ATI RN
Age Specific Considerations in Patient Care Questions
Question 1 of 5
A group of teenagers are discussing their individual problems associated with having an eating disorder. Which findings would the nurse attribute to purging?
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Polyuria): 1. Purging involves self-induced vomiting or misuse of laxatives/diuretics. 2. Vomiting can lead to electrolyte imbalances, causing increased urine production (polyuria). 3. Polyuria is a common sign of purging behaviors due to electrolyte disturbances. Summary of Incorrect Choices: A: Excessive facial hair - Not directly related to purging behavior. B: Elevated blood pressure - Could be related to stress or other factors, not specific to purging. D: Dental enamel erosion - More likely associated with frequent vomiting (purging) rather than polyuria.
Question 2 of 5
The mother of a teenager diagnosed with an eating disorder asks, 'How long will my daughter have this problem?' The nurse answers with the knowledge that:
Correct Answer: D
Rationale: The correct answer is D because long-term therapy combined with medication results in the best outcomes for individuals with eating disorders. Therapy helps address underlying psychological issues, while medication can help manage symptoms. Recovery is a complex process that often requires ongoing support. Choice A is incorrect as recovery is not always guaranteed after one severe episode. Choice B is incorrect as many individuals do show improvement over time. Choice C is incorrect as weight restoration alone may not address all aspects of the disorder.
Question 3 of 5
A nurse has recently been assigned to a unit that specializes in the care of patients diagnosed with eating disorders. The nurse should consider which of the following actions as having priority when preparing for this new assignment?
Correct Answer: C
Rationale: The correct answer is C. Self-reflecting on personal feelings regarding body weight and size is crucial for the nurse to be aware of any biases or triggers that may affect patient care. Understanding personal attitudes towards body image can prevent unintentional harm or judgment towards patients. A: Becoming familiar with the unit's policies and procedures is important but not the top priority when dealing with patients with eating disorders. B: Arranging to mentor with a nurse who has experience on the unit can be helpful but does not address the nurse's personal biases. D: Attending an educational seminar is valuable but may not address the nurse's own attitudes towards body image.
Question 4 of 5
A nurse would conclude that a patient with an eating disorder is exhibiting a cognitive distortion after hearing the patient make which statement?
Correct Answer: B
Rationale: The correct answer is B because the statement reflects emotional reasoning, a common cognitive distortion in eating disorders. The patient believes that bingeing is an effective way to cope with feelings of isolation and loneliness, which is not a healthy or rational belief. This cognitive distortion can perpetuate the cycle of disordered eating behavior. A: This choice shows a healthy realization and decision-making process, indicating a positive step towards recovery. C: While controlling food intake may be a coping mechanism, it doesn't necessarily indicate a cognitive distortion. D: This choice demonstrates awareness of triggers, which is important for managing the disorder, but it doesn't necessarily indicate a cognitive distortion.
Question 5 of 5
Adolescents often cite barriers for discussing psychosocial issues with their physician. If confidentiality is addressed, which of the following do adolescents NOT cite as a barrier:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.