ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
A nurse would assess for which feature in a patient diagnosed with bulimia nervosa?
Correct Answer: B
Rationale: The correct answer is B because abuse of diuretics and laxatives is a common behavior in individuals with bulimia nervosa to control weight. This behavior is known as purging. Choice A is incorrect as personality traits vary among individuals with bulimia nervosa. Choice C is incorrect as disinterest in sexual activity is not a typical feature of this disorder. Choice D is incorrect as individuals with bulimia nervosa often experience episodes of binge eating, indicating they do experience hunger at times.
Question 2 of 5
What is a key consideration when treating a patient with anorexia nervosa?
Correct Answer: C
Rationale: The correct answer is C because addressing the psychological and emotional factors is crucial in treating anorexia nervosa. This disorder is not solely about weight or food intake; it often involves deeper psychological issues such as body image distortion, low self-esteem, and control issues. By focusing on the underlying psychological and emotional factors, therapists can help patients understand and cope with these issues, leading to more effective and sustainable recovery. Choices A, B, and D are incorrect because they overlook the complexity of anorexia nervosa and may even exacerbate the patient's condition by neglecting the root causes of the disorder.
Question 3 of 5
The client tells the nurse, 'I thought my psychiatrist was the best doctor in the world. I thought he understood me completely. Now, I hate him! He doesn't understand me at all. He's just dumping me to go on a 2-week vacation.' The nurse assesses the client's description of feelings about the physician as evidence of the use of:
Correct Answer: A
Rationale: The correct answer is A: Splitting. Splitting is a defense mechanism where a person sees things as all good or all bad, leading to extreme shifts in perception. In this case, the client initially viewed the psychiatrist as the best doctor but now hates him completely due to feeling abandoned. This sudden shift from idealization to devaluation is characteristic of splitting. Choice B: Projective identification involves attributing one's own unacceptable feelings or traits onto another. This is not evident in the client's description. Choice C: Isolation of affect refers to separating emotions from their source. The client is expressing strong emotions towards the psychiatrist, not isolating them. Choice D: Dissociation involves a disruption in consciousness, memory, identity, or perception. The client is not displaying symptoms of dissociation in this scenario.
Question 4 of 5
A patient tells a nurse, 'The others won't give me my pain meds early, but you are more understanding, you know what it's like to be in pain, and you don't want to see your patients suffer. Could you find a way to get me my pill now? I won't tell anyone.' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Rationale: - Choice D is the correct response because it acknowledges the patient's pain, shows empathy, and educates on the importance of safe medication administration. - Step 1: Acknowledge the patient's pain to validate their feelings. - Step 2: Express understanding but emphasize safety concerns to educate the patient on responsible medication use. - Step 3: Maintain boundaries by emphasizing the importance of safe medication practices. - Other Choices: - A: Ignoring the patient's request can create distrust and may not address the underlying issue of pain management. - B: Delaying the response by involving the doctor may increase the patient's anxiety and does not address the safety concern. - C: Simply stating that it is unsafe without providing further explanation or addressing the patient's concerns lacks empathy and education.
Question 5 of 5
To plan effective interventions, the nurse should understand that the underlying reason a patient with paranoid personality disorder is so critical of others probably lies in the patient's:
Correct Answer: D
Rationale: The correct answer is D because paranoid personality disorder is characterized by distrust and suspicion of others, leading individuals to project their own negative traits onto others (projection). This defense mechanism helps them avoid accepting their own shortcomings. Option A is incorrect because the focus is on control, not blame. Option B is incorrect as intellectualization is a defense mechanism that involves avoiding emotions by focusing on rational aspects. Option C is incorrect as it refers to rigidity and not projection of blame. In summary, projection of blame onto others is the underlying reason for the critical behavior in paranoid personality disorder.