ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Spirituality can increase the quality of life: Spirituality plays a significant role in end-of-life care and can positively impact a client's well-being. Spirituality can increase feelings of hopelessness: While spirituality generally fosters feelings of hope and comfort, it is possible for individuals to experience spiritual distress. Spirituality can increase depression: Engaging in spirituality often serves as a source of solace and support, which can help alleviate symptoms of depression. Spirituality can increase the desire to hasten death: Spirituality often provides individuals with a sense of meaning, purpose, and hope.
Question 2 of 5
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?
Correct Answer: A
Rationale: I am hoping this will help relieve my discomfort': This statement reflects an understanding of the palliative nature of the care the client is receiving. The client acknowledges the goal of palliative care, which is focused on symptom management and improving quality of life rather than curative treatment. 'This is not working, and I plan to stop treatment': This statement suggests frustration with the current treatment but does not necessarily indicate acceptance of the prognosis. 'This is making me stronger every day': This statement implies a belief in the effectiveness of the treatment and a focus on improvement rather than acceptance of the prognosis. 'I am thinking of getting a second opinion': This statement indicates that the client is considering alternative perspectives on their diagnosis and treatment plan.
Question 3 of 5
A death that occurs under suspicious circumstances should be reported to the
Correct Answer: C
Rationale: Sheriff: The sheriff is responsible for enforcing law and order within a specific jurisdiction. Board of death: There is no standard entity known as the 'Board of death' in the context of death investigations. Coroner: The coroner is a public official responsible for investigating and determining the cause of deaths that occur under suspicious circumstances. Pathologist: A pathologist is a medical professional specializing in the study of disease processes.
Question 4 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 5 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "
Correct Answer: E
Rationale: Anger: Anger is characterized by feelings of frustration, resentment, and hostility. Depression: Depression involves feelings of sadness, hopelessness, and despair. Denial: Denial involves refusing to accept the reality of the situation. Bargaining: Bargaining involves attempting to negotiate with a higher power or others to change the outcome. Acceptance: Acceptance is the final stage in Kübler-Ross's model and involves coming to terms with one's impending death.