ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
The relief of symptoms when a cure is no longer possible is known as:
Correct Answer: B
Rationale: Bargaining: Bargaining refers to a stage in Kübler-Ross's model of grief and acceptance. Palliation: Palliation refers to the relief of symptoms when a cure is no longer possible. Reorganization: Reorganization, also known as the reconstruction stage, is part of Worden's Four Tasks of Mourning model. Assisted Suicide: Assisted suicide involves intentionally helping a person end their life.
Question 2 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"
Correct Answer: E
Rationale: Depression: Depression is characterized by feelings of sadness, hopelessness, and despair. Acceptance: Acceptance is the final stage, characterized by coming to terms with one's impending death or loss. Bargaining: Bargaining involves attempts to negotiate or make deals to change the outcome of a situation. Anger: Anger involves feelings of frustration, resentment, or hostility towards the situation or others. Denial: Denial is the initial stage where individuals refuse to accept the reality of their situation or the severity of their illness.
Question 3 of 5
A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:
Correct Answer: C
Rationale: This statement may minimize the neighbor's grief by suggesting that time will automatically make things easier. This statement may unintentionally invalidate the neighbor's grief by implying that he should be happy. This statement acknowledges the neighbor's gesture and his shared love of gardening with his wife, Helen. This statement may pressure the neighbor to suppress his emotions and put on a façade of happiness.
Question 4 of 5
A hospice patient is unable to tolerate food or fluids and has advance directives that indicate that he does not want IV fluids or tube feedings if he is unable to take oral feedings. His family is concerned that he will be very uncomfortable without food or fluids. The nurse should tell them that:
Correct Answer: A
Rationale: This response aligns with best practices in hospice care, which prioritize comfort and quality of life. While the healthcare proxy may have the authority to make decisions, the focus should be on honoring the patient's wishes. Encouraging the family to try to talk the patient into accepting IV fluids or tube feedings goes against the principles of patient autonomy. While dehydration can be uncomfortable in some circumstances, providing adequate symptom management is essential in hospice care.
Question 5 of 5
A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions should the nurse take to help the client cope with his feelings of loss?
Correct Answer: A
Rationale: Listening attentively when the client talks about the past allows the nurse to provide emotional support and validation. Telling the client that feelings of grief are a common problem of the aging population may invalidate the client's individual experience. Providing activities to distract the client from dwelling on the past may temporarily divert attention but does not address the underlying feelings. Comparing the client's experience to that of younger clients who have experienced loss may not be helpful.