34. An adult says to the nurse, “The cancer in my neck spread in only 2 months. I’ve been cursed my whole life. Maybe if I had been more generous with others …” Considering the stages of grief described by Kübler-Ross, which stage is evident?

10. A client has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today this client shouts, “They’re all plotting to destroy me. Isn’t that true?” what is the nurse’s most therapeutic response?

43. A nurse is planning palliative care for a child with severe pain. Which should the nurse expect to be prescribed for pain relief?  

35. A widower tells friends, “I am taking my neighbor out for dinner. It’s time for me to be more sociable again.” Considering the stages of grief described by Kübler-Ross, which stage is evident?

30. An 85-year-old has difficulty walking after a knee replacement. The client tells the nurse, “It’s awful to be old. Every day is a struggle. No one cares about old people.” What is the nurse’s best response?

13.A client’s care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the client may be hallucinating?

Answer True.  Question 49 and 50 are placement point holders. Meaning, you will get the points until the ATI scores are tabulated and replaced. 

1. The nurse admits a patient to the critical care unit following a motorcycle crash. Assessment findings by the nurse include blood pressure 100/50 mm Hg, heart rate 58 beats/min, respiratory rate 30 breaths/min, and temperature of 100.5° F. The patient is lethargic, responds to voice but falls asleep readily when not stimulated. Which nursing action is most important to include in this patient’s plan of care?

2. The nurse is caring for a patient who was hit on the head with a hammer. The patient was unconscious at the scene briefly but is now conscious upon arrival at the emergency department (ED) with a GCS score of 15. One hour later, the nurse assesses a GCS score of 3. What is the priority nursing action?

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