ATI RN
Age Specific Nursing Care Questions
Question 1 of 5
A patient has recently been under significant stress and worked long hours. At home, the patient watches television and eats until going to bed. The patient is too tired to exercise and has gained 25 pounds in 1 month. A desired outcome for the patient is to recognize anxiety that precedes binge eating and reduce it. Which intervention addresses the outcome?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Teaching stress-reduction techniques (relaxation, imagery) helps patient identify anxiety triggers leading to binge eating. 2. By recognizing anxiety, patient can interrupt pattern of mindless eating and address root cause. 3. Relaxation techniques empower patient to cope effectively without turning to food. 4. Encouraging exercise (choice B) may not directly address underlying anxiety and binge eating triggers. 5. Exploring control over the environment (choice C) does not necessarily address emotional aspects of binge eating. 6. Attending a support group (choice D) may provide peer support but doesn't focus on recognizing and reducing anxiety triggers.
Question 2 of 5
A priority measure to teach a client who purges is:
Correct Answer: C
Rationale: Rationale: Choice C is correct because seeking out a trusted person when feeling the need to purge can help the client establish a supportive and healthy coping mechanism. It encourages open communication, emotional support, and accountability. This approach addresses the underlying issues contributing to the purging behavior, fostering long-term positive change. Choices A, B, and D are incorrect as they do not directly address the need for seeking support and establishing healthier coping strategies.
Question 3 of 5
The average age for onset of anorexia nervosa is:
Correct Answer: B
Rationale: The correct answer is B (17 years old) because anorexia nervosa typically manifests during adolescence, around ages 15-19. This age range coincides with the developmental stage where body image concerns and societal pressures are heightened. Choice A (13 years old) is too young for the typical onset. Choices C (33 years old) and D (40 years old) are too late for onset, as anorexia nervosa usually begins earlier in life.
Question 4 of 5
The first step in the creation of a therapeutic alliance between a nurse and a patient with a maladaptive response to eating regulation is:
Correct Answer: A
Rationale: The correct answer is A: formulation of a nurse-patient contract. This is because establishing a clear agreement outlining the roles, responsibilities, and boundaries between the nurse and patient is crucial in building trust and collaboration. It sets the foundation for a therapeutic alliance by promoting mutual understanding and shared goals. Summary: B: Resolving conflicts with family members may be important for overall well-being but is not the first step in creating a therapeutic alliance. C: Agreeing on the patient's body perception is important but does not address the fundamental establishment of trust through a contract. D: Specifying means of stabilizing nutritional status is essential but comes after the initial agreement on roles and responsibilities.
Question 5 of 5
A 14-year-old female comes into clinic for a medical certificate once a week for multiple complaints of chest pain and abdominal pain. The complaints are non-specific, and her physical examination is normal. She is quiet with poor eye contact. She states the pain is worse on school days. Her mother is concerned that her daughter is being bullied but won't talk to her. Her mother is also worried that her complaints represent an undiagnosed medical condition. The next best step in management is:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.