ATI RN
Population Specific Care Questions
Question 1 of 5
An elderly client was well until 12 hours ago, when she reported to her family that during the evening she saw strange faces peering in her windows and in the middle of the night awakened to see a man standing at the foot of her bed. She admits to being very frightened. She is presently pacing and somewhat agitated in the examining room. The client's family reports that the client has recently been to the doctor, who made some medication changes, although they are unsure what the changes were. Which nursing intervention should the nurse implement at the time of this client's admission?
Correct Answer: B
Rationale: The correct answer is B: Place the client in a safe, nonstimulating environment. This is the most appropriate nursing intervention because the client is experiencing hallucinations and agitation, which could be due to the recent medication changes. Placing the client in a safe, calm environment can help reduce stimulation and provide a sense of security. This intervention addresses the client's immediate needs by ensuring her safety and promoting a sense of comfort. Incorrect answers: A: Interact with the client on an adult to child level - This is not appropriate as it does not address the client's current state of distress and could potentially worsen the situation. C: Ask client why she thinks someone would be trying to frighten her - This is not the priority at this time, as the client is experiencing hallucinations and agitation that need to be managed first. D: Explain to the family that the client will be restrained for her own good - Restraints should only be used as a last resort and should not be considered
Question 2 of 5
Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?
Correct Answer: A
Rationale: The correct answer is A: Use simple, familiar words, along with short and simple sentences. This is an effective communication technique for individuals with Alzheimer's disease as it helps in enhancing understanding and reduces confusion. Complex language or sentences may be difficult for the patient to comprehend. Choice B is incorrect because encouraging the client to sit during interactions does not directly relate to effective communication techniques. Choice C is incorrect as changing key words can lead to further confusion and may not aid in understanding. Choice D is incorrect because using hand gestures may not always effectively convey the message and can potentially cause more confusion for individuals with Alzheimer's disease.
Question 3 of 5
What is the priority intervention for a nurse caring for a patient with bulimia nervosa?
Correct Answer: A
Rationale: The correct answer is A: Assist the patient to identify triggers to binge eating. This intervention is crucial for managing bulimia nervosa as it helps address the root cause of the behavior. By identifying triggers, the patient can develop strategies to avoid or cope with them, ultimately reducing the frequency of binge eating episodes. Choices B, C, and D are incorrect because providing consequences for weight loss may reinforce unhealthy behaviors, assessing for impulsive eating is not addressing the underlying triggers, and exploring needs for health teaching is not as immediate and targeted as identifying triggers for binge eating.
Question 4 of 5
A rape victim tells the emergency room nurse, 'I feel so dirty. Help me take a shower before anything else.' The nurse should:
Correct Answer: B
Rationale: The correct answer is B: Explain that bathing would destroy evidence. This is the best choice because preserving evidence is crucial in cases of sexual assault. Bathing could wash away vital evidence needed for investigation and prosecution. It is important to prioritize the victim's physical and emotional well-being, but preserving evidence for forensic examination takes precedence. Choices A, C, and D are incorrect because arranging for the patient to shower, suggesting waiting, or choosing none of the above would risk compromising the evidence needed for justice.
Question 5 of 5
After being raped, a woman was told by her aunt, 'I'm not surprised that happened to you. You were asking for it.' A few days later, a friend told her, 'Well after all, he took you to dinner. He expected something in return.' The victim states, 'I can't believe that people can think that way.' The rape crisis nurse correctly hypothesizes that the client is:
Correct Answer: A
Rationale: The correct answer is A: Experiencing cognitive dissonance. Cognitive dissonance refers to the mental discomfort or conflict that occurs when a person's beliefs or attitudes are inconsistent with their actions or experiences. In this scenario, the woman is facing conflicting beliefs - she knows she did not ask for or deserve to be raped, yet the comments from her aunt and friend suggest otherwise. This leads to the woman feeling disbelief and distress. Summary: B: In denial about the rape - This choice does not address the conflicting beliefs the woman is experiencing. C: Seeking validation from others - While seeking validation may be a natural response, it does not capture the essence of cognitive dissonance in this context.