2024 ATI Fundamentals book chapter questions: M11: Ch 33 M12: Ch 39 M13: Ch 43, 44 M14: Ch 38) With Complete Solutions
A nurse is caring for a client whose partner passed away 4 months ago. The client has a recent diagnosis of diabetes mellitus. The client is tearful and states, "How could you possibly understand what I am going through?" Which of the following responses should the nurse make?
A. "It takes time to get over the loss of a loved one."
B. "You are right. I cannot really understand. Perhaps you'd like to tell me more about what you're feeling."
C. "Why don't you try something to take your mind off your troubles, like watching a funny movie."
D. "I might not share your exact situation, but I do know what people go through when they deal with a loss."
ATI Fundamentals Ch 33 - Coping
Answer: B
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A. Telling the client it will take more time to heal belittles the client's feelings and gives false reassurance.
B. CORRECT: By stating there is a lack of understanding, the nurse is using the therapeutic communication technique of validation, whereby a person shows sensitivity to the meaning behind a behavior. The nurse is also creating a supportive and nonjudgmental environment, and inviting the client to express frustrations.
C. Telling the client to try a distraction dismisses the client's feelings and gives common advice instead of expert advice.
D. Saying the nurse knows what clients feel is presumptive and inappropriate
A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the transport team arrives, the nurse takes the client's vital signs and notes an elevation in blood pressure and heart rate. The nurse should recognize this response as which part of the general adaptation syndrome (GAS)?
A. Exhaustion stage
B. Resistance stage
C. Alarm stage
D. Recovery stage
ATI Fundamentals Ch 33 - Coping
Answer: C
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A. Although the exhaustion stage is a component of GAS, body functions are no longer able to respond to the stressor in this stage. B. Although the resistance stage is a component of GAS, body functions normalize in an attempt to cope with the stressor in this stage.
C. CORRECT: In the alarm stage of GAS, body functions (blood pressure and heart rate) are heightened in order to respond to stressors.
D. Although not technically a component of GAS, recovery stage is an alternative to the exhaustion stage, but it would not account for an elevation in blood pressure and heart rate.
A nurse is caring for a client who has left -sided hemiplegia resulting from a cerebrovascular accident. The client works as a carpenter and is now experiencing a situational role change based on physical limitations. The client is the primary wage earner in the family. Which of the following describes the client's role problem?
A. Role conflict
B. Role overload
C. Role ambiguity
D. Role strain
ATI Fundamentals Ch 33 - Coping
Answer: A
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A. CORRECT: The client is experiencing role conflict because