ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D. Reassure the client that this is an expected response to grief.
Rationale: Expressing anger is a common response to receiving a cancer diagnosis. By reassuring the client that anger is a normal part of the grieving process, the nurse validates the client's feelings and provides emotional support. This can help the client feel understood and more at ease. Discussing risk factors (
A) may not address the client's immediate emotional needs. Focusing on future management (
B) may be overwhelming at this stage. Providing written information about loss and grief (
C) may not directly address the client's anger.
Question 2 of 5
A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?
Correct Answer: B
Rationale: The correct answer is B: Initiate a discussion with clients about ways to cope with changes in family dynamics. This is the most appropriate strategy for the nurse to use during the support group session because it focuses on helping clients cope with the aftermath of suicide within the family. By discussing coping strategies, clients can learn effective ways to navigate the changes in family dynamics that may occur following a suicide. This can help clients process their emotions, build resilience, and improve their overall well-being.
Rationale for other choices:
A: Encouraging clients to establish a timeline for their own grieving process may not be helpful as each individual's grieving process is unique and cannot be strictly outlined in a timeline.
C: Assisting clients in identifying ways suicide could have been prevented may not be beneficial as it can lead to feelings of guilt and blame among group members.
D: Discouraging clients from sharing negative aspects of their relationship with the deceased persons can hinder the healing process and prevent clients from expressing their true emotions
Question 3 of 5
A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?
Correct Answer: D
Rationale: The correct answer is D: Beneficence. Beneficence is the ethical principle of doing good and acting in the best interest of the client. In this scenario, the nurse is demonstrating beneficence by providing comfort and support to the client who is grieving the loss of their partner. The nurse's actions are aimed at benefiting the client's emotional well-being.
Rationale for why the other choices are incorrect:
A: Fidelity refers to being faithful or loyal to commitments and promises. Sitting with the client in this scenario is not about loyalty but rather about providing emotional support.
B: Veracity relates to truth-telling and honesty. While important, it is not the primary ethical principle being demonstrated in this scenario.
C: Autonomy is the principle that respects the client's right to make their own decisions. While important, in this case, the nurse is providing support rather than focusing on the client's decision-making.
E, F, G: These choices are not provided, but based
Question 4 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular complications. Elevated blood pressure can be exacerbated by the estrogen in the contraceptives, leading to serious health issues.
B: Fibromyalgia, C: Renal calculi, and D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. These conditions do not pose a significant risk when using oral contraceptives.
In summary, hypertension is a crucial contraindication due to the potential cardiovascular risks, whereas fibromyalgia, renal calculi, and fibrocystic breast disease do not impact the safety of using combination oral contraceptives.
Question 5 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: A
Rationale: The correct answer is A: Biofeedback. Biofeedback involves monitoring bodily functions to gain control over normally involuntary processes. In the case of herpes zoster, the skin lesions and pain may interfere with the accuracy and effectiveness of biofeedback techniques. Herbal remedies (
C) can be used cautiously, aloe (
B) can provide soothing effects, and acupuncture (
D) can help manage pain in herpes zoster. However, biofeedback may not be suitable due to the discomfort and sensitivity associated with the condition.