ATI RN
Population Specific Care Questions
Question 1 of 5
A rape victim tells the emergency room nurse, 'I feel so dirty. Help me take a shower before anything else.' The nurse should:
Correct Answer: B
Rationale: The correct answer is B: Explain that bathing would destroy evidence. This is the best choice because preserving evidence is crucial in cases of sexual assault. Bathing could wash away vital evidence needed for investigation and prosecution. It is important to prioritize the victim's physical and emotional well-being, but preserving evidence for forensic examination takes precedence. Choices A, C, and D are incorrect because arranging for the patient to shower, suggesting waiting, or choosing none of the above would risk compromising the evidence needed for justice.
Question 2 of 5
A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin, hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety. When the son visited today, he found his mother confused and disoriented, with an unsteady gait. The nurse assessed the patient as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the patient's symptoms developed:
Correct Answer: A
Rationale: The correct answer is A: Over the past few days. The sudden onset of confusion, disorientation, and cognitive deficits in the elderly patient suggests an acute change in her condition. This acute change is more indicative of a recent event or medication-related issue rather than a gradual decline over weeks or months. The sudden onset could be due to factors such as medication interactions, overdose, or underlying medical conditions. It is crucial to investigate recent changes in medications, lab results, or any other potential triggers that might have led to this acute cognitive decline. Choices B, C, and D are incorrect because they imply a gradual decline over weeks, months, or no specific timeframe, which does not align with the sudden onset observed in the patient.
Question 3 of 5
The head nurse on a unit that serves persons with cognitive impairment is concerned about her staff, many of whom seem to be becoming 'burned out' by their challenging work. Which response by the head nurse is most likely to minimize staff frustration and burnout on the unit? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because educating staff about realistic expectations for working with persons with cognitive impairment can help them understand the challenges they may face and develop appropriate coping strategies. This knowledge can reduce frustration and burnout by promoting a better understanding of the patients' needs and behaviors. Choice B, arranging for 12-hour shifts, may actually increase staff burnout as longer shifts can be physically and mentally taxing. Choice C, guiding staff to use small, realistic goals, while helpful in patient care, may not directly address staff burnout. Therefore, the most effective approach to minimize staff frustration and burnout in this scenario is education on realistic expectations.
Question 4 of 5
Appropriate teaching for a patient with bulimia nervosa who binges and purges is:
Correct Answer: A
Rationale: Step-by-step rationale: 1. A: Not skipping meals or restricting food promotes regular eating patterns, helps stabilize blood sugar levels, and reduces the urge to binge. 2. B: Eating a small meal after purging could reinforce the binge-purge cycle and is not a healthy approach. 3. C: Eating a large breakfast but skipping lunch can lead to imbalanced eating habits and is not recommended for treating bulimia nervosa. 4. D: None of the above options provide a comprehensive and effective approach to managing bulimia nervosa symptoms.
Question 5 of 5
A nurse assesses that which of the following individuals is most likely to engage in eating behaviors characteristic of bulimia?
Correct Answer: A
Rationale: Step 1: Individuals with bulimia often engage in episodes of binge eating followed by purging behaviors. Step 2: Choice A, a person who is significantly overweight, is more likely to engage in binge eating behavior. Step 3: Being overweight can be a risk factor for bulimia due to body image concerns. Step 4: Choices B and C do not provide as strong indicators for bulimia as choice A. Summary: Choice A is correct as being significantly overweight is a common characteristic of individuals with bulimia. Choices B and C lack the same level of risk factors for engaging in eating behaviors characteristic of bulimia.