ATI RN
Age Specific Patient Care Quizlet Questions
Question 1 of 5
A family discusses the impact of a seriously mental ill member. Insurance partially covered treatment expenses, but the family spent much of their savings for care. The patients sibling says, 'My parents have no time for me.' The parents are concerned that when they are older, there will be no one to care for the patient. Which response by the nurse would be most helpful?
Correct Answer: D
Rationale: The family has raised a number of concerns, but the major issues appear to be the effects caregiving has had on the family and their concerns about the patients future. The National Alliance on Mental Illness (NAMI) offers support, education, resources, and access to other families who have experience with the issues now facing this family. NAMI can help address caregiver burden and planning for the future needs of SMI persons. Improving the patients symptom control and general functioning can help reduce caregiver burden but would likely be a slow process, whereas NAMI involvement could benefit them on a number of fronts, possibly in a shorter time period. The family will need more than financial planning; their issues go beyond financial. The family is distressed but not in crisis. Crisis intervention is not an appropriate resource for the longer-term issues and needs affecting this family.
Question 2 of 5
A woman consults the nurse practitioner because she has not achieved orgasm for 2 years, despite having been sexually active. This is an example of
Correct Answer: B
Rationale: The correct answer is B: Female orgasmic disorder. This woman's inability to achieve orgasm despite being sexually active aligns with the diagnostic criteria for Female Orgasmic Disorder in the DSM-5. This disorder is characterized by a marked delay, absence, or decreased intensity of orgasm, which causes distress or interpersonal difficulty. Other choices are incorrect because Paraphilic Disorder refers to atypical sexual interests, Genito-pelvic pain/penetration disorder involves pain during intercourse, and Female Sexual Interest/Arousal Disorder pertains to lack of interest in or arousal during sexual activity.
Question 3 of 5
A nurse plans an educational program for staff of a home health agency specializing in care of the elderly. Which topic is the highest priority to include?
Correct Answer: A
Rationale: The correct answer is A: Pain assessment techniques for older adults. This is the highest priority as pain management is crucial in the care of the elderly to ensure their comfort and well-being. By assessing pain accurately, appropriate interventions can be implemented. - Choice B (Psychosocial stimulation): While important, it is not as critical as addressing pain, which directly impacts the individual's physical comfort. - Choice C (Psychiatric advance directives): Important for mental health planning but not as immediately essential as pain assessment in day-to-day care. - Choice D (Managing disinhibition in dementia): Important but secondary to addressing pain, which has a more immediate impact on the individual's quality of life. Prioritizing pain assessment ensures holistic care for elderly patients.
Question 4 of 5
An elderly patient brings a bag of medications to the clinic. The nurse finds bottles of medications as well as assorted pills in no containers in the bag. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C because engaging the patient in education about safe storage and labeling of medication is the priority action. This approach promotes patient understanding and empowerment in managing their medications safely. It addresses the immediate concern of the medications being improperly stored and unlabeled. Option A focuses solely on disposal without addressing the root cause. Option B involves a third party and may not address the patient's immediate needs. Option D is important but not as urgent as ensuring safe storage and labeling. Ultimately, educating the patient promotes long-term safety and adherence to medication management.
Question 5 of 5
A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:
Correct Answer: D
Rationale: The correct answer is D: Identify two alternative methods of coping with loneliness and isolation. Rationale: 1. The nursing diagnosis is Ineffective coping related to feelings of loneliness and isolation, indicating the patient struggles with coping mechanisms. 2. The desired outcome is for the patient to identify alternative coping methods, which directly addresses the ineffective coping issue. 3. By identifying two alternative methods, the patient demonstrates an understanding of healthier coping strategies. 4. This outcome focuses on addressing the root cause of the behavior (loneliness and isolation) rather than just surface-level expressions or behaviors. Summary: A: Appropriately expressing angry feelings does not directly address coping mechanisms related to loneliness and isolation. B: Verbalizing positive things about oneself is beneficial but does not address the core issue of ineffective coping. C: Verbalizing the importance of a balanced diet is important but does not directly address coping with loneliness and isolation.