ATI RN
Age Specific Care Quiz Questions
Question 1 of 5
A student transfers from a hometown college to a university 200 miles away after breaking up with her boyfriend of 2 years. She was slow to make friends at the university. The history shows a close relationship with her mother and sister. She began eating large quantities when she felt sad, and then she induced vomiting. When the student's schoolwork declined, she sought help from the university health clinic. During the initial interview, what priority issue should the nurse address?
Correct Answer: A
Rationale: The correct answer is A: Losses. The priority issue the nurse should address is the student's recent breakup and difficulty making friends, which are significant losses impacting her emotional well-being. By addressing these losses, the nurse can help the student process her emotions and develop coping strategies. B: Sleep patterns may be affected by the student's emotional distress, but it is a secondary concern compared to addressing the underlying losses. C: School activities are important, but the root cause of the student's decline in schoolwork is likely related to her emotional state following the breakup. D: Menstrual flow is not the priority issue at this time as it is not directly related to the student's emotional struggles and academic decline.
Question 2 of 5
The nursing approach that will minimize power struggles between the client with an eating disorder and the nurse is best characterized as:
Correct Answer: D
Rationale: The correct answer is D: compassionate and firm. This approach balances empathy and boundaries, fostering trust and cooperation while maintaining structure. Compassion helps build rapport and understanding, essential for addressing the underlying issues of the eating disorder. Firmness sets clear limits and expectations, promoting accountability and progress. Authoritarian and autocratic (A) can create resistance and hinder therapeutic alliance. Laid-back and flexible (B) may enable unhealthy behaviors. Rigid and unyielding (C) can lead to power struggles and hinder therapeutic progress.
Question 3 of 5
The persistent eating of nonfood items such as clay, laundry starch, insects, leaves, or pebbles that lasts for longer than 1 month is called:
Correct Answer: A
Rationale: Sure! The correct answer is A: pica. Pica is the persistent consumption of nonfood items lasting longer than 1 month. This condition is characterized by cravings for non-nutritive, nonfood substances. Bulimia (B) is a different eating disorder involving binge eating followed by purging behaviors. Rumination (C) is the repeated regurgitation and rechewing of food. Regurgitation (D) is the act of bringing swallowed food back to the mouth without nausea or retching.
Question 4 of 5
A nurse is caring for a patient who has a maladaptive response to eating regulation. The patient tells the nurse, 'I know my parents are already upset, but I need to lose another 10 pounds to be at an ideal weight.' This statement suggests that the best treatment setting for this patient would be:
Correct Answer: A
Rationale: The correct answer is A: the hospital. This patient's maladaptive eating behavior and desire to lose more weight despite concerns from family indicate a serious condition requiring intensive care and monitoring. In the hospital, the patient can receive immediate medical attention, nutritional support, and psychological intervention to address underlying issues. Outpatient programs (B) may not offer sufficient supervision, while day treatment programs (C) may not provide round-the-clock care. Home with weekly nursing visits (D) is not appropriate for a patient with such severe eating regulation issues.
Question 5 of 5
Which of the following can potentially be diagnostic at the clinic?
Correct Answer: C
Rationale: In the context of age-specific care, the correct answer to the question, "Which of the following can potentially be diagnostic at the clinic?" is option C) The MCHAT R/F (Modified Checklist for Autism in Toddlers, Revised with Follow-Up). The MCHAT R/F is a validated screening tool specifically designed to identify children at risk for autism spectrum disorder (ASD) at an early age. It consists of a series of questions related to a child's behavior and social interactions, which can help healthcare providers assess the likelihood of ASD. Option A) The Ages & Stages questionnaire is a developmental screening tool used to assess children's developmental progress in various domains. While it is valuable for monitoring developmental milestones, it is not specifically diagnostic for ASD. Option B) The Vanderbilt Rating Scale is commonly used to assess children for attention-deficit/hyperactivity disorder (ADHD) through parent and teacher reports. It is not designed to diagnose ASD. Option D) The Goodenough Draw a Man test is a projective psychological assessment tool used to evaluate a child's cognitive and emotional development based on their drawing. While it can provide insights into a child's cognitive abilities, it is not a diagnostic tool for ASD. In an educational context, understanding the distinction between screening tools, diagnostic tools, and assessment tools is crucial for healthcare professionals working with children. Using the appropriate tool for the specific purpose ensures accurate identification and intervention for developmental concerns. The MCHAT R/F's importance lies in its ability to aid in the early detection of ASD, allowing for timely intervention and support for children and their families.