ATI RN
Age Specific Care Competency Questions
Question 1 of 5
An elderly patient with dementia paces the hallway and often engages in wandering. The nurse documents that the patient is exhibiting which type of behavior that is characteristic of dementia?
Correct Answer: D
Rationale: The correct answer is D: Nonaggressive psychomotor behavior. In dementia, wandering and pacing are common behaviors due to cognitive impairment. Nonaggressive behavior refers to actions that do not involve harm or aggression towards others. The patient's behavior is voluntary and purposeless, indicating psychomotor involvement. Choices A, B, and C do not accurately describe the behavior exhibited by the patient with dementia. Passive behavior implies lack of engagement, functionally impaired behavior suggests difficulty performing activities of daily living, and involuntary psychomotor behavior implies actions beyond the patient's control, which are not the case in this scenario.
Question 2 of 5
A high school cheerleader was admitted to the eating disorders unit, having developed hypokalemia as the result of purging. Which of these medications will probably be prescribed for the client?
Correct Answer: A
Rationale: Step 1: The client has hypokalemia, indicating low potassium levels due to purging. Step 2: Potassium is essential for muscle function, including the heart. Step 3: Correct Answer: A - Potassium will be prescribed to replenish the deficient levels. Summary: B is incorrect as calcium gluconate is not used to treat hypokalemia. C and D are unrelated to treating low potassium levels.
Question 3 of 5
Trends that have contributed to the recent increase in eating disorders in the United States include a(n):
Correct Answer: C
Rationale: The correct answer is C: focus on being thin as a measure of attractiveness. This is because societal pressures and media influence have placed a strong emphasis on thinness as the ideal body type, leading to increased body dissatisfaction and disordered eating behaviors. Option A (more competitive workplace) and B (increase in the number of divorces) are not directly linked to eating disorders, while option D (increase in the number of nonnutritional foods consumed) may contribute to health issues but not specifically to eating disorders. In conclusion, the societal focus on thinness has a significant impact on the rise of eating disorders in the United States.
Question 4 of 5
Select the central concept around which a family education plan for preventing childhood eating problems is constructed:
Correct Answer: A
Rationale: The correct answer is A: Promoting self-demand feeding for the child. This approach encourages the child to listen to their own hunger cues and regulate their food intake accordingly, promoting a healthy relationship with food. It empowers the child to develop autonomy and self-awareness around eating habits. Explanation for why the other choices are incorrect: B: While distinguishing between physical and psychological hunger is important, it is not the central concept for preventing childhood eating problems. C: Scheduling meals may not align with the child's natural hunger cues and can potentially lead to disordered eating patterns. D: Parental expectations can create pressure around eating, potentially leading to negative relationships with food.
Question 5 of 5
An individual is seeking treatment for bulimia nervosa. The therapist decides to use cognitive behavioral therapy and medication. For what medication can a nurse expect to develop a patient education program?
Correct Answer: A
Rationale: The correct answer is A: A selective serotonin reuptake inhibitor (SSRI). SSRIs are commonly used in treating bulimia nervosa due to their effectiveness in reducing binge eating and purging behaviors. They work by increasing serotonin levels in the brain, which helps regulate mood and appetite control. A nurse would develop a patient education program for SSRIs to explain their mechanism of action, potential side effects, how to take them correctly, and the importance of compliance. Summary: - Lithium is not typically used for bulimia nervosa and is more commonly used for bipolar disorder. - Acamprosate is used for alcohol dependence, not bulimia nervosa. - Benzodiazepines are not indicated for bulimia nervosa and are typically used for anxiety disorders or insomnia.