ATI RN
Population Specific Care Questions
Question 1 of 5
An appropriate short-term goal for a withdrawn, isolated patient diagnosed with schizophrenia is:
Correct Answer: D
Rationale: Step 1: Interacting with an assigned nurse helps build a therapeutic relationship, essential for engaging withdrawn patients. Step 2: Consistent interaction promotes trust and communication, aiding in the patient's socialization. Step 3: This goal is specific, measurable, achievable, relevant, and time-bound, aligning with the SMART criteria. Summary: A: Participation in all activities may overwhelm the patient. B: Defining barriers to communication is too advanced for someone withdrawn. C: Talking about feelings in a group setting may be too challenging for a withdrawn patient.
Question 2 of 5
The client in whom schizophrenia has been diagnosed usually is medicated with an ____ drug.
Correct Answer: B
Rationale: The correct answer is B: Antipsychotic. Antipsychotic drugs are specifically designed to treat symptoms associated with schizophrenia, such as hallucinations and delusions. These drugs help regulate dopamine levels in the brain, which are often imbalanced in individuals with schizophrenia. Antianxiety drugs (A) are not typically used to treat schizophrenia as they target different symptoms. Antidepressants (C) may be used in conjunction with antipsychotics, but they are not the primary treatment for schizophrenia. Antihypertensive drugs (D) are used to treat high blood pressure and are not indicated for schizophrenia.
Question 3 of 5
Which is the most appropriate initial goal for a nurse when attempting to overcome personal negative attitudes about a patient who has a history of returning to an abusive spouse?
Correct Answer: A
Rationale: The correct answer is A because exploring one's own attitudes and values towards survivors of violence is crucial in overcoming personal negative attitudes. By reflecting on personal biases, the nurse can gain self-awareness and empathy, enabling better care for the patient. Choice B is incorrect as it focuses on the abuser's behaviors, not the nurse's attitudes. Choice C is incorrect as it shifts the focus to the nurse's personal relationships. Choice D is incorrect as attending seminars does not directly address the nurse's personal attitudes.
Question 4 of 5
Which patient is at greatest risk for physical abuse by a family member?
Correct Answer: D
Rationale: The correct answer is D because the 79-year-old with chronic depression who lives with a grandchild is vulnerable due to age, health condition, and dependency on the grandchild. Older adults with mental health issues are at a higher risk of abuse, especially when living with family members. The other choices are less likely to be at greatest risk for physical abuse. A, B, and C do not have the same level of vulnerability due to age, health condition, or dependency as the 79-year-old with chronic depression living with a grandchild.
Question 5 of 5
A woman who is a victim of severe emotional violence tells the nurse that her husband abuses her most often when he is intoxicated, just as his father had beaten him and his mother. The woman is aware of the location of a safe house and has considered leaving home with her two children, but she cites being brought up to believe 'you keep quiet and stay together, no matter what happens.' She states the husband is always apologetic and remorseful after an incident. The nurse responds, 'You cannot live like this; you have to defend yourself and your children.' Which statement most accurately describes the nurse's response?
Correct Answer: D
Rationale: The correct answer is D because the nurse's response is not helpful. Here's a step-by-step rationale: 1. The nurse's response is human because she empathizes with the woman's situation. 2. However, the response is unprofessional as it is too directive and lacks a proper assessment or exploration of the woman's feelings and options. 3. Telling the woman to defend herself may put her at further risk and does not address the underlying issues of abuse and trauma. 4. The response fails to consider the complexities of the woman's situation, such as her cultural beliefs and the cycle of violence she is caught in. 5. Instead, a professional response would involve a more holistic approach, including safety planning, providing resources, and offering support without judgment or pressure.