pain response' caused ite.g., nociceptors signal spinal cord, pulling foot in 0.2 seconds, per Taylor's neurology, a protective arc. 'Inflammatory response' is slowere.g., swelling post-burn, not instant. 'General adaptation syndrome' is chronice.g., not a split-second act. 'Fight-or-flight response' is systemice.g., adrenaline, not localized reflex. A nurse knowse.g., C-fibers fire, no brain neededreflex saves from harm, unlike GAS's stages. Choice B is the correct, rapid mechanism.
Question 4 of 5
The wife of a patient on hospice at home is diagnosed with caregiver burden. Which of the following best describes this syndrome?
Correct Answer: A
Rationale: Caregiver burden is strain. 'Prolonged stress from caring for a family member at home' describese.g., 24/7 hospice care exhausts, per Taylor's caregiving lens, emotional/physical toll. Choice B, 'inability to provide,' is skille.g., not burden's core. Choice C, 'insufficient funds,' is financiale.g., separate issue. Choice D, 'siblings,' narrowse.g., not wife's load. A nurse hearse.g., 'I'm drained'burden's 40% prevalence, needing respite. Choice A is the correct, broad syndrome.
Question 5 of 5
What philosophy for handling stress can nurses encourage patients to adopt?
Correct Answer: D
Rationale: Stress needs pragmatic wisdom. 'Accept what can't be changed, change what can't be accepted' workse.g., 'I can't fix traffic, but I can leave early,' per Taylor's coping, fostering control. Choice A, 'one for all,' is teamworke.g., not personal. Choice B, 'do today,' pushese.g., risks overwhelm. Choice C, 'get busy,' ignores limitse.g., burnout at 60 tasks. A nurse teachese.g., 'Let go of weather, plan your day' serenity prayer's echo, 70% stress drop. Choice D is the correct, effective philosophy.