ATI RN
Health Care Utilization by Age Group Questions
Question 1 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 2 of 5
A patient with borderline personality disorder has been hospitalized several times after self-injurious behavior and suicide attempts. The patient has entered dialectical behavior therapy on an outpatient basis. During therapy, the advanced practice nurse has been counseling her regarding self-harm behavior management. Today the patient called the nurse and reported 'feeling empty and anxious' and wants to cut herself. Which response would best help in this situation?
Correct Answer: C
Rationale: The correct response is C: Assist the patient to identify and choose a coping strategy. This choice is the best because it involves helping the patient develop healthy coping mechanisms to manage her distress. This empowers the patient to take control of her emotions and actions in a positive way. Emergency admissions (choices A and B) may not address the underlying issues and could potentially reinforce maladaptive behaviors. Advising medication (choice D) without addressing the emotional distress directly may not provide long-term solutions. In summary, choice C focuses on empowering the patient and addressing the root of the problem, making it the most appropriate response in this scenario.
Question 3 of 5
Which of the following is the most effective strategy to prevent relapse in anorexia nervosa?
Correct Answer: B
Rationale: The correct answer is B because providing a structured meal plan and ongoing emotional support addresses both the physical and psychological aspects of anorexia nervosa. Structured meal plans help establish healthy eating habits, while emotional support addresses underlying triggers and promotes mental well-being. Focusing solely on weight gain (A) neglects the emotional component of the disorder. Encouraging weight loss (C) reinforces harmful behaviors. Limiting food-related discussions (D) does not address the root causes of anorexia nervosa. In summary, B is the most effective strategy as it tackles both the physical and emotional aspects of the disorder.
Question 4 of 5
A nurse is caring for a patient with bulimia nervosa. What should the nurse do to promote a healthy eating pattern?
Correct Answer: C
Rationale: The correct answer is C because encouraging regular meals and snacks with a focus on nutrition helps stabilize blood sugar levels, reduce binge eating episodes, and promote overall health. This approach also supports the patient in developing a balanced relationship with food. A: Providing a strict, rigid eating schedule may increase anxiety and reinforce unhealthy behaviors. B: Allowing the patient to choose meals without guidelines may lead to erratic eating patterns and poor nutrition. D: Promoting food restriction can exacerbate feelings of guilt and perpetuate the cycle of binge eating.
Question 5 of 5
A nurse is providing care for a patient with anorexia nervosa who has refused to eat. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Provide a structured meal plan and encourage the patient to eat. This is the priority intervention because patients with anorexia nervosa often have a distorted perception of their body and food intake. By providing a structured meal plan, the nurse can help the patient establish a healthy eating routine. Encouraging the patient to eat is crucial to prevent further malnutrition and complications. Choice B is incorrect because allowing the patient to skip meals can worsen their condition and reinforce unhealthy behaviors. Choice C is incorrect because addressing body image concerns should be done in conjunction with addressing the patient's nutritional needs. Choice D is incorrect because monitoring weight without intervening to address the underlying issue of refusal to eat is not sufficient in managing anorexia nervosa.