ATI RN
Age Specific Care Competency Questions
Question 1 of 5
A patient has acute anxiety related to an automobile accident 2 hours ago. The patient needs teaching about drugs from which group?
Correct Answer: D
Rationale: The correct answer is D: Benzodiazepines. Benzodiazepines are commonly used in the treatment of acute anxiety due to their rapid onset of action and effectiveness in managing symptoms such as panic attacks. They work by enhancing the inhibitory neurotransmitter GABA, leading to sedative and anxiolytic effects. Tricyclic antidepressants (Choice A) are not the first-line treatment for acute anxiety. Antipsychotic drugs (Choice B) are primarily used for conditions such as schizophrenia and bipolar disorder, not acute anxiety. Antimanic drugs (Choice C) are used to manage symptoms of mania in conditions like bipolar disorder, not acute anxiety. Therefore, the correct choice is Benzodiazepines due to their rapid efficacy and established role in managing acute anxiety.
Question 2 of 5
A newly admitted patient diagnosed with paranoid schizophrenia is hypervigilant and constantly scans the environment. He states that he saw two doctors talking in the hall and knows they were plotting to kill him. When charting, how should the nurse identify this behavior?
Correct Answer: A
Rationale: The correct answer is A: Idea of reference. This term refers to the belief that neutral events are directed at oneself. In this case, the patient's interpretation of doctors talking as a plot against him signifies a misinterpretation of reality. Delusion of infidelity (B) involves belief in a partner's unfaithfulness, which is not applicable here. Auditory hallucination (C) involves hearing voices, not relevant to this scenario. Echolalia (D) is the repetition of words spoken by others, not demonstrated in the patient's behavior. Thus, A is the most appropriate identification for this behavior.
Question 3 of 5
Which assessment findings would be expected for a patient diagnosed with bipolar I disorder?
Correct Answer: B
Rationale: Step 1: Bipolar I disorder involves episodes of acute mania, which is characterized by elevated mood, increased energy, and impulsivity. Step 2: Major depression can also occur in bipolar I, as patients may experience depressive episodes. Step 3: Therefore, choice B (Major depression and acute mania) is the correct answer. Summary: Choice A is incorrect because rapid cycling refers to frequent mood shifts, not specific to bipolar I. Choice C is incorrect as hypomania is characteristic of bipolar II, not bipolar I. Choice D is incorrect as minor depression is not a typical feature of bipolar I disorder.
Question 4 of 5
A client has been admitted with disorganized type schizophrenia. The nurse observes blunted affect and social isolation. The client occasionally curses or calls another client a 'jerk' without provocation. The nurse asks the client how he is feeling, and he responds, 'Everybody picks on me. They frobitz me.' The best response for the nurse to make would be:
Correct Answer: B
Rationale: The correct answer is B: "Who do you mean when you say 'everybody'?" This response is the best because it acknowledges the client's feelings and seeks clarification. By asking for specifics, the nurse can gain a better understanding of the client's perceptions and experiences, which can help in providing appropriate care and support. Choice A: "That's really too bad." This response lacks empathy and does not address the client's concerns directly. Choice C: "What difference does frobitzing make?" This response is dismissive and does not focus on the client's feelings or experiences. Choice D: "Why do they frobitz?" This response is confrontational and may make the client feel defensive, hindering effective communication and rapport-building.
Question 5 of 5
A client with catatonic schizophrenia has been posturing, standing with his left arm upraised and his right foot off the floor. For the most part, he ignores attempts at nursing intervention but will occasionally walk, sit, or lie down for a few minutes. The client eats standing up if the nurse brings a tray to the room. The priority nursing order would be to:
Correct Answer: B
Rationale: The correct answer is B. Assess for lower extremity edema bid. Rationale: 1. Priority is to assess for lower extremity edema as the client is standing for extended periods, which can lead to edema. 2. Edema assessment is crucial for preventing complications like blood clots or skin breakdown. 3. Insisting on sitting or lying down may aggravate the client and worsen the situation. 4. Providing high-calorie drinks or activities therapy are not the immediate priority in this case. In summary, assessing for lower extremity edema is crucial due to the client's prolonged standing, which can lead to potential health risks, making it the priority nursing order.