ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 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 2 of 5
A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:
Correct Answer: C
Rationale: Involves getting the patient out of bed for specified periods during the day to prevent excessive sleep during the day and wakefulness at night. This option respects the patient's autonomy and acknowledges his preference to remain in bed due to feeling tired and weak. Leaving the patient in bed while encouraging active exercises may be physically demanding for the patient and may not be appropriate, especially considering the patient's terminal condition.
Question 3 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 4 of 5
The nurse is aware that in order to provide effective support to grieving patients and families,the nurse must?
Correct Answer: D
Rationale: Staying positive and optimistic at all times may not be realistic or helpful when supporting grieving patients. While understanding theories of grief can be beneficial, it is not the most crucial aspect of providing effective support. Keeping a professional distance from the situation may hinder the nurse's ability to provide empathetic care. Coming to terms with his or her own view of death is essential for providing effective support to grieving patients.
Question 5 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.