ATI RN
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ATI Fundamentals Exam Final Questions
Extract:
Question
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1 of 5
A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:
Correct Answer: C
Rationale: This statement may minimize the neighbor's grief by suggesting that time will automatically make things easier. This statement may unintentionally invalidate the neighbor's grief by implying that he should be happy. This statement acknowledges the neighbor's gesture and his shared love of gardening with his wife, Helen. This statement may pressure the neighbor to suppress his emotions and put on a façade of happiness.
Question 2 of 5
An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:
Correct Answer: A
Rationale: Of this type is not curative and may help reduce the pain he is experiencing: This response provides accurate information about the purpose of palliative radiation therapy. Will be used as a single treatment measure. Previous medications will be discontinued: This statement is inaccurate and may cause confusion. May disqualify him from receiving hospice care: This statement is incorrect. Receiving palliative radiation therapy does not automatically disqualify a patient from hospice care. May halt the metastatic process: Palliative radiation therapy is not typically used with the intention of halting the metastatic process.
Question 3 of 5
A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses,the nurse's most ethical response would be:
Correct Answer: C
Rationale: Bringing on your death in this manner would be a subject you should discuss with your family and primary care provider' : While discussing end-of-life wishes is important, this response does not directly address the ethical issue. 'Let me have a while to consider your request' : Delaying a response could potentially lead to confusion and distress. 'I cannot ethically give you a deliberate overdose' : This response aligns with the ethical principle of nonmaleficence. 'I can contact the primary care provider and request an order for a drug that could be used as you request' : This response suggests a willingness to facilitate the patient's request, which is not ethically permissible.
Question 4 of 5
A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:
Correct Answer: D
Rationale: Hospice care does not exclude hospital care entirely. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Hospice does not support assisted suicide or euthanasia. Hospice philosophy emphasizes symptom management and comfort care as its primary focus.
Question 5 of 5
A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls,and he states that he isn't receiving the care he needs. The nurse's most informative response would be:
Correct Answer: D
Rationale: Don't let him get away with this abuse. He doesn't need to yell at you': This response is dismissive of the patient's emotions and fails to address the underlying issues causing the anger. 'I'm afraid he is having a bad day and feels neglected': While this response acknowledges the patient's feelings, it does not provide a broader context for understanding the patient's behavior. 'This may be how he feels best in dealing with this illness. You'll just have to ignore it': This response dismisses the patient's behavior as acceptable without exploring its underlying causes. 'Anger is a reaction that dying people experience. You may be feeling some anger yourselves': This response acknowledges the patient's emotions as a common reaction to terminal illness, normalizing his experience.