ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 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 2 of 5
A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:
Correct Answer: D
Rationale: Hospice care does not exclude hospital care entirely. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Hospice does not support assisted suicide or euthanasia. Hospice philosophy emphasizes symptom management and comfort care as its primary focus.
Question 3 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "I've had stomach problems for years. I don't have cancer."
Correct Answer: E
Rationale: Anger: Anger involves feelings of frustration, resentment, or hostility towards the situation or others. Depression: Depression is characterized by feelings of sadness, hopelessness, and despair. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. Denial is the initial stage where individuals refuse to accept the reality of their situation.
Question 4 of 5
A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Spirituality can increase the quality of life: Spirituality plays a significant role in end-of-life care and can positively impact a client's well-being. Spirituality can increase feelings of hopelessness: While spirituality generally fosters feelings of hope and comfort, it is possible for individuals to experience spiritual distress. Spirituality can increase depression: Engaging in spirituality often serves as a source of solace and support, which can help alleviate symptoms of depression. Spirituality can increase the desire to hasten death: Spirituality often provides individuals with a sense of meaning, purpose, and hope.
Question 5 of 5
When the nurse notes an increase in the level of daily function in the terminal patient,the nurse assesses that this patient has reached Kübler Ross's level of:
Correct Answer: B
Rationale: Bargaining: Bargaining is a stage where the patient may attempt to negotiate with a higher power or medical professionals to change their fate. Acceptance: In Kübler-Ross's model, acceptance is the final stage, characterized by the patient coming to terms with their diagnosis and prognosis. Depression: Depression is another stage where the patient experiences feelings of sadness, hopelessness, and despair. Yearning: Yearning, also known as the stage of 'pain and guilt' in Kübler-Ross's model, involves feelings of longing for what was lost or what cannot be.