ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
The focus on quality of life issues is best implemented by:
Correct Answer: D
Rationale: Advance directives: Advance directives are legal documents that allow individuals to specify their preferences for medical treatment. Acceptance: Acceptance involves coming to terms with the reality of a situation, including one's own mortality. Hope: Hope can be an important factor in coping with illness and maintaining quality of life. Hospice: Hospice care is specifically designed to address the physical, emotional, and spiritual needs of individuals with terminal illnesses.
Question 2 of 5
A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Tell me why you want to take your child home.' This response could be perceived as questioning or challenging the parents' decision. 'I will help you get ready to leave.' This response shows support and understanding for the parents' decision. 'You have not given the medication a chance to work.' This response may come across as dismissive of the parents' wishes. 'The pediatrician is the only one who can discharge your child.' While it is true that discharge typically requires a physician's order, this response does not offer the supportive tone needed.
Question 3 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.
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
The focus on quality of life issues is best implemented by:
Correct Answer: D
Rationale: Advance directives: Advance directives are legal documents that allow individuals to specify their preferences for medical treatment. Acceptance: Acceptance involves coming to terms with the reality of a situation, including one's own mortality. Hope: Hope can be an important factor in coping with illness and maintaining quality of life. Hospice: Hospice care is specifically designed to address the physical, emotional, and spiritual needs of individuals with terminal illnesses.