ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?
Correct Answer: C
Rationale: I can now eat whatever I want. It will be dialyzed out of my system.': This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure. 'I know that renal failure runs in my family and I can prevent it.': This statement suggests a focus on prevention and may not indicate anticipatory grief. 'I just can't believe that my whole life is going to be ruined by dialysis.': This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. 'I know that I will get a kidney transplant. I am a good candidate.': This statement reflects hope and optimism about the possibility of a kidney transplant.
Question 2 of 5
A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?
Correct Answer: C
Rationale: I can't believe that doctor graduated from medical school! He doesn't know a thing about treating cancer.' This statement expresses frustration or disbelief towards the doctor's competence. 'The doctor has been so good to me. know he has tried everything he can. It is just my time.' This statement acknowledges the terminal nature of the illness and indicates acceptance. 'The doctor says I only have a few months to live, but know he is exaggerating to get me to take my medication.' This statement suggests denial by questioning the doctor's prognosis. 'Even though I am not hurting right now, I don't feel like I have the energy to get Out Of bed.' This statement reflects physical symptoms and lack of energy rather than denial.
Question 3 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She'll soon be at peace"
Correct Answer: E
Rationale: Anger: Anger is typically characterized by feelings of frustration, resentment, and hostility. Depression: Depression involves feelings of sadness, hopelessness, and despair. Denial: Denial is a defense mechanism characterized by a refusal to accept reality. Bargaining: Bargaining involves attempting to negotiate or make deals to postpone or mitigate the inevitable outcome. Acceptance is the final stage in Kübler-Ross's model, characterized by a sense of peace, tranquility, and readiness to confront death.
Question 4 of 5
A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:
Correct Answer: C
Rationale: Is no longer grieving the death of his wife: This option makes an assumption about the patient's grief based solely on the choice of words used to describe his wife's passing. Has a strong religious belief system: While the patient's statement may suggest a belief in an afterlife or reward, it doesn't necessarily indicate the strength of his religious beliefs. Is uncomfortable with the term 'death' and is using a euphemism: This is the correct response. The patient's choice of words, 'went on to her reward,' indicates a discomfort with directly stating 'death.' Has dysfunctional grieving and is unable to address his wife's death: There is no evidence in the scenario to suggest dysfunctional grieving.
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.