ATI RN
Age Specific Care Competency Questions
Question 1 of 5
A patient's body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet 4 inches tall. Which term should be documented?
Correct Answer: C
Rationale: The correct term to be documented is C: Lanugo. Lanugo is fine, downy hair that can cover a patient's body, often seen in newborns or individuals with certain medical conditions. In this case, the presence of lanugo indicates a potential underlying issue. Amenorrhea (A) refers to the absence of menstruation, not related to the hair. Alopecia (B) is hair loss, the opposite of lanugo. Stupor (D) is a state of reduced consciousness, not related to the hair condition described. Therefore, choice C is the correct answer as it directly matches the description given in the question.
Question 2 of 5
A patient who has been taking fluoxetine (Prozac) 60 mg daily for the past 6 months tells the nurse at the medication follow-up clinic that he is considering stopping the Prozac. He states his mood is fine, and now that he is living normally, his wife is concerned that he has no sex drive. Which response would be best?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Correctly acknowledges the patient's concern about sexual side effects. 2. Highlights the importance of managing depression to prevent recurrence. 3. Offers a solution by mentioning alternative medications with less impact on sex drive. 4. Empowers the patient by providing information and options for treatment. 5. Addresses both the patient's current situation and long-term mental health needs. Summary of why other choices are incorrect: A: Overlooks the patient's valid concern about sexual side effects and lacks a proactive solution. B: Focuses on timing of medication without addressing the underlying issue of sexual side effects. C: Dismisses the patient's concern and fails to provide a solution or alternative options.
Question 3 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 4 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 5 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.