ATI RN
Age Specific Patient Care Quizlet Questions
Question 1 of 5
An appropriate intervention for a client with an identified nursing diagnosis of Situational low self-esteem would be:
Correct Answer: C
Rationale: The correct answer is C: Engaging client in activities designed to permit success. This intervention is appropriate for addressing situational low self-esteem as it focuses on building the client's self-confidence through successful experiences. Engaging in activities that the client can excel at helps boost self-esteem and self-worth. By providing opportunities for success, the client can gain a sense of accomplishment, leading to improved self-esteem. A: Encouraging verbalization of feelings in a safe environment may be beneficial for emotional expression, but it does not directly address building self-esteem through success. B: Attempting to determine triggers to hallucinations is unrelated to addressing situational low self-esteem. D: Providing large muscle activities to relieve stress may be helpful for stress management but does not directly target improving self-esteem through success.
Question 2 of 5
A client with schizophrenia is medication compliant and has well-controlled symptoms. He has, however, never been successful in holding a job because of poor social skills and lack of understanding of basic job skills. The nurse case manager should consider referring the client:
Correct Answer: B
Rationale: The correct answer is B: For psychosocial rehabilitation. This option is the most appropriate because the client is struggling with social skills and job-related skills. Psychosocial rehabilitation programs focus on improving social and vocational skills, which are essential for the client to succeed in holding a job. These programs also provide support and training tailored to the individual's needs. Referring the client to a day hospital program (A) may not address his specific vocational needs. Cognitive therapy (C) primarily focuses on addressing cognitive distortions and may not directly target social and vocational skills. Assertiveness training (D) may be helpful but may not fully address the client's broader vocational challenges.
Question 3 of 5
A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state. He is given several doses of haloperidol (Haldol) and becomes calm and approachable. During rounds the nurse notices the patient has his head rotated to one side in a stiffly fixed position. His lower jaw is thrust forward and he appears severely anxious. The patient has ______, and the nurse should ______.
Correct Answer: A
Rationale: The correct answer is A: a dystonic reaction"¦administer PRN IM benztropine (Cogentin). 1. Step: Identify the symptoms - The patient has head rotation, stiff fixed position, and lower jaw thrust forward, indicating dystonia. 2. Step: Understand dystonic reactions - Dystonia is an extrapyramidal side effect of antipsychotic medications like haloperidol. 3. Step: Choose appropriate treatment - Benztropine is an anticholinergic medication used to treat acute dystonic reactions. 4. Step: Administer the medication - IM benztropine is the correct route for acute treatment of dystonia. Summary: - Choice B (tardive dyskinesia) is incorrect because the symptoms described are acute and not consistent with the gradual onset of tardive dyskinesia. - Choice C (waxy flexibility) is incorrect because it is a symptom of catatonia, not a side effect of ant
Question 4 of 5
At 11:00 AM, a patient with schizophrenia who exhibits concrete thinking asks the nurse for PRN acetaminophen (Tylenol). However, he last had it at 8:00 AM, and it is ordered only every 4 hours. Which nursing response would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it provides a clear, concrete instruction that the patient can easily understand. By stating "come back when both hands of the clock point straight up," the nurse offers a specific and visual cue for the patient to know when it's time for the medication. This approach aligns with the patient's concrete thinking and helps him grasp the concept of time more effectively. Choice A is incorrect because stating "in 1 hour" may be too abstract for a patient with concrete thinking. Choice B is also incorrect as it provides a general time frame without a visual reference, which may confuse the patient. Choice D is incorrect as suggesting a nap does not address the patient's request for medication and does not provide a clear time frame.
Question 5 of 5
A patient diagnosed with schizophrenia reveals to the nurse that voices have warned of danger and adds, 'They're so loud they frighten me. Do you hear them?' The nurse's best initial response would be:
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the patient's experience without dismissing or invalidating it. By stating, "I know these voices are very real to you, but I don't hear them," the nurse validates the patient's reality and expresses empathy. This response helps build trust and rapport, which is crucial in establishing a therapeutic relationship. Choice B is incorrect because it dismisses the patient's concerns and offers false reassurance, which may not be effective in addressing the patient's distress. Choice C is incorrect as it focuses on gathering more information about the voices without addressing the patient's immediate emotional distress. Choice D is incorrect because it shifts the focus away from the patient's current experience and onto distractions, which may not be helpful in addressing the patient's distressing symptoms.