ATI RN
Age Specific Care Competency Questions
Question 1 of 5
A victim of spousal abuse comes to the emergency department for treatment of a broken arm. She appears hypervigilant and anxious and admits to sleep disturbance when the nurse questions the dark circles under her eyes. She reluctantly tells the nurse the abuse usually occurs when the husband has been drinking, although she concedes he is always jealous and controlling. She is a stay-at-home mother of two preschool children. The family has lived in this town for 1 month. The patient states she has fleetingly considered suicide but must stay alive to care for her children and work her way out of the abusive relationship. She denies any further suicidal thoughts. The nurse should document in the medical record that: (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Signs of high anxiety and chronic stress are present. Rationale: 1. The patient displaying hypervigilance, anxiety, sleep disturbances, and dark circles under her eyes are indicators of high anxiety and chronic stress, common in victims of abuse. 2. Mentioning abuse occurring when the husband drinks, his jealousy, and control further support the presence of chronic stress and anxiety. 3. The patient's fleeting suicidal thoughts are a response to the abusive situation, not indicative of a history of suicidal ideation. Summary: B: The patient relying on the perpetrator for basic needs is not supported by the information provided. C: There is no indication of a history of suicidal ideation, as the patient's thoughts are tied to her children and escaping the abusive relationship.
Question 2 of 5
For those family members who desire to care at home for loved ones who have been given a diagnosis of Alzheimer's disease, it is important for the nurse to ensure that the family is aware of which caregiver skills and responsibilities will be necessary. What is one of the responsibilities of the caregiver during the middle stage of the disease?
Correct Answer: A
Rationale: Rationale: 1. During the middle stage of Alzheimer's disease, individuals often experience memory and communication problems. 2. Caregivers need to assist with memory tasks and facilitate effective communication. 3. Helping the loved one with memory and communication problems is crucial for their well-being and quality of life. 4. This responsibility helps maintain a sense of connection and understanding between the caregiver and the individual with Alzheimer's. Summary: - Option A is correct as it aligns with the specific needs of individuals in the middle stage of Alzheimer's. - Option B is incorrect as providing a stable, routine environment is more relevant in the early stages. - Option C is incorrect as complete assistance with physical care is more common in the later stages. - Option D is incorrect as caregiver responsibilities are essential in all stages of the disease.
Question 3 of 5
A patient with severe dementia can no longer recognize her only daughter and becomes anxious and agitated when the daughter attempts to reorient her. An alternative the nurse could suggest to the daughter is to:
Correct Answer: C
Rationale: The correct answer is C: Talk about experiences they've shared. This option is the most appropriate because reminiscing about past shared experiences can help trigger memories and emotions in the patient with dementia, potentially reducing anxiety and agitation. It can provide comfort and a sense of familiarity to the patient. Wearing a large name tag (option A) may not address the core issue of memory loss. Visiting less often (option B) could lead to further feelings of isolation and confusion for the patient. Option D, None of the above, is incorrect as option C provides a constructive and person-centered approach to improving the interaction between the patient and her daughter.
Question 4 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. 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 losses, such as the breakup with her boyfriend and the difficulty in making friends at the new university. This is important because these losses may be contributing to her emotional distress and maladaptive coping mechanisms like binge-eating and induced vomiting. The nurse needs to explore these losses to understand the root cause of the student's behavior and provide appropriate support. Choice B: Sleep patterns, and Choice C: School activities are not the priority issues in this scenario. While sleep patterns and school activities are important aspects of the student's life, the primary concern here is addressing the emotional impact of the losses she has experienced. Choice D: None of the above is incorrect because losses are indeed the priority issue that needs to be addressed in this situation. Ignoring the emotional impact of the student's losses could hinder the effectiveness of any interventions or support provided.
Question 5 of 5
The first step in the treatment of sleep disorders is to:
Correct Answer: C
Rationale: The correct answer is C: Evaluate sleeping patterns. This is the first step in treating sleep disorders because it helps identify the underlying causes and specific nature of the disorder. By understanding the patterns, triggers, and behaviors related to sleep, healthcare providers can tailor effective treatment plans. Choice A (Teach prevention) is incorrect as evaluation comes before prevention strategies. Choice B (Give hypnotics for sleep) is incorrect as medication should be considered only after thorough evaluation. Choice D (None of the above) is incorrect as evaluating sleeping patterns is crucial for effective treatment.