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NUR 380 - Exam 4 (Final) - ATI chapter questions and answers graded A+ 2024/2025
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NUR 380 - Exam 4 (Final) - ATI chapter questions and answers graded A+ 2024/2025
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NUR 380 - Exam 4 (Final) - ATI chapterquestions
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
---
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
---
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.
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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
, ---
A. CORRECT: The client is experiencing role conflict because their career is extremely physical,
and they can no longer perform the job duties. However, the client is the primary wage earner in
the family.
B. Although the client can feel overloaded and overwhelmed, role overload occurs when the
client is trying to juggle too many roles.
C. The client is not experiencing role ambiguity because their job duties and physical limitations
are quite clear.
D. The client is not experiencing role strain. That occurs when one feels inadequate for
assuming a role.
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the
following nursing interventions for stress, coping, and adherence to the treatment plan should
the nurse initiate at this time? (Select all that apply.)
A. Suggest coping skills for the client to use in this situation.
B. Allow the client to provide input in the treatment plan.
C. Assist the client with time management, and address the client’s priorities.
D. Provide extensive instructions on the client’s treatment regimen.
E. Encourage the client in the expression of feelings and concerns.
ATI Fundamentals Ch 33 - Coping
Answers: B, C, E
---
A. Although it can seem helpful to suggest specific coping skills for the client, it is best to allow
the client to discuss coping skills that have worked in the past.
B. CORRECT: Allowing the client to contribute to the treatment plan allows for greater
adherence to the plan.
C. CORRECT: Helping the client to prioritize is an intervention that can reduce levels of stress
for the client because many times time management is extremely difficult in times of stress.
D. Although it is necessary to provide complete information on treatment plans, simplifying
treatment regimens as much as possible allows for greater adherence to the treatment plan.
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