ATI RN
Age Specific Care Quiz Questions
Question 1 of 5
A nurse is working with a patient with bulimia nervosa. Which outcome would indicate successful intervention?
Correct Answer: A
Rationale: The correct answer is A because it indicates successful intervention in bulimia nervosa by demonstrating healthy eating behavior without purging. This outcome reflects improved control over binge-purge cycles and supports physical health. Choices B and D show progress but do not directly address the core issue of purging behavior. Choice C, losing weight, can be a misleading indicator and may not necessarily reflect improved psychological and behavioral outcomes associated with recovery from bulimia nervosa.
Question 2 of 5
Which finding is most indicative of refeeding syndrome in a patient with anorexia nervosa?
Correct Answer: B
Rationale: The correct answer is B because refeeding syndrome is characterized by electrolyte imbalances, especially hypophosphatemia, due to rapid reintroduction of nutrition. This can lead to serious complications like cardiac arrhythmias and respiratory failure. Increased energy and mental clarity (A) are not specific to refeeding syndrome. A sudden increase in appetite and food cravings (C) may occur but are not indicative of refeeding syndrome. Rapid weight gain and hypertension (D) are not typically seen in refeeding syndrome.
Question 3 of 5
A nurse is caring for a patient with bulimia nervosa. What is a priority assessment for this patient?
Correct Answer: A
Rationale: The correct answer is A: Electrolyte imbalances and cardiac function. This is because patients with bulimia nervosa often engage in purging behaviors which can lead to electrolyte imbalances and cardiac complications. Assessing electrolyte levels and cardiac function is crucial to prevent life-threatening complications. Choice B is incorrect because while body image and mental health are important considerations, they are not the priority assessment in this case. Choice C is also incorrect as nutritional status and hydration levels can be affected, but not as immediately life-threatening as electrolyte imbalances and cardiac issues. Choice D is incorrect as weight changes and exercise patterns may be important, but they are not the priority assessment for a patient with bulimia nervosa.
Question 4 of 5
A psychiatric technician mentions to the nurse, 'All these clients with Axis II problems! It makes me wonder how so many mothers could have been such poor parents and messed up their kids so badly!' The response by the nurse that helps put the development of personality disorders into perspective is:
Correct Answer: C
Rationale: Step-by-step rationale for correct answer (C): 1. Personality disorders are complex and have multifactorial causes. 2. Research suggests a biological component to personality disorders, such as genetic predispositions. 3. This understanding helps to shift the blame away from solely poor parenting. 4. It aligns with the biopsychosocial model, which considers biological, psychological, and social factors. 5. This response promotes a holistic view of personality development. Summary of why other choices are incorrect: A: Shifts focus to gender roles, which is not directly relevant to the etiology of personality disorders. B: Narrowly associates personality disorders with sexual abuse, ignoring other contributing factors. D: Overemphasizes peer interactions over parental influence, which is not supported by extensive research on personality development.
Question 5 of 5
When a patient with a personality disorder uses manipulation as a way of getting needs met, the staff agree to use limit setting as an intervention. How does limit setting work to reduce manipulation?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. External controls, like limit setting, provide structure and predictability for the patient. 2. This security allows the patient to gradually develop internal controls to manage their behavior. 3. By relying on external limits, the patient's need for manipulation decreases over time. 4. This approach fosters growth and autonomy in the patient, reducing the reliance on manipulative behaviors. Summary: A: Incorrect. Limit setting does not indulge attention-seeking behaviors; it establishes boundaries. B: Incorrect. Limit setting does not redirect anger; it focuses on promoting internal control. D: Incorrect. Limit setting does not solely address anxiety; it aims to foster self-regulation.