ATI RN
Age Specific Populations Questions
Question 1 of 5
A nurse caring for a patient with bulimia nervosa should teach the patient about:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): 1. Patients with bulimia nervosa often engage in purging behaviors, leading to electrolyte imbalances. 2. Hypokalemia is a common complication due to vomiting, which can have serious consequences. 3. Educating the patient about hypokalemia symptoms is crucial for early detection and intervention to prevent complications. Summary of Incorrect Choices: A. Self-monitoring of food intake is important but not the priority as addressing electrolyte imbalances. B. Weight gain is not a recommended goal for patients with bulimia nervosa. D. While self-esteem maintenance is important, addressing acute physical health risks takes precedence.
Question 2 of 5
An elderly client who lives with her daughter and son-in-law and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things. The daughter is a mid-level business executive who is under considerable stress at work. The children are often left in the care of the elderly client. The husband is often out of town on business trips. The daughter states, 'I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work.' The nurse caring for the mother could appropriately suggest:
Correct Answer: A
Rationale: The correct answer is A: Family therapy. Family therapy is the most appropriate suggestion because it addresses the dysfunctional dynamics within the family and provides an opportunity for all family members to work through their issues. In this scenario, the daughter's stress at work and lack of coping skills are contributing to the abuse of the elderly client. Family therapy can help the family communicate effectively, set boundaries, and address underlying issues causing the abuse. Choice B (Individual counseling for the daughter) may help the daughter address her stress and coping mechanisms, but it does not address the family dynamics that are contributing to the abuse. Choice C (Respite care for the elderly client) provides temporary relief but does not address the root cause of the issue. Choice D (None of the above) is incorrect as family therapy is the most appropriate intervention in this case.
Question 3 of 5
An elderly woman is brought to the clinic by her daughter. The client states that she has had a cold for several days. Her daughter states that her mother has been confused about when her routine medications are to be taken and that her mother has never experienced confusion before. Based on this information, it is important that the nurse ask the client whether:
Correct Answer: A
Rationale: The correct answer is A: There is a history of mental illness in the family. This is important because the sudden onset of confusion in an elderly person could be indicative of a new mental health issue or cognitive decline. Asking about a family history of mental illness can provide valuable insights into potential genetic predispositions or underlying conditions that may be contributing to the client's confusion. Choices B and C are incorrect because the client's own history of mental health diagnosis or ability to recall a physician visit are not directly related to the sudden onset of confusion. Choice D is incorrect because asking about a family history of mental illness could provide crucial information in understanding the client's current condition.
Question 4 of 5
You are a nurse meeting for the first time with a stage 3 Alzheimer's patient who is newly referred to your home health agency. Which assessment data about the patient and caregiver(s) would be most important to acquire during your first visit to the family's home?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Ensuring patient safety is a top priority, especially for a stage 3 Alzheimer's patient. 2. Restricting access to exits and stairways can prevent wandering and potential accidents. 3. This assessment is crucial for creating a safe environment for the patient. 4. Understanding the house design is essential for implementing appropriate safety measures. Summary of other choices: B. Understanding the prognosis is important but not as immediately critical as ensuring patient safety. C. Knowing community resources is valuable but not as urgent as addressing safety concerns. D. This choice is incorrect as assessing the house design for safety is crucial in this scenario.
Question 5 of 5
A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet during the assessment, saying only, 'I will not eat until I lose enough weight to look thin.' Select the best initial nursing diagnosis.
Correct Answer: D
Rationale: Rationale for Correct Answer (D): None of the above is the best initial nursing diagnosis because the patient's symptoms suggest a severe medical condition rather than psychological issues. The yellow skin, cold extremities, low heart rate, extreme low weight, and refusal to eat indicate severe malnutrition and possible organ failure. Therefore, the priority is to address the patient's immediate medical needs, such as restoring electrolyte balance and preventing further complications. Psychological assessments and diagnoses can follow once the patient's physical health is stabilized. Summary of Other Choices: A: Anxiety related to fear of weight gain - This choice focuses on psychological factors, but the patient's symptoms indicate severe physical malnutrition rather than anxiety. B: Disturbed body image related to weight loss - While body image issues may be present, the patient's critical medical condition takes precedence over psychological concerns. C: Ineffective coping related to lack of conflict resolution skills - This choice does not address the urgency of the patient's physical symptoms and is not the most