ATI RN
Age Specific Considerations in Patient Care Questions
Question 1 of 5
A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain?
Correct Answer: B
Rationale: Correct Answer: B - Patient involvement in decision-making increases sense of control and promotes collaboration. Rationale: 1. Involving the patient in decision-making empowers them and increases their sense of control over their treatment. 2. Collaborating with the patient fosters a positive therapeutic relationship. 3. This approach is more likely to lead to better treatment adherence and outcomes. Summary: A: While objective and subjective data are important, this choice does not address the need for patient involvement in decision-making and collaboration. C: The lack of family support is not directly related to the rationale for establishing a contract with the patient. D: This choice is incorrect as patient involvement is crucial in promoting successful treatment outcomes.
Question 2 of 5
A nurse is planning care for a patient with bulimia nervosa. Which goal should be included in the care plan?
Correct Answer: B
Rationale: Step-by-step rationale: 1. Maintaining a healthy, balanced diet without purging behaviors is crucial for managing bulimia nervosa. 2. This goal promotes physical health and addresses the underlying disordered eating habits. 3. It focuses on establishing sustainable eating patterns to support overall well-being. 4. It helps prevent complications associated with bulimia, such as electrolyte imbalances. Summary: - Option A is incorrect as excessive exercise can be a compensatory behavior in eating disorders. - Option C is incorrect as rapid weight gain is not recommended in the treatment of bulimia. - Option D is incorrect as complete elimination of binge eating and purging may be unrealistic initially.
Question 3 of 5
A patient with anorexia nervosa is at risk for refeeding syndrome. The nurse should be most concerned with:
Correct Answer: B
Rationale: The correct answer is B: Electrolyte imbalances, particularly hypophosphatemia. Refeeding syndrome occurs when a malnourished individual receives nutrition too quickly, leading to shifts in electrolytes like phosphate, potassium, and magnesium. Hypophosphatemia is a key concern due to its potential to cause cardiac and respiratory failure. Hyperglycemia (A) may occur but is not the primary concern. Increased hunger and overeating (C) are common symptoms of anorexia nervosa but not directly related to refeeding syndrome. Rapid weight gain and hypertension (D) are potential consequences of refeeding but are not the immediate concern compared to electrolyte imbalances.
Question 4 of 5
A patient with an eating disorder states, 'Now that I've gained 4 pounds, I can't wear shorts until I lose it again.' The nurse documents that the patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?
Correct Answer: A
Rationale: The correct answer is A: Magnification. This cognitive distortion involves exaggerating the significance of a negative event, in this case, gaining 4 pounds. The patient's focus on this small weight gain as a major obstacle to wearing shorts reflects magnification. Superstitious thinking (B) involves believing in unrelated events causing outcomes, which is not evident here. Personalization (C) involves taking responsibility for events beyond one's control, which is not the case in this scenario. Dichotomous thinking (D) involves seeing things in black and white terms, which is not demonstrated in the patient's statement.
Question 5 of 5
A client with borderline personality disorder is having difficulty with memories of sexual abuse. She has a history of suicidal gestures, self-mutilation, sexual addiction, and substance addiction. She complains of vague pains, menstrual problems, and headaches. She entered the partial hospital program to prevent another suicide gesture or self-mutilation. The nurse recognizes that collaborative therapy may be helpful for this client and knows that the most useful collaboration in this case would be the client, the nurse, and the:
Correct Answer: A
Rationale: The correct answer is A: Occupational therapist exploring ways to reduce stress. In this case, the client's symptoms and history suggest complex emotional issues related to trauma and addiction. Occupational therapy can help the client develop coping skills, manage stress, and improve functioning in daily activities. The therapist can work collaboratively with the client and nurse to address the client's emotional, physical, and social needs. Choice B: Physical therapist exploring ways to reduce back pain focuses only on physical symptoms and does not address the underlying emotional issues. Choice C: Acupuncturist exploring ways to reduce pain also only addresses physical symptoms and does not provide comprehensive support for the client's mental health. Choice D: Sexologist exploring healthy sexuality and safe sex is not the most immediate need for the client, as her primary concerns are related to trauma, self-harm, and addiction.