ATI RN
Age Specific Populations Questions
Question 1 of 5
A 45-year-old married woman who works full time in a factory has recently been absent for 3-day periods on several occasions. Each time, she returned to work wearing dark glasses. Facial and body bruises were apparent. Her supervisor became suspicious that she was a victim of battering and referred her to the occupational health nurse. Which initial inquiry would be most important for the nurse to make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me what has happened to you." This open-ended question allows the woman to share her experience without judgment or assumptions. It shows empathy and respect for her autonomy. It is crucial for the nurse to gather information directly from the patient to understand the situation fully and provide appropriate support. Choice B is incorrect because it assumes the woman's husband is the perpetrator without giving her a chance to disclose the information herself. This can be intimidating and may not lead to a truthful response. Choice C is incorrect because it implies blame on the victim for the abuse, which is not appropriate. It does not focus on providing support or understanding the situation. Choice D is incorrect as it puts the responsibility on the victim to prevent the abuse, which is not a helpful approach. The focus should be on providing support and understanding the victim's situation.
Question 2 of 5
When a patient with paranoid schizophrenia has a recurrence of positive symptoms after stopping his antipsychotic medication because of its postural hypotension (orthostasis) side effect, he is readmitted to the mental health unit. What measure should the nurse suggest to help the patient address this side effect?
Correct Answer: D
Rationale: The correct answer is D because orthostatic hypotension is a common side effect of antipsychotic medications. Elastic support hose can help improve venous return, adequate fluids can prevent dehydration which worsens hypotension, and changing position slowly can prevent sudden drops in blood pressure. This measure directly addresses the side effect. A: Anticholinergic drugs can worsen orthostatic hypotension. B: Chewing gum or using candy does not address the physiological issue of orthostatic hypotension. C: Increasing sleep and rest breaks may help overall well-being but does not directly address orthostatic hypotension.
Question 3 of 5
The physician and advanced practice nurse are considering which antipsychotic medication to prescribe for a patient with schizophrenia who demonstrates auditory hallucinations, apathy, anhedonia, and poor social functioning. The patient is overweight and has hypertension. Bearing these facts in mind, the drug the nurse should advocate would be:
Correct Answer: D
Rationale: The correct answer is D: aripiprazole (Ability). Aripiprazole is a second-generation antipsychotic that is less likely to cause weight gain and metabolic side effects compared to other antipsychotics like clozapine (A), olanzapine (C), and haloperidol (B). Given that the patient is overweight and has hypertension, aripiprazole would be a better choice to minimize the risk of exacerbating these conditions. Additionally, aripiprazole has a lower risk of sedation, which can be beneficial for a patient with apathy and anhedonia, allowing for improved social functioning. Aripiprazole's unique mechanism of action as a partial dopamine agonist can also be advantageous for managing auditory hallucinations in schizophrenia. Therefore, aripiprazole is the most suitable choice for this patient based on their clinical presentation and comorbidities.
Question 4 of 5
The plan of care for a patient who has demonstrated outbursts of physical violence against his family when frustrated, followed by periods of remorse after each outburst, would be considered successful when the patient:
Correct Answer: A
Rationale: The correct answer is A because expressing frustration verbally instead of physically shows progress in managing emotions constructively. This approach helps prevent harm and promotes effective communication. Choice B doesn't address immediate behavior change. Choice C focuses on explaining behavior rather than changing it. Choice D is more about self-awareness and coping strategies, which is important but doesn't directly address the violent behavior.
Question 5 of 5
A rape victim asks a nurse, "How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and understanding towards the victim by helping them differentiate between vulnerability and blame. By supporting the victim in separating these issues, the nurse can empower them to recognize that the assault was not their fault, thus promoting healing and recovery. Choice B is incorrect because making decisions for the victim undermines their autonomy and does not address the victim's emotional needs. Choice C is incorrect as it offers false reassurance and does not address the victim's feelings of guilt or self-blame. Choice D is incorrect as it may come off as interrogative and could potentially retraumatize the victim by making them feel responsible for the assault.