ATI RN
Age Specific Nursing Care Questions
Question 1 of 5
A 91-year-old female client with dementia is being seen by the home health nurse. Both she and her husband, who is 92 years old, were very active until her dementia became debilitating. Since that time, the client does not recognize her husband or children, forgets how to eat and dress, and wanders about the house day and night. Her husband wants to keep her at home to care for her, but the nurse notices that he is increasingly tired with each visit. What is the nurse's priority intervention for the nursing diagnosis of caregiver role strain?
Correct Answer: A
Rationale: The correct answer is A: Discuss strategies to coordinate care and other responsibilities. The priority intervention for caregiver role strain is to help the husband effectively manage caring for his wife with dementia. By discussing strategies to coordinate care and other responsibilities, the nurse can assist the husband in creating a plan to ensure the client's needs are met while also addressing his own well-being. This intervention will help alleviate the husband's increasing tiredness and provide support in managing the caregiving responsibilities. Summary of other choices: B: Encourage involvement in support groups - While support groups can be beneficial, the immediate priority is to address the husband's caregiving responsibilities. C: Identify resources to include financial, legal, and respite care - While important, these resources may not directly address the husband's current strain in caring for his wife. D: Stress the importance of self-nurturing - While self-care is important, the immediate focus should be on assisting the husband in managing his caregiving responsibilities.
Question 2 of 5
A victim of partner abuse, parent of one child, describes the partner as someone who is easily frustrated and more likely to be abusive after experiencing an event in which the most recent episodes of violence were related to feeling 'upset' over a job loss. What type of therapy would provide the greatest help to the abuser?
Correct Answer: A
Rationale: The correct answer is A: Voluntary individual or group therapy. This type of therapy would be most helpful as it focuses on addressing the abuser's personal issues and behaviors, such as managing frustration and anger. By participating voluntarily, the abuser is more likely to be open to introspection and change. Summary of other choices: B: Court-ordered therapy may not be as effective as voluntary therapy, as the abuser may feel forced and less motivated to engage in the process. C: Couples or family therapy may not be appropriate initially as the abuser needs to work on personal issues first before addressing relationship dynamics. D: None of the above is incorrect as voluntary individual or group therapy is the most suitable option for addressing the abuser's behavior.
Question 3 of 5
Which characteristics are most likely in a sexual perpetrator? Select all that apply.
Correct Answer: A
Rationale: Step 1: Research shows that the majority of sexual perpetrators are male. Step 2: Societal norms and power dynamics often contribute to male perpetration. Step 3: Males are more likely to have societal privilege and opportunity to commit sexual offenses. Step 4: Gender stereotypes and toxic masculinity can influence male behavior towards sexual violence. Summary: Choice A is correct because statistical data and societal factors support the likelihood of male sexual perpetrators. Choices B, C, and D are incorrect as they do not align with the established patterns and research on sexual perpetration.
Question 4 of 5
It is a primary dementia that is incurable, irreversible, and fatal. It is caused by the accumulation of amyloid protein in the neurons, resulting in senile plaques.
Correct Answer: A
Rationale: The correct answer is A: Alzheimer's disease. Alzheimer's disease is a primary dementia that is characterized by the accumulation of amyloid protein in neurons, leading to senile plaques. It is incurable, irreversible, and fatal. Frontotemporal dementia (B) is caused by the degeneration of frontal and temporal lobes, not amyloid protein accumulation. Parkinson's disease dementia (C) is a secondary dementia that occurs as a complication of Parkinson's disease, not due to amyloid protein accumulation. Choice D is incorrect as Alzheimer's disease fits all the criteria mentioned in the question.
Question 5 of 5
A man, aged 84 years, was stopped for going through a red light in a small town where he lives. He told the officer, 'It wasn't there yesterday.' He was unable to tell the officer his address and demonstrated labile mood, seeming pleasant one minute and angry the next. The officer took the man home to discuss his condition with the family and found that he has been wandering around the neighborhood, sometimes taking tools from people's garages, saying they belong to him. The family reluctantly agreed that he should go to the emergency department. What cardinal sign of Alzheimer's disease does this patient demonstrate?
Correct Answer: A
Rationale: The correct answer is A: Agnosia. Agnosia is the inability to recognize or interpret sensory information, such as objects, people, sounds, or shapes. In this case, the patient's inability to recognize the red light, his own address, and the ownership of tools indicates a problem with perception and recognition. This aligns with the symptoms of agnosia commonly seen in Alzheimer's disease. Choices B and C are incorrect. Apraxia is the inability to perform purposeful movements, and aphasia is the loss of ability to understand or express speech. These symptoms are not the primary cardinal sign demonstrated by the patient in the scenario. Choice D, "None of the above," is also incorrect as the patient's symptoms align with the characteristics of agnosia.