ATI RN
Age Specific Populations Questions
Question 1 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 2 of 5
A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, "Describe what you think about your present weight and how you look." Which response would be most consistent with anorexia nervosa?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. The patient's history of significant weight loss and refusal to eat align with symptoms of anorexia nervosa. 2. Choice A reflects negative body image common in anorexia nervosa, as patients often perceive themselves as overweight and unattractive. 3. Choices B, C, and D do not acknowledge the patient's actual physical condition or the psychological aspect of anorexia nervosa. 4. Choice B avoids the question and lacks insight into the patient's distorted body image. 5. Choice C acknowledges being underweight but does not address the negative self-perception associated with anorexia nervosa. 6. Choice D acknowledges being overweight, which contradicts the patient's actual weight loss history and is inconsistent with anorexia nervosa's symptoms.
Question 3 of 5
Which personality characteristic is most likely in a patient with anorexia nervosa?
Correct Answer: B
Rationale: Perfectionism is the most likely personality characteristic in a patient with anorexia nervosa because individuals with this disorder often exhibit an intense desire for control, rigid thinking patterns, and a relentless pursuit of thinness. This perfectionistic trait can manifest as strict adherence to self-imposed rules around food intake and excessive exercise. Open displays of emotion (choice A) are less common due to emotional suppression related to the disorder. Optimism (choice C) is unlikely as anorexia nervosa is associated with negative self-perceptions and low self-esteem. Flexibility (choice D) is also unlikely due to the rigid and inflexible behaviors typical of individuals with anorexia nervosa.
Question 4 of 5
A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that paroxetine is a:
Correct Answer: D
Rationale: The correct answer is D: SSRI. Paroxetine belongs to the class of selective serotonin reuptake inhibitors (SSRIs), which work by primarily increasing the levels of serotonin in the brain. This mechanism differs from tricyclic antidepressants like Tofranil (imipramine) and MAO inhibitors. SSRIs are known for having fewer side effects compared to tricyclic antidepressants and MAO inhibitors. Therefore, the nurse should inform the patient that the side effects experienced with Tofranil are not necessarily indicative of what they will experience with Paxil due to the different drug classes.
Question 5 of 5
A depressed patient is to have his first electroconvulsive therapy (ECT) session tomorrow morning. Which intervention would routinely be implemented in preparing the patient for treatment?
Correct Answer: B
Rationale: The correct answer is B: Advising the patient that memory loss is usually transient. This is because memory loss is a common side effect of ECT, but it is typically temporary and resolves after treatment. It is important to prepare the patient for potential memory issues to reduce anxiety and manage expectations. Choices A, C, and D are incorrect because explaining the number of treatments needed, preparing for restraint, or suggesting ECT will end depression are not standard interventions in preparing a patient for ECT.