ATI RN
Age Specific Nursing Care Questions
Question 1 of 5
A client who is hospitalized with anorexia nervosa states during a one-to-one session with the nurse, 'I'm freaking out. I'm losing it.' Which nurse response would be most therapeutic at this time?
Correct Answer: D
Rationale: The correct answer is D because it encourages the client to express their thoughts and feelings, aiding in the therapeutic process. This response promotes open communication and allows the nurse to assess the client's mental state. Choice A may not address the client's immediate distress and could potentially escalate anxiety. Choice B dismisses the client's feelings and does not address the issue. Choice C offers support but does not actively encourage the client to verbalize their thoughts, which is crucial in addressing underlying issues.
Question 2 of 5
The average age for onset of anorexia nervosa is:
Correct Answer: B
Rationale: The correct answer is B (17 years old) because anorexia nervosa typically manifests during adolescence, around ages 15-19. This age range coincides with the developmental stage where body image concerns and societal pressures are heightened. Choice A (13 years old) is too young for the typical onset. Choices C (33 years old) and D (40 years old) are too late for onset, as anorexia nervosa usually begins earlier in life.
Question 3 of 5
The first step in the creation of a therapeutic alliance between a nurse and a patient with a maladaptive response to eating regulation is:
Correct Answer: A
Rationale: The correct answer is A: formulation of a nurse-patient contract. This is because establishing a clear agreement outlining the roles, responsibilities, and boundaries between the nurse and patient is crucial in building trust and collaboration. It sets the foundation for a therapeutic alliance by promoting mutual understanding and shared goals. Summary: B: Resolving conflicts with family members may be important for overall well-being but is not the first step in creating a therapeutic alliance. C: Agreeing on the patient's body perception is important but does not address the fundamental establishment of trust through a contract. D: Specifying means of stabilizing nutritional status is essential but comes after the initial agreement on roles and responsibilities.
Question 4 of 5
A 14-year-old female comes into clinic for a medical certificate once a week for multiple complaints of chest pain and abdominal pain. The complaints are non-specific, and her physical examination is normal. She is quiet with poor eye contact. She states the pain is worse on school days. Her mother is concerned that her daughter is being bullied but won't talk to her. Her mother is also worried that her complaints represent an undiagnosed medical condition. The next best step in management is:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which of the following is not a psychiatric condition commonly associated with oppositional behaviour in children?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.