ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "Go away,I don't want company. "
Correct Answer: A
Rationale: Anger: The behavior of pushing others away and expressing hostility or frustration is indicative of the anger stage. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome. Denial: Denial is characterized by refusing to accept the reality of one's impending death. Depression: Depression involves feelings of sadness, hopelessness, and despair.
Question 2 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 3 of 5
Nurses may have a difficult time dealing with patient deaths if they
Correct Answer: B
Rationale: Have no friends among the unit staff: While having friends among the unit staff can provide emotional support, it is not directly related to a nurse's ability to cope with patient deaths. Have not come to terms with their own mortality: This option addresses a significant factor in how nurses cope with patient deaths. Did not foresee that the illness was terminal: While it can be emotionally challenging when a patient's illness unexpectedly becomes terminal, nurses are trained to provide care regardless. Cared for the patient for several days: The duration of care provided to a patient may influence the depth of the nurse's emotional connection but does not necessarily determine their ability to cope.
Question 4 of 5
A patient who is terminally ill has been unable to maintain good nutrition because of nausea and anorexia and has lost a great deal of weight. He is now unable to change his position in bed and needs frequent perineal care because of urinary incontinence. The nurse planning his care would include in the plan of care to:
Correct Answer: B
Rationale: Provide laxatives and stool softeners to prevent constipation: While constipation may be a concern for immobile patients, there is no indication in the scenario that the patient is currently experiencing constipation. Provide him with an air pressure mattress: This option is appropriate because the patient is immobile and at risk of developing pressure ulcers. Coax him to eat high-calorie, high-fat food: Although the patient is experiencing weight loss, coaxing him to eat may not be appropriate if he is experiencing nausea. Contact the primary care provider for an order for tube feeding: While tube feeding may be considered, it should not be the first intervention.
Question 5 of 5
A dying patient who verbalizes that he "is ready" is indicating that he is in the following stage.
Correct Answer: B
Rationale: Final: This option does not correspond to any stage of the grieving process or Kubler-Ross's stages of dying. Acceptance: In Kubler-Ross's stages of dying, acceptance is the final stage. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome. Denial: Denial is one of the initial stages where individuals refuse to accept the reality of their situation.