FUNDAMENTALS EXAM #5 ATI Questions & Answers
1) After the death of several long-term clients, which action indicates the nurse is
demonstrating ineffective coping?
A. The nurse talks at length to her partner about deaths
B. The nurse keeps busy with other actions and doesn't think about the deaths for
several days
C. The nurse offers to work extra shifts for several weeks
D. Several nurses schedule a group session with the agency clergy to discuss
deaths - C. The nurse offers to work extra shifts for several weeks
2) The nurse helps a 50 y/o client with diabetes who is to begin giving insulin
injections identify previously successful coping strategies that may be useful in the
current situation. Which stressor is closely related to the new stressor?
A. Interviewing for a new job
B. Death of a pet while the person was a teenager
C. The person's partner filing for a divorce
D. Starting to wear eyeglasses at age 30 - D. Starting to wear eyeglasses at age 30
3) Two people have been in a motor vehicle crash and have similar injuries.
According to the transaction-based model, their degree of stress from the crash
would be
A. Based on previous experience and personal characteristics
B. Extremely similar since they had the same stimulus
C. The identical physiological alarm reaction
D. Different depending on their external resources and support levels - A. Based on
previous experience and personal characteristics
4) A client informed of a cancer diagnosis assures the nurse he is fine. Which of
the following is the most indicative physical evidence to the nurse of the client's
stress?
A. Constricted pupils
B. Dilated peripheral blood vessels (flush)
C. Hyperventilation
D. Decreased heart rate - C. Hyperventilation
,5) Immediately after the parents of a hospitalized child are informed that the child
has leukemia, the father responds by continuing his usual work schedule, rarely
visiting, and asking when the child can return to school. Of the following, which is
the least likely to be an appropriate nursing diagnosis at this time?
A. Ineffective denial
B. Caregiver role strain
C. Fear
D. Compromised family coping - B. Caregiver role strain
6) Then nurse has recently changed jobs to work with young adults and recognizes
that sources of stress common to that population include which of the following?
(Select all that apply)
A. Marriage
B. Aging parents
C. Starting a new job
D. Leaving the parental home
E. Decreased physical abilities
F. Changing body structure - A. Marriage, C. Starting a new job, D. Leaving the
parental home
7) A middle-aged male client is experiencing job-related stress associated with the
fear of being laid off, resulting in his accepting projects that require a great deal of
travel. Which of the following would be the most important health promotion
strategy for this client?
A. Exercise
B. Sleep
C. Nutrition
D. Time management - B. Sleep
8) The first time the nurse enters the client's room, the client is on the phone.
Immediately, the client slams down the phone, sweeps everything off the overbed
table, and demands that the nurse perform several duties "this very minute." Which
of the following would be the most appropriate response for the nurse?
A. Tell the client "I will return" and then leave the room.
, B. Tell the client no care will be given until the screaming ends.
C. Begin providing needed care calmly and quietly.
D. Allow the client to complete venting, then respond calmly. - D. Allow the client
to complete venting, then respond calmly.
9) A client newly diagnosed with a chronic condition that will significantly change
the lifestyle must learn aspects of self-care. The client exhibits severe anxiety:
increased blood pressure and pulse, headache, and nervousness. Based on this
situation, how would the nurse appropriately plan the teaching?
A. Recognize the client's ability to learn is severely impaired
B. Recognize the client's learning will be adaptive and begin immediately
C. Recognize the client's ability to learn will be slightly impaired and modify
teaching
D. Recognize the client cannot learn at this time - A. Recognize the client's ability
to learn is severely impaired
10) Which of the following defense mechanisms for coping with stress could be
effective and constructive? (Select all that apply)
A. Compensation
B. Displacement
C. Minimization
D. Repression
E. Regression - A. Compensation, B. Displacement, D. Repression
1) When planning care for an older client residing in your skilled nursing facility
who is searching to make life meaningful, which nursing action would be most
beneficial?
A. Assess for depression
B. Diagnose and document that the client has "spiritual distress"
C. Keep the client busy with social activities
D. Explore with the client desired legacy - D. Explore with the client desired
legacy
2) A client's wife asks the nurse to pray for her. What would be the best initial
response for a nurse who believes in prayer?
