ATI RN
Age Specific Populations Questions
Question 1 of 5
An elderly client who lives with her daughter and son-in-law and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things. The daughter is a mid-level business executive who is under considerable stress at work. The children are often left in the care of the elderly client. The husband is often out of town on business trips. The daughter states, 'I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work.' The nurse caring for the mother could appropriately suggest:
Correct Answer: A
Rationale: The correct answer is A: Family therapy. Family therapy is the most appropriate suggestion because it addresses the dysfunctional dynamics within the family and provides an opportunity for all family members to work through their issues. In this scenario, the daughter's stress at work and lack of coping skills are contributing to the abuse of the elderly client. Family therapy can help the family communicate effectively, set boundaries, and address underlying issues causing the abuse. Choice B (Individual counseling for the daughter) may help the daughter address her stress and coping mechanisms, but it does not address the family dynamics that are contributing to the abuse. Choice C (Respite care for the elderly client) provides temporary relief but does not address the root cause of the issue. Choice D (None of the above) is incorrect as family therapy is the most appropriate intervention in this case.
Question 2 of 5
You are a nurse meeting for the first time with a stage 3 Alzheimer's patient who is newly referred to your home health agency. Which assessment data about the patient and caregiver(s) would be most important to acquire during your first visit to the family's home?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Ensuring patient safety is a top priority, especially for a stage 3 Alzheimer's patient. 2. Restricting access to exits and stairways can prevent wandering and potential accidents. 3. This assessment is crucial for creating a safe environment for the patient. 4. Understanding the house design is essential for implementing appropriate safety measures. Summary of other choices: B. Understanding the prognosis is important but not as immediately critical as ensuring patient safety. C. Knowing community resources is valuable but not as urgent as addressing safety concerns. D. This choice is incorrect as assessing the house design for safety is crucial in this scenario.
Question 3 of 5
A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet during the assessment, saying only, 'I will not eat until I lose enough weight to look thin.' Select the best initial nursing diagnosis.
Correct Answer: D
Rationale: Rationale for Correct Answer (D): None of the above is the best initial nursing diagnosis because the patient's symptoms suggest a severe medical condition rather than psychological issues. The yellow skin, cold extremities, low heart rate, extreme low weight, and refusal to eat indicate severe malnutrition and possible organ failure. Therefore, the priority is to address the patient's immediate medical needs, such as restoring electrolyte balance and preventing further complications. Psychological assessments and diagnoses can follow once the patient's physical health is stabilized. Summary of Other Choices: A: Anxiety related to fear of weight gain - This choice focuses on psychological factors, but the patient's symptoms indicate severe physical malnutrition rather than anxiety. B: Disturbed body image related to weight loss - While body image issues may be present, the patient's critical medical condition takes precedence over psychological concerns. C: Ineffective coping related to lack of conflict resolution skills - This choice does not address the urgency of the patient's physical symptoms and is not the most
Question 4 of 5
The wife of a client who is being seen in the sleep clinic states that her husband snores terribly at night and that she has to shake him to get him to stop. The client complains of a headache upon wakening and often falls asleep during the day when he sits for long periods. This client is exhibiting signs and symptoms characteristic of:
Correct Answer: C
Rationale: The correct answer is C: Sleep apnea. This client is showing classic signs of obstructive sleep apnea, including loud snoring, waking up with headaches, and excessive daytime sleepiness. Snoring and the need for physical stimulation to stop snoring are common in sleep apnea. The headaches may be due to disrupted sleep patterns and oxygen deprivation. Excessive daytime sleepiness is a result of poor quality sleep. Choice A (Narcolepsy) is incorrect because narcolepsy is characterized by sudden, uncontrollable episodes of falling asleep during the day, often accompanied by cataplexy and sleep paralysis, which are not mentioned in the scenario. Choice B (Parasomnia) is incorrect because parasomnias involve abnormal behaviors during sleep, such as sleepwalking or night terrors, which are not described in the scenario. Choice D (None of the above) is incorrect because the symptoms described align with obstructive sleep apnea.
Question 5 of 5
What is the primary nursing intervention for a patient with anorexia nervosa who is refusing to eat?
Correct Answer: B
Rationale: The correct answer is B because providing firm encouragement and offering small, frequent meals is a supportive approach to help the patient with anorexia nervosa overcome their fear of eating. It helps in gradually reintroducing food, building trust, and establishing a healthier eating pattern. Offering rewards (A) may reinforce unhealthy eating behaviors. Enforcing strict diet control (C) can exacerbate control issues and worsen the patient's condition. Allowing the patient to skip meals (D) can perpetuate malnutrition and reinforce avoidance behaviors.