ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?
Correct Answer: A
Rationale: The correct answer is A: Living in poverty. Chronic stress refers to ongoing, persistent stress that lasts for a prolonged period of time. Living in poverty can lead to a continuous state of stress due to financial struggles, lack of resources, and uncertainty about the future. This can have long-term detrimental effects on physical and mental health. The other options (B, C,
D) are examples of acute stressors, which are sudden and short-lived stressful events that do not typically last for an extended period. Acute stressors can certainly be traumatic and distressing, but chronic stress specifically refers to a persistent stressor that persists over time.
Question 2 of 5
A nurse is teaching a class about the stages of the general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS?
Correct Answer: A
Rationale: The correct answer is A: A perceived stressor stimulates the central nervous system. This is the first physiological response in the General Adaptive Syndrome (GAS). When the body perceives a stressor, the hypothalamus in the brain triggers the release of stress hormones, such as cortisol and adrenaline, through the activation of the central nervous system. This initiates the fight-or-flight response, preparing the body to either confront or flee from the stressor. This initial response is crucial for the body to mobilize its resources and cope with the stressor effectively.
Incorrect choices:
B: The body remains alert while blood pressure and heart rate return to pre-stress levels - This statement does not accurately describe the initial physiological response during GAS.
C: Prolonged exposure to stress can result in illness - While true, this choice does not address the first physiological response in GAS.
D: An increase in hormones causes an increase in blood pressure and heart rate - While this is part of the body
Question 3 of 5
A nurse is assessing an older adult patient who is experiencing age-related changes. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Increased joint stiffness. With aging, cartilage degradation and reduced lubrication in joints lead to increased stiffness. Option B is incorrect because aging typically results in decreased muscle mass due to sarcopenia. Option C is incorrect as bones become more porous and brittle, not calcified. Option D is incorrect as balance tends to decrease with age due to changes in sensory systems.
Question 4 of 5
A nurse is assessing a patient who reports feeling stress and anxiety. The patient appears restless and is pacing in the room. The patient is alert and oriented to person place and time. Which of the following findings is subjective?
Correct Answer: C
Rationale: The correct answer is C: Anxiety. Anxiety is a subjective finding because it is based on the patient's own feelings and cannot be directly observed by others. Restless (
A) and pacing (
B) are objective findings that can be observed by the nurse. Being alert (
D) is also an objective finding that can be assessed through interactions with the patient.
Therefore, the correct answer is C because it is a subjective experience reported by the patient.
Question 5 of 5
A nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?
Correct Answer: A
Rationale: The correct answer is A: Post-traumatic stress disorder (PTS
D). This is because PTSD involves experiencing distressing flashbacks of a traumatic event that occurred in the past. The patient in this scenario is reporting flashbacks of a traumatic event from a year ago, which aligns with the criteria for PTSD.
Choice B, Episodic acute stress, refers to experiencing repeated episodes of acute stress, not necessarily related to a specific traumatic event.
Choice C, Irritable bowel syndrome (IBS), is a gastrointestinal disorder and is not related to the symptoms described by the patient.
Choice D, Acute stress disorder (AS
D), is characterized by symptoms similar to PTSD but occurs within a month of the traumatic event, whereas PTSD symptoms persist for a longer duration.
Therefore, the correct answer is A because the patient's symptoms align with the criteria for PTSD, while the other choices do not accurately reflect the patient's reported experiences.