ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
When the patient says,I can die happily if I can live long enough to see my first grandchild that will be born next month. The nurse assesses that this patient is experiencing Kübler Ross's stage of:
Correct Answer: A
Rationale: Bargaining: Bargaining is characterized by attempts to negotiate or make deals in an effort to postpone or change the outcome of a situation. Anger: Anger involves feelings of frustration, resentment, or rage directed towards oneself, others, or the situation. Denial: Denial involves refusing to accept the reality of a situation or diagnosis. Depression: Depression in the context of Kübler-Ross's model involves feelings of sadness, hopelessness, and withdrawal in response to the impending loss or death.
Question 2 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 3 of 5
A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right
Correct Answer: A,D,E,B,C
Rationale: Sequence of
Steps: 1. A. Make sure the provider has certified the client's death 2. D. Verify client's organ and tissue donation status 3. E. Remove medical equipment from the client 4. B. Cleanse the body while adhering to body fluid precautions 5. C. Attach identification tags to the body
Question 4 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 5 of 5
When a patient admitted for terminal care is asked by the admitting nurse,What has your doctor told you about your illness? the patient states,"She says that I have a terminal illness, but I know she's wrong. The nurse recognizes that:
Correct Answer: B
Rationale: This option assumes that the doctor does not inform patients about terminal illnesses, which may not necessarily be the case. Denial is a common defense mechanism in response to distressing or overwhelming information. While it may be important for the patient to have an understanding of their prognosis, pushing the patient to accept the reality may not be helpful. Avoiding conversation about the disease or symptoms may not address the underlying issue of denial and may hinder open communication.