ATI RN
Age Specific Populations Questions
Question 1 of 5
A nurse is working with a patient with anorexia nervosa. What is the priority assessment for this patient?
Correct Answer: A
Rationale: The correct answer is A: Height and weight changes. In anorexia nervosa, monitoring height and weight is crucial to assess the severity of malnutrition and potential complications. Weight loss is a key indicator of the patient's nutritional status and overall health decline. Height measurement also helps determine growth patterns in younger patients. Choice B: Food intake and nutritional status, although important, is not the priority as weight changes provide a more direct reflection of the patient's nutritional status. Choice C: Mental health status and body image concerns are significant in anorexia nervosa, but assessing height and weight takes precedence due to the immediate physical risks associated with severe malnutrition. Choice D: Vital signs and cardiovascular function are important, but monitoring height and weight is more specific to the nutritional deficiencies seen in anorexia nervosa.
Question 2 of 5
What is the primary concern when a patient with bulimia nervosa engages in frequent purging?
Correct Answer: A
Rationale: The correct answer is A: Electrolyte imbalances and dehydration. Purging behaviors in bulimia nervosa, such as self-induced vomiting or laxative abuse, can lead to electrolyte imbalances and dehydration due to loss of essential minerals and fluids. This can result in serious medical complications like cardiac arrhythmias and kidney damage. The other choices are incorrect because B is unrelated to purging behaviors, C is unlikely as purging does not improve body image or self-esteem, and D is incorrect as purging actually increases the risk of gastrointestinal complications.
Question 3 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: Step-by-step rationale for why choice C is correct: 1. Building trust is essential in therapeutic relationships. 2. The client's distrustful nature and misinterpretation of others' motives indicate a lack of trust. 3. By demonstrating trust in the nurse, the client can begin to address his issues with mistrust. 4. Trust in the nurse can lead to better communication and engagement in therapy. 5. Trust in the nurse is foundational for therapeutic progress and successful outcomes. Summary of why other choices are incorrect: - Choice A: Admitting his action was excessive is important but does not address the underlying issue of trust. - Choice B: Writing a letter of apology to the neighbor does not directly address the client's trust issues. - Choice D: Identifying positive role models may be helpful, but building trust with the nurse is more immediate and directly related to the client's current issues.
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 1: Ensuring patient safety is the top priority in caring for a stage 3 Alzheimer's patient in a home setting. Step 2: Restricting access to exits and stairways is crucial to prevent the patient from wandering or falling. Step 3: This assessment data is essential for implementing safety measures and preventing potential harm to the patient. Step 4: Choices B, C, and D, while important, do not directly address the immediate safety concerns of the patient.
Question 5 of 5
A 72-year-old female patient has the medical diagnosis of delirium secondary to anticholinergic medication toxicity. A nurse planning discharge care must consider the need to teach the family to be alert for maladaptive cognitive symptoms because:
Correct Answer: D
Rationale: The correct answer is D because slower metabolism in the elderly can lead to medication toxicity, including anticholinergic toxicity causing delirium. As people age, their metabolism slows down, making them more susceptible to drug accumulation and toxicity. This can result in cognitive symptoms like delirium. A: Delirium is not a hypersensitivity reaction; it is an acute state of confusion. B: Denial of cognitive changes is not directly related to the risk of medication toxicity in the elderly. C: Gender is not a significant factor in medication toxicity leading to delirium; it is more related to individual metabolism and drug interactions.