ATI RN
Age Specific Populations Questions
Question 1 of 5
A rape victim asks a nurse, "How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and understanding towards the victim by helping them differentiate between vulnerability and blame. By supporting the victim in separating these issues, the nurse can empower them to recognize that the assault was not their fault, thus promoting healing and recovery. Choice B is incorrect because making decisions for the victim undermines their autonomy and does not address the victim's emotional needs. Choice C is incorrect as it offers false reassurance and does not address the victim's feelings of guilt or self-blame. Choice D is incorrect as it may come off as interrogative and could potentially retraumatize the victim by making them feel responsible for the assault.
Question 2 of 5
To provide nursing care to abused children and their families, the nurse must first:
Correct Answer: D
Rationale: The correct answer is D because examining personal feelings regarding the trauma of child abuse and neglect is crucial for nurses to provide effective care without bias or judgment. Understanding one's emotions enables empathetic and non-judgmental care. Choice A is important but not the first step. Choice B should only be considered after a thorough assessment. Choice C is not the nurse's primary responsibility; they should actively participate in the care.
Question 3 of 5
A client tells the nurse he has just finished an important business meeting, when in fact he has been napping. Upon what rationale should the nurse's response be based?
Correct Answer: C
Rationale: The correct answer is C because reinforcing reality helps the client maintain maximum functioning. By gently guiding the client back to reality, the nurse can support their cognitive abilities and prevent further confusion or disorientation. Choice A is incorrect because ignoring memory deficits does not address the issue at hand. Choice B is incorrect as confronting delusions may lead to increased distress. Choice D is incorrect as it does not address the situation effectively and may not help the client maintain cognitive functioning.
Question 4 of 5
An elderly client was well until 12 hours ago, when she reported to her family that during the evening she saw strange faces peering in her windows and in the middle of the night awakened to see a man standing at the foot of her bed. She admits to being very frightened. She is presently pacing and somewhat agitated in the examining room. The client's family reports that the client has recently been to the doctor, who made some medication changes, although they are unsure what the changes were. The nurse hearing this history will identify the history and symptoms as pointing to:
Correct Answer: A
Rationale: The correct answer is A: Delirium related to drug toxicity. The client's sudden onset of visual hallucinations, fear, agitation, recent medication changes, and pacing behavior are indicative of delirium. Delirium is an acute change in mental status characterized by confusion, disorientation, and perceptual disturbances, often triggered by medication changes in the elderly. Pick's disease (B) is a type of frontotemporal dementia characterized by personality changes and language difficulties. Parkinson's dementia (C) is a type of dementia associated with Parkinson's disease, presenting with motor symptoms first. Amnestic disorder (D) is a memory impairment disorder, not consistent with the client's symptoms.
Question 5 of 5
A 17-year-old client is admitted to the ED after being alternately hyperalert and difficult to arouse. His symptoms all started within the last few hours, during which time he became disoriented and confused. His behavior was agitated and restless, and his memory was impaired, especially for recent events. The client displayed some delusions and misinterpretations of his surroundings. The nurse's first action should be to:
Correct Answer: A
Rationale: The correct answer is A: Take the client's vital signs. The first step in assessing any client in the emergency department is to ensure their physiological stability. Vital signs provide essential information about the client's current physical condition, such as heart rate, blood pressure, respiratory rate, and temperature. In this case, the client's alternating states of hyperalertness and difficulty in arousal, disorientation, confusion, agitation, memory impairment, delusions, and misinterpretations of surroundings indicate a potential medical emergency. Therefore, taking the client's vital signs is crucial to determine if there are any immediate life-threatening conditions that need to be addressed promptly. Summary of other choices: B: Restrain the client to prevent injury - Restraint should only be used as a last resort for safety concerns and after assessing the client's physical condition. C: Obtain a PRN order for a psychotropic medication - Administering psychotropic medication should not be the first action without assessing the client's physical condition and