ATI RN
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ATI Fundamentals Exam Final Questions
Extract:
Question
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1 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 2 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 3 of 5
A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence. Place an occlusive dressing over the client's buttocks every $8 \mathrm{hr}$ : Occlusive dressings are not typically used for managing fecal incontinence. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence.
Question 4 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 5 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "I feel so hopeless about Mom's condition."
Correct Answer: A
Rationale: Depression: The statement expresses feelings of hopelessness, which is characteristic of depression. Anger: While hopelessness can sometimes lead to feelings of anger, the statement primarily conveys a sense of despair. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. Denial is the initial stage where individuals refuse to accept the reality of their situation.