ATI RN
Age Specific Patient Care Questions
Question 1 of 5
A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:
Correct Answer: D
Rationale: Rationale: 1. Patient's diagnosis indicates coping issues, not anger expression or self-esteem. 2. Patient's coping mechanism involves overeating and vomiting, not diet. 3. Outcome should focus on coping skills improvement, not unrelated goals. 4. None of the choices address the root issue of coping with loneliness and isolation. 5. Thus, the correct answer is D, as none of the options directly address the patient's ineffective coping mechanism.
Question 2 of 5
The nurse is evaluating a patient with bulimia nervosa. The most appropriate action is to:
Correct Answer: C
Rationale: The correct answer is C: Encourage the patient to avoid purging after meals. This is the most appropriate action because it addresses the harmful purging behavior associated with bulimia nervosa. By encouraging the patient to avoid purging, the nurse can help prevent serious health consequences such as electrolyte imbalances and damage to the esophagus. Option A is incorrect because assigning a strict dietary plan may exacerbate the patient's unhealthy relationship with food and contribute to feelings of guilt and shame. Option B is incorrect as monitoring for physical symptoms of starvation may not directly address the underlying issue of purging behavior. Option D is also incorrect as providing emotional support alone may not effectively address the harmful purging behavior.
Question 3 of 5
What is the primary goal for a nurse treating a patient with anorexia nervosa?
Correct Answer: B
Rationale: The primary goal for a nurse treating a patient with anorexia nervosa is to restore the patient's nutritional balance and weight. This is because individuals with anorexia nervosa often have severe malnutrition and weight loss, which can lead to serious health complications. By focusing on restoring nutritional balance and weight, the nurse can help improve the patient's physical health and overall well-being. Encouraging the patient to achieve optimal body weight quickly (choice A) may not be realistic or safe, as rapid weight gain can have negative consequences. Involving the patient in daily exercise routines (choice C) may exacerbate the patient's compulsive behaviors around food and exercise. Encouraging the patient to undergo intensive psychotherapy (choice D) is important, but it is not the primary goal in the initial treatment of anorexia nervosa.
Question 4 of 5
When analyzing the behaviors of a 23-year-old who meets the criteria for antisocial personality disorder, the nurse recognizes that the following nursing diagnosis would be pertinent to his care:
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Impaired social interaction) being the correct answer: 1. Antisocial personality disorder is characterized by a lack of regard for others and a pattern of violating their rights. 2. Individuals with this disorder often have difficulty forming and maintaining healthy relationships. 3. Impaired social interaction reflects the challenges the individual faces in relating to others. 4. This nursing diagnosis would address the core issue of social dysfunction in individuals with antisocial personality disorder. Summary of why the other choices are incorrect: A. Risk for self-mutilation - Not typically associated with antisocial personality disorder, more common in other mental health conditions. B. Disturbed personal identity - Not a primary concern in antisocial personality disorder, which is more about behavior than identity. D. Social isolation - While individuals with antisocial personality disorder may isolate themselves, impaired social interaction is a more direct and specific issue to address in their care.
Question 5 of 5
The mother of a 2-year-old tells the nurse at the well-child clinic that her child likes to take a blanket wherever he goes. The mother asks if she should take the blanket away from the child. The nurse counsels the mother to allow the child to have the blanket because it reminds him of his mother and comforts him. The basis for this counseling is:
Correct Answer: A
Rationale: The correct answer is A: Mahler's theory of object relations. Mahler emphasizes the importance of transitional objects like a blanket for young children to provide comfort and security as they develop a sense of self and separation from their primary caregiver. This theory aligns with the situation described, where the child's attachment to the blanket symbolizes the bond with the mother. Explanation for why the other choices are incorrect: B: Freud's developmental theory focuses on psychosexual stages and the role of unconscious processes, not specifically on transitional objects. C: Kernberg's conceptualization of object constancy pertains to personality disorders and object relations in adult psychotherapy, not child development. D: Sullivan's theory of 'good me' is about interpersonal relationships and self-esteem, not directly related to transitional objects in child development.