ATI RN
Age Specific Populations Questions
Question 1 of 5
A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, "Describe what you think about your present weight and how you look." Which response would be most consistent with anorexia nervosa?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. The patient's history of significant weight loss and refusal to eat align with symptoms of anorexia nervosa. 2. Choice A reflects negative body image common in anorexia nervosa, as patients often perceive themselves as overweight and unattractive. 3. Choices B, C, and D do not acknowledge the patient's actual physical condition or the psychological aspect of anorexia nervosa. 4. Choice B avoids the question and lacks insight into the patient's distorted body image. 5. Choice C acknowledges being underweight but does not address the negative self-perception associated with anorexia nervosa. 6. Choice D acknowledges being overweight, which contradicts the patient's actual weight loss history and is inconsistent with anorexia nervosa's symptoms.
Question 2 of 5
A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that paroxetine is a:
Correct Answer: D
Rationale: The correct answer is D: SSRI. Paroxetine belongs to the class of selective serotonin reuptake inhibitors (SSRIs), which work by primarily increasing the levels of serotonin in the brain. This mechanism differs from tricyclic antidepressants like Tofranil (imipramine) and MAO inhibitors. SSRIs are known for having fewer side effects compared to tricyclic antidepressants and MAO inhibitors. Therefore, the nurse should inform the patient that the side effects experienced with Tofranil are not necessarily indicative of what they will experience with Paxil due to the different drug classes.
Question 3 of 5
A depressed patient is to have his first electroconvulsive therapy (ECT) session tomorrow morning. Which intervention would routinely be implemented in preparing the patient for treatment?
Correct Answer: B
Rationale: The correct answer is B: Advising the patient that memory loss is usually transient. This is because memory loss is a common side effect of ECT, but it is typically temporary and resolves after treatment. It is important to prepare the patient for potential memory issues to reduce anxiety and manage expectations. Choices A, C, and D are incorrect because explaining the number of treatments needed, preparing for restraint, or suggesting ECT will end depression are not standard interventions in preparing a patient for ECT.
Question 4 of 5
A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which nursing intervention should receive the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Conducting passive range-of-motion exercises. This intervention is the highest priority because it addresses the physical needs of the patient by preventing complications such as muscle stiffness and contractures due to prolonged immobility. Passive range-of-motion exercises also promote circulation and prevent pressure ulcers. Choice B is incorrect because excessive stimuli can overwhelm the patient. Choice C is incorrect as it assumes the patient is responding when they may not be. Choice D is incorrect as the patient may not be ready or able to participate in activities due to their catatonic state.
Question 5 of 5
A 34-year-old client with residual schizophrenia frequently displays ambivalence. The community mental health nurse suggests that a realistic short-term outcome for this client problem is that client will:
Correct Answer: D
Rationale: The correct answer is D: Choose between two outfits to wear each morning. This outcome is realistic because it focuses on a concrete and manageable task that the client can achieve, promoting independence and decision-making skills. It also addresses the issue of ambivalence by providing the client with limited choices, which can help reduce anxiety and facilitate decision-making. A: Decide his or her own daily schedule - This option may be too overwhelming for a client with residual schizophrenia and may not directly address the issue of ambivalence. B: Refuse to attend activities - This option is negative and does not promote progress or independence for the client. C: Choose which clinic staff member to work with - This option may not be directly related to the client's ambivalence or daily functioning, making it less relevant as a short-term goal.