Questions 47

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ATI Fundamentals Exam Final Questions

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Question 1 of 5

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. pleads "If Mom will just be OK. I'll do my homework every day."

Correct Answer: E

Rationale: Anger: Anger typically involves feelings of frustration, resentment, or hostility. Acceptance: Acceptance involves coming to terms with the reality of the situation. Depression: Depression involves feelings of sadness, hopelessness, and despair. Denial: Denial is characterized by refusing to accept the reality of the situation. Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of a situation.

Question 2 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 3 of 5

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

Correct Answer: C

Rationale: Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions. Long periods of fast deep breaths: This describes hyperventilation, not characteristic of Cheyne-Stokes respiration. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or COPD.

Question 4 of 5

A terminally ill patient is experiencing a great deal of dyspnea and noisy,rattling rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:

Correct Answer: C

Rationale: Administering morphine can help decrease pain associated with dyspnea, but the primary goal in this scenario is to address the dyspnea itself. While morphine can help dry up secretions to some extent, its primary action in this context is to alleviate dyspnea. Morphine is commonly used in palliative care to relieve dyspnea by depressing the respiratory center in the brain. Administering morphine in small doses for dyspnea relief is not intended to hasten death but rather to provide comfort.

Question 5 of 5

The emotional feeling of pain and loss is known as

Correct Answer: C

Rationale: Bereavement: Bereavement refers to the period of mourning and adjustment that follows the loss of a loved one. Depression: Depression is a mood disorder characterized by persistent feelings of sadness. Grief: Grief is the emotional response to loss, encompassing a range of feelings such as sadness, anger, guilt, and despair. Sadness: Sadness is a transient emotional state.

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