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: In the context of adolescent healthcare, confidentiality plays a crucial role in facilitating open discussions about psychosocial issues. Adolescents often hesitate to discuss sensitive topics due to fear of judgment or breach of confidentiality. Option A, the non-judgmental approach of the physician, is NOT cited as a barrier by adolescents when confidentiality is assured. This is because a non-judgmental approach creates a safe space for adolescents to express themselves without fear of criticism. On the other hand, options B, C, and D are commonly cited barriers. Personal embarrassment towards discussing sensitive topics (Option B) is a significant barrier as adolescents may feel uncomfortable or ashamed discussing certain issues. Feeling rushed by the physician (Option C) can also hinder effective communication as adolescents may perceive a lack of time for thorough discussions. Additionally, if the physician does not initiate discussions about sensitive topics (Option D), adolescents may not feel comfortable bringing up these issues themselves. Educationally, it is vital for healthcare providers to understand these barriers to communication with adolescents to provide effective care. By ensuring confidentiality, maintaining a non-judgmental approach, allowing sufficient time for discussions, and proactively addressing sensitive topics, healthcare providers can better support adolescents in addressing psychosocial issues and promoting their overall well-being.