ATI RN
Population Specific Care Questions
Question 1 of 5
A nurse is providing care for a patient diagnosed with bulimia nervosa. What is a priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Provide a calm, structured environment with consistent mealtimes. This is the priority intervention because individuals with bulimia nervosa benefit from a stable and supportive environment to establish regular eating patterns and reduce anxiety around mealtimes. This intervention helps promote a sense of safety and predictability, which are crucial for managing the eating disorder. Encouraging regular exercise (Choice A) may exacerbate compulsive behaviors related to bulimia. Weight loss (Choice C) should not be the focus as it can worsen the patient's condition. Offering a high-protein diet (Choice D) may not address the underlying psychological issues associated with bulimia.
Question 2 of 5
A client is admitted to a day hospital following an episode in which he purchased a gun to use while standing guard over his property to prevent a neighbor from erecting a boundary fence. His wife describes him as distrustful of the motives of others and often interpreting others' motives as threats. She mentions that one time he accused her of having an affair with a neighbor with whom she chatted occasionally. The care plan will list the priority outcome as 'Client will:
Correct Answer: C
Rationale: The correct answer is C: demonstrate trust in the nurse. This is the priority outcome because the client's lack of trust and tendency to perceive threats need to be addressed first. By demonstrating trust in the nurse, the client can begin to develop a therapeutic relationship, which is essential for addressing his distrustful behavior and interpreting threats. This outcome focuses on building rapport and establishing a foundation for therapeutic interventions. Choice A is incorrect because admitting his action was excessive may not address the underlying issues of distrust and misinterpretation of motives. Choice B is incorrect as it does not address the client's core issues and may not be appropriate in this context. Choice D is also incorrect as identifying positive role models is not a priority when the client's trust and perception issues need immediate attention.
Question 3 of 5
A patient with borderline personality disorder has been making steady progress but one day gets a phone call from her boyfriend, who breaks off their relationship. Although she has not self-injured in over 2 months, she makes repeated lacerations on her forearm. Which statement about this and most maladaptive behaviors seen in personality disorders is most accurate?
Correct Answer: B
Rationale: The correct answer is B: However dysfunctional, most behavior is the person's best effort to cope. Rationale: 1. People with borderline personality disorder often struggle with intense emotions and unstable relationships. 2. Self-injury is a maladaptive coping mechanism used to manage overwhelming emotions or distress. 3. In this scenario, the patient resorts to self-injury as a coping strategy after the breakup triggers intense emotional pain. 4. Despite being maladaptive, the behavior serves as a coping mechanism to regulate emotions. 5. Understanding that maladaptive behaviors are often the individual's best attempt to cope helps in providing non-judgmental support and promoting healthier coping strategies. Summary: A: Incorrect. People with personality disorders can make progress with appropriate treatment and support. C: Incorrect. While external factors may trigger behaviors, individuals with personality disorders have agency in their actions. D: Incorrect. Improvement in behavior should not always be viewed as manipulation; it can indicate genuine progress in coping skills.
Question 4 of 5
A patient tells the nurse that he is planning to hire a private detective to follow his wife, who he believes is having an extramarital affair. The patient looks behind the door to be sure no one is eavesdropping and asks the nurse what she did with his medical record after he left. The patient's behaviors are most consistent with a diagnosis of:
Correct Answer: C
Rationale: Rationale: The correct diagnosis is paranoid personality disorder (C). This is supported by the patient's suspiciousness and mistrust, as shown by planning to hire a detective and checking for eavesdroppers. These behaviors align with the core features of paranoid personality disorder, such as pervasive distrust and suspicion of others. Incorrect choices: A: Antisocial personality disorder is characterized by disregard for others' rights and lack of empathy, not by suspicion or mistrust. B: Schizoid personality disorder entails social withdrawal and emotional coldness, not suspiciousness. D: Obsessive-compulsive personality disorder involves perfectionism and control, not paranoia or mistrust.
Question 5 of 5
Which statement by a patient with bulimia nervosa indicates a need for further education?
Correct Answer: C
Rationale: Rationale: Choice C indicates a need for further education because it suggests the patient believes they can manage bulimia without help. Patients with bulimia often require professional intervention for successful treatment. Choices A, B, and D acknowledge the need for therapy, understanding of long-term consequences, and recognition of unhealthy behaviors, respectively.