ATI RN
Age Specific Populations Questions
Question 1 of 5
A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
Correct Answer: A
Rationale: 1. **Step 1**: Hypertension is a common condition managed with prescription medications. 2. **Step 2**: Many antihypertensive medications can cause sexual dysfunction as a side effect. 3. **Step 3**: Therefore, asking about prescribed medications and their effects on sexual function is important. 4. **Step 4**: This helps assess if the patient is experiencing any sexual side effects due to his hypertension medications. 5. **Step 5**: Identifying and addressing such side effects can improve patient outcomes and quality of life. 6. **Summary**: Option A is correct as it directly links the potential sexual dysfunction side effects of hypertension medications to the assessment, unlike the other choices which do not address this important aspect of medication management.
Question 2 of 5
A new nurse asks, 'My elderly patient's CT scan of the head shows many Lewy bodies are present. What should I do about assessing for pain?' Select the best response from the nurse manager.
Correct Answer: C
Rationale: The correct answer is C because patients with Lewy body dementia may have difficulty expressing pain. Special pain assessment scales designed for patients with dementia can help in accurately assessing pain levels. These scales take into account nonverbal cues and behavioral changes that may indicate pain. By using these specialized tools, the nurse can ensure a more comprehensive assessment of the patient's pain experience. Choice A is incorrect because relying solely on family members' perceptions may not accurately reflect the patient's actual pain experience. Choice B is not the best option because a visual analog scale may not be suitable for patients with dementia who may have cognitive impairments affecting their ability to use such tools effectively. Choice D is incorrect as it assumes that pain perception is diminished in Lewy body dementia without considering that patients may still experience pain but have difficulty communicating it. Focusing solely on mental status may overlook important pain indicators.
Question 3 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 4 of 5
Which personality characteristic is most likely in a patient with anorexia nervosa?
Correct Answer: B
Rationale: Perfectionism is the most likely personality characteristic in a patient with anorexia nervosa because individuals with this disorder often exhibit an intense desire for control, rigid thinking patterns, and a relentless pursuit of thinness. This perfectionistic trait can manifest as strict adherence to self-imposed rules around food intake and excessive exercise. Open displays of emotion (choice A) are less common due to emotional suppression related to the disorder. Optimism (choice C) is unlikely as anorexia nervosa is associated with negative self-perceptions and low self-esteem. Flexibility (choice D) is also unlikely due to the rigid and inflexible behaviors typical of individuals with anorexia nervosa.
Question 5 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.