ATI RN
Population Based Health Care Questions
Question 1 of 5
A 17-year-old client is admitted to the ED after being alternately hyperalert and difficult to arouse. His symptoms all started within the last few hours, during which time he became disoriented and confused. His behavior was agitated and restless, and his memory was impaired, especially for recent events. The client displayed some delusions and misinterpretations of his surroundings. The nurse knows she needs to assess the client further for:
Correct Answer: C
Rationale: The correct answer is C: Delirium. Delirium is characterized by acute and fluctuating changes in cognition, attention, and awareness. The client's sudden onset of symptoms, including disorientation, confusion, agitation, restlessness, impaired memory, delusions, and misinterpretations of surroundings, align with the hallmark features of delirium. The nurse needs to further assess the client for delirium to determine the underlying cause and provide appropriate interventions promptly. Incorrect choices: A: Dementia - Dementia is a chronic, progressive condition characterized by gradual cognitive decline. The client's acute onset of symptoms is not consistent with dementia. B: Depression - Depression typically presents with persistent feelings of sadness, hopelessness, and loss of interest, which are different from the acute and fluctuating cognitive changes seen in delirium. D: Amnesia - Amnesia refers to memory loss, which is only one aspect of the client's presentation. Delirium involves a broader range of cognitive
Question 2 of 5
Which intervention is appropriate for a patient who has anorexia nervosa and is resisting weight gain?
Correct Answer: A
Rationale: The correct answer is A because assisting the patient to identify triggers to binge eating is crucial in addressing the resistance to weight gain in anorexia nervosa. By understanding the triggers, the patient can work on overcoming them and develop healthier eating habits. Option B is incorrect as providing remedial consequences for weight loss may exacerbate the issue. Option C is incorrect as impulsive eating is not the main concern in anorexia nervosa. Option D is incorrect as exploring needs for health teaching does not directly address the resistance to weight gain in anorexia nervosa.
Question 3 of 5
After a person was abducted and raped at gunpoint by an unknown assailant, which trauma syndrome is most likely to occur?
Correct Answer: B
Rationale: The correct answer is B: Confusion and disbelief. After experiencing a traumatic event like abduction and rape at gunpoint, it is common for individuals to feel confused and in disbelief due to the overwhelming nature of the experience. This reaction is part of the acute stress response and is a normal psychological defense mechanism. Decreased motor activity (choice A) is less likely to be the immediate response to such a traumatic event. Flashbacks and dreams (choice C) are more characteristic of post-traumatic stress disorder (PTSD), which may develop later on but are not the initial trauma syndrome. Choice D is incorrect as trauma responses are expected in this situation.
Question 4 of 5
A client in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been feeling anxious. For what other condition should the nurse assess this client?
Correct Answer: A
Rationale: Step 1: The client disclosed feeling anxious. Step 2: Anxiety is a common comorbidity with irritable bowel syndrome. Step 3: Assessing for anxiety allows for holistic treatment. Step 4: Anxiety can impact the client's physical health. Step 5: Therefore, assessing for anxiety is crucial. Summary: B: Depression - While depression is important, the client disclosed anxiety. C: Eating disorder - Not directly related to the client's disclosure. D: None of the above - Incorrect, as assessing for anxiety is necessary.
Question 5 of 5
The nurse performs a functional assessment of a client upon admission to a home health agency. The purpose of this assessment is to determine the client's:
Correct Answer: B
Rationale: Rationale: 1. Functional assessment evaluates client's ability to perform ADLs. 2. Assessing ADLs helps determine client's independence level. 3. Independence in ADLs impacts care planning and interventions. 4. Level of consciousness (A) is related to neurological status, not functional ability. 5. Reasoning, judgment (C) are cognitive functions, not directly related to ADLs. 6. "None of the above" (D) excludes the correct purpose of functional assessment.