ATI RN
Age Specific Care Quiz Questions
Question 1 of 5
A child, age 5, was admitted to the children's unit, having been sexually abused by an acquaintance of her family. The child refuses to talk and participate in unit activities, choosing to stay in her room with her stuffed animals. Which therapeutic intervention will best help the child release pent-up feelings about the abuse?
Correct Answer: B
Rationale: The correct answer is B: Play therapy. Play therapy is the most suitable therapeutic intervention for a child in this scenario because it allows the child to express their feelings and experiences through play, which is a natural form of communication for children. Through play therapy, the child can act out their experiences using toys and create a safe space to process their emotions without having to verbally communicate. It helps the child release pent-up feelings and trauma in a non-threatening environment. Summary of other choices: A: Individual communication with the nurse may not be as effective as play therapy in this case as the child is not yet comfortable verbalizing their feelings. C: Family therapy may not be appropriate at this stage as the child is not ready to engage with family members about the abuse. D: Role-play with other children on the unit may not be beneficial as it can potentially trigger more anxiety and discomfort for the abused child.
Question 2 of 5
Which of the following should the nurse use as a basis for explaining the etiology of Alzheimer's disease to the family of a client with this disease?
Correct Answer: B
Rationale: The correct answer is B because Alzheimer's disease is a primary dementia that is characterized by the presence of beta-amyloid protein in neurons leading to the formation of senile plaques. This explanation is accurate as it describes the key pathological process underlying Alzheimer's disease. Choice A is incorrect because Alzheimer's disease is a primary dementia, not a secondary dementia. Choice C is incorrect because the etiology of Alzheimer's disease is not related to diet or toxic substances, so it is not treatable in that way. Choice D is incorrect because while Alzheimer's disease is irreversible, it is not treatable with antihypertensive medications as these medications are not effective in managing the disease process of Alzheimer's.
Question 3 of 5
An 85-year-old client with dementia has a nursing diagnosis of Self-care deficit: bathing, hygiene. She lives at home and has not bathed for a month. Her 67-year-old daughter states that she thinks her mother may have forgotten how to take a shower. An appropriate outcome would be that the client will:
Correct Answer: B
Rationale: The correct answer is B: Bathe twice weekly with assistance. This outcome is appropriate because it takes into account the client's dementia and self-care deficit while also promoting hygiene and independence. Daily bathing may be overwhelming for the client and may not be necessary for maintaining good hygiene. Allowing the nurse to totally manage hygiene (choice C) may not promote the client's independence. Remaining free of skin diseases/lesions (choice D) is important but may not directly address the self-care deficit. Bathe twice weekly with assistance strikes a balance between promoting hygiene and respecting the client's abilities and limitations.
Question 4 of 5
An elderly female client on the mental unit suddenly becomes upset because she can't remember where she is and she says, 'I can't think straight.' The staff has never witnessed this behavior in the client, and this type of complaint is not documented in the nursing history. What is the client most likely experiencing?
Correct Answer: D
Rationale: The correct answer is D: Delirium. Delirium is characterized by sudden onset confusion, disorientation, and impaired cognitive function. In this scenario, the elderly client's sudden confusion and inability to think straight suggest an acute change in mental status, which is indicative of delirium. Delirium is often triggered by underlying medical conditions or medications. A: Hallucinations involve perceiving things that are not real, which is not described in the scenario. B: Dementia is a chronic condition with gradual cognitive decline, not sudden onset confusion. C: Delusions are fixed false beliefs, which are not mentioned in the scenario. In summary, the client is most likely experiencing delirium due to the sudden onset of confusion and cognitive impairment, which is not consistent with hallucinations, dementia, or delusions.
Question 5 of 5
The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client's:
Correct Answer: B
Rationale: The correct answer is B: Ability to perform activities of daily living. A functional assessment in home health services focuses on evaluating the client's ability to independently perform daily tasks such as bathing, dressing, and preparing meals. This assessment helps determine the client's level of independence and need for assistance. Choices A, C, and D are incorrect because they do not directly assess the client's ability to perform activities of daily living, which is the primary purpose of a functional assessment in this context.