1) After the death of several long-term clients, which action indicates the nurse is
demonstrating ineffective coping?
A. The nurse talks at length to her partner about deaths
B. The nurse keeps busy with other actions and doesn't think about the deaths for
several days
C. The nurse offers to work extra shifts for several weeks
D. Several nurses schedule a group session with the agency clergy to discuss
deaths - C. The nurse offers to work extra shifts for several weeks
2) The nurse helps a 50 y/o client with diabetes who is to begin giving insulin
injections identify previously successful coping strategies that may be useful in the
current situation. Which stressor is closely related to the new stressor?
A. Interviewing for a new job
B. Death of a pet while the person was a teenager
C. The person's partner filing for a divorce
D. Starting to wear eyeglasses at age 30 - D. Starting to wear eyeglasses at age 30
3) Two people have been in a motor vehicle crash and have similar injuries.
According to the transaction-based model, their degree of stress from the crash
would be
A. Based on previous experience and personal characteristics
B. Extremely similar since they had the same stimulus
C. The identical physiological alarm reaction
D. Different depending on their external resources and support levels - A. Based on
previous experience and personal characteristics
4) A client informed of a cancer diagnosis assures the nurse he is fine. Which of
the following is the most indicative physical evidence to the nurse of the client's
stress?
A. Constricted pupils
B. Dilated peripheral blood vessels (flush)
C. Hyperventilation
D. Decreased heart rate - C. Hyperventilation
,5) Immediately after the parents of a hospitalized child are informed that the child
has leukemia, the father responds by continuing his usual work schedule, rarely
visiting, and asking when the child can return to school. Of the following, which is
the least likely to be an appropriate nursing diagnosis at this time?
A. Ineffective denial
B. Caregiver role strain
C. Fear
D. Compromised family coping - B. Caregiver role strain
6) Then nurse has recently changed jobs to work with young adults and recognizes
that sources of stress common to that population include which of the following?
(Select all that apply)
A. Marriage
B. Aging parents
C. Starting a new job
D. Leaving the parental home
E. Decreased physical abilities
F. Changing body structure - A. Marriage, C. Starting a new job, D. Leaving the
parental home
7) A middle-aged male client is experiencing job-related stress associated with the
fear of being laid off, resulting in his accepting projects that require a great deal of
travel. Which of the following would be the most important health promotion
strategy for this client?
A. Exercise
B. Sleep
C. Nutrition
D. Time management - B. Sleep
8) The first time the nurse enters the client's room, the client is on the phone.
Immediately, the client slams down the phone, sweeps everything off the overbed
table, and demands that the nurse perform several duties "this very minute." Which
of the following would be the most appropriate response for the nurse?
A. Tell the client "I will return" and then leave the room.
, B. Tell the client no care will be given until the screaming ends.
C. Begin providing needed care calmly and quietly.
D. Allow the client to complete venting, then respond calmly. - D. Allow the client
to complete venting, then respond calmly.
9) A client newly diagnosed with a chronic condition that will significantly change
the lifestyle must learn aspects of self-care. The client exhibits severe anxiety:
increased blood pressure and pulse, headache, and nervousness. Based on this
situation, how would the nurse appropriately plan the teaching?
A. Recognize the client's ability to learn is severely impaired
B. Recognize the client's learning will be adaptive and begin immediately
C. Recognize the client's ability to learn will be slightly impaired and modify
teaching
D. Recognize the client cannot learn at this time - A. Recognize the client's ability
to learn is severely impaired
10) Which of the following defense mechanisms for coping with stress could be
effective and constructive? (Select all that apply)
A. Compensation
B. Displacement
C. Minimization
D. Repression
E. Regression - A. Compensation, B. Displacement, D. Repression
1) When planning care for an older client residing in your skilled nursing facility
who is searching to make life meaningful, which nursing action would be most
beneficial?
A. Assess for depression
B. Diagnose and document that the client has "spiritual distress"
C. Keep the client busy with social activities
D. Explore with the client desired legacy - D. Explore with the client desired
legacy
2) A client's wife asks the nurse to pray for her. What would be the best initial
response for a nurse who believes in prayer?
