ATI RN
Age Specific Patient Care Quizlet Questions
Question 1 of 5
A widowed patient tells a nurse that the door should be left unlocked because her husband will be coming home soon. Which response by the nurse would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it validates the patient's feelings without directly confronting or contradicting her belief. By acknowledging the patient's emotions and creating a sense of empathy, the nurse establishes a therapeutic rapport. Choice A is incorrect as it may be perceived as confrontational and insensitive. Choice B dismisses the patient's feelings and can be invalidating. Choice D is direct and may cause distress or confusion to the patient. In summary, option C is the best choice as it shows empathy and understanding towards the patient's emotional state.
Question 2 of 5
Which assessment finding is most associated with bulimia nervosa?
Correct Answer: A
Rationale: The correct answer is A: Prominent parotid glands. This is associated with bulimia nervosa due to repeated vomiting, which can lead to enlargement of the parotid glands. This is known as parotid gland hypertrophy. The other choices (B: Peripheral edema, C: Thin, brittle hair, D: Amenorrhea) are more commonly associated with anorexia nervosa rather than bulimia nervosa. Edema is a sign of malnutrition in anorexia, while thin, brittle hair and amenorrhea are also common in anorexia due to severe weight loss and hormonal disturbances.
Question 3 of 5
During a counseling session, the mother of one of the clients with an eating disorder states to the nurse, 'I feel like such a failure. How can I be sure my daughter has no more problems like this?' Which response is the most therapeutic?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
While auditing care plans for clients with eating disorders, the nurse realizes that a nursing diagnosis appropriate for a client with anorexia nervosa as well as for a client with bulimia nervosa is:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Chronic low self-esteem is appropriate for both anorexia nervosa and bulimia nervosa clients as these disorders are often associated with poor body image and low self-worth. Clients with these disorders commonly struggle with feelings of inadequacy and self-criticism, leading to chronic low self-esteem. This nursing diagnosis addresses the underlying emotional issues that are prevalent in both anorexia and bulimia. Summary of Incorrect Choices: A: Ineffective denial is not appropriate as clients with these disorders are often aware of their condition and may even have distorted perceptions about their body image. B: Adult failure to thrive is not suitable as this nursing diagnosis is typically used for older adults who are experiencing a decline in health and functioning, not specifically related to eating disorders. D: Risk for imbalanced body temperature is not relevant as it does not address the psychological and emotional aspects that are central to anorexia and bulimia.
Question 5 of 5
The wife of a client who is being seen in the sleep clinic states that her husband snores terribly at night and that she has to shake him to get him to stop. The client complains of a headache upon wakening and often falls asleep during the day when he sits for long periods. This client is exhibiting signs and symptoms characteristic of:
Correct Answer: C
Rationale: The correct answer is C: sleep apnea. The client's symptoms of loud snoring, need to be shaken to stop snoring, morning headache, daytime sleepiness, and falling asleep during the day are all classic signs of sleep apnea. Sleep apnea is a disorder characterized by pauses in breathing or shallow breathing during sleep, leading to poor sleep quality and daytime symptoms. Narcolepsy (choice A) involves excessive daytime sleepiness and sudden muscle weakness, which are not mentioned here. Parasomnia (choice B) refers to abnormal behaviors during sleep, such as sleepwalking or night terrors, which are not described in the scenario. Primary hypersomnia (choice D) is characterized by excessive daytime sleepiness without a clear cause, which is not consistent with the client's symptoms.