ATI RN
Age Specific Populations Questions
Question 1 of 5
After 5 years in a state hospital, an adult diagnosed with schizophrenia was discharged to the community. This patient now requires persistent direction to accomplish activities of daily living and expects others to provide meals and do laundry. The nurse assesses this behavior as the probable result of:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient diagnosed with serious mental illness was living successfully in a group home but wanted an apartment. The prospective landlord said, 'People like you have trouble getting along and paying their rent.' The patient and nurse meet for a problem-solving session. Which options should the nurse endorse? Select one tha does not apply.
Correct Answer: C
Rationale: Managing symptoms so that they are less obvious or socially disruptive can reduce negative reactions and reduce rejection due to stigma. Seeking a more receptive landlord might be the most expeditious route to housing for this patient. Educating the landlord to reduce stigma might make him more receptive and give the case manager an opportunity to address some of his concerns (e.g., the case manager could arrange a payee to assure that the rent is paid each month). However, threatening a lawsuit would increase the landlords defensiveness and would likely be a long and expensive undertaking. Delaying the patients efforts to become more independent is not clinically necessary according to the data noted here; the problem is the landlords bias and response, not the patients illness. It would be unethical to encourage falsification and poor role modeling to do so; further, if falsification is discovered, it could permit the landlord to refuse or cancel her lease.
Question 3 of 5
A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
Correct Answer: A
Rationale: 1. **Step 1**: Hypertension is a common condition managed with prescription medications. 2. **Step 2**: Many antihypertensive medications can cause sexual dysfunction as a side effect. 3. **Step 3**: Therefore, asking about prescribed medications and their effects on sexual function is important. 4. **Step 4**: This helps assess if the patient is experiencing any sexual side effects due to his hypertension medications. 5. **Step 5**: Identifying and addressing such side effects can improve patient outcomes and quality of life. 6. **Summary**: Option A is correct as it directly links the potential sexual dysfunction side effects of hypertension medications to the assessment, unlike the other choices which do not address this important aspect of medication management.
Question 4 of 5
An adult seeks treatment for urges involving sexual contact with children. The adult has not acted on these urges but feels shame. Which finding best indicates that this adult is making progress in treatment? The adult
Correct Answer: A
Rationale: The correct answer is A because the adult is demonstrating a proactive approach by avoiding situations where they may be tempted to act on their urges, showing an understanding of their triggers and a commitment to prevention. Choice B may indicate progress, but it does not directly address the urge towards children. Choice C, while positive, does not address the issue of pedophilic urges. Choice D is concerning as it places the individual in close proximity to potential victims.
Question 5 of 5
A new nurse asks, 'My elderly patient's CT scan of the head shows many Lewy bodies are present. What should I do about assessing for pain?' Select the best response from the nurse manager.
Correct Answer: C
Rationale: The correct answer is C because patients with Lewy body dementia may have difficulty expressing pain. Special pain assessment scales designed for patients with dementia can help in accurately assessing pain levels. These scales take into account nonverbal cues and behavioral changes that may indicate pain. By using these specialized tools, the nurse can ensure a more comprehensive assessment of the patient's pain experience. Choice A is incorrect because relying solely on family members' perceptions may not accurately reflect the patient's actual pain experience. Choice B is not the best option because a visual analog scale may not be suitable for patients with dementia who may have cognitive impairments affecting their ability to use such tools effectively. Choice D is incorrect as it assumes that pain perception is diminished in Lewy body dementia without considering that patients may still experience pain but have difficulty communicating it. Focusing solely on mental status may overlook important pain indicators.