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. "My family will be fine after I'm gone "
Correct Answer: E
Rationale: Anger: Anger is characterized by feelings of frustration, resentment, and hostility. Depression: Depression involves feelings of sadness, hopelessness, and despair. Denial: Denial involves refusing to accept the reality of the situation. Bargaining: Bargaining involves attempting to negotiate with a higher power or others to change the outcome. Acceptance: Acceptance is the final stage in Kübler-Ross's model and involves coming to terms with one's impending death.
Question 2 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. Tells God: "If I quit smoking I can just live until after my daughter's wedding."
Correct Answer: B
Rationale: Anger: Anger typically involves feelings of frustration, resentment, or hostility. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of a situation. Depression: Depression involves feelings of sadness, hopelessness, and despair. Acceptance: Acceptance involves coming to terms with the reality of a situation. Denial: Denial is characterized by refusing to accept the reality of the situation.
Question 3 of 5
A 33-year-old patient has been told that her disease is terminal. The patient is crying and states,I will just be a dependent drain on my family. I hate being a burden to them. The nurse can best respond:
Correct Answer: C
Rationale: I know. I would feel terrible if I had been told I was dying.' This response does not effectively address the patient's concerns or provide therapeutic communication. 'Is there any reason to tell your family about this now? You still have some time in which you can enjoy life.' This response minimizes the patient's emotions and fails to acknowledge her distress. 'You have heard some very bad news today. Can you describe what you mean by burden?' This response acknowledges the patient's feelings and invites further discussion. 'I doubt that your loving family will view your terminal care as a burden.' While this response attempts to provide reassurance, it may come across as dismissive.
Question 4 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 5 of 5
A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls,and he states that he isn't receiving the care he needs. The nurse's most informative response would be:
Correct Answer: D
Rationale: Don't let him get away with this abuse. He doesn't need to yell at you': This response is dismissive of the patient's emotions and fails to address the underlying issues causing the anger. 'I'm afraid he is having a bad day and feels neglected': While this response acknowledges the patient's feelings, it does not provide a broader context for understanding the patient's behavior. 'This may be how he feels best in dealing with this illness. You'll just have to ignore it': This response dismisses the patient's behavior as acceptable without exploring its underlying causes. 'Anger is a reaction that dying people experience. You may be feeling some anger yourselves': This response acknowledges the patient's emotions as a common reaction to terminal illness, normalizing his experience.