ATI RN
Age Specific Patient Care Quizlet Questions
Question 1 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 2 of 5
The emergency department note states, 'This patient displays positive symptoms of schizophrenia as evidenced by psychotic disorders of thinking.' The nurse can expect the patient to evidence:
Correct Answer: A
Rationale: The correct answer is A: delusions and hallucinations. Positive symptoms of schizophrenia include hallucinations (perceiving things that are not present) and delusions (false beliefs). In this case, the patient displaying psychotic disorders of thinking aligns with positive symptoms. Delusions are fixed false beliefs, while hallucinations involve sensory experiences without external stimuli. Choices B, C, and D involve different symptoms such as motor abnormalities (grimacing and mannerisms), echopraxia and echolalia (mimicking movements and repeating words), and negative symptoms (avolition and anhedonia - lack of motivation and pleasure), which are not specifically related to psychotic disorders of thinking in schizophrenia.
Question 3 of 5
When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the _____ continuum.
Correct Answer: C
Rationale: The correct answer is C: Neurobiological. This is because neurobiological factors refer to the brain's functioning and how it affects behavior and cognition. When individuals adapt to their environment using logical thought and socially appropriate ways, it indicates a high level of cognitive and behavioral functioning, which is closely tied to neurobiological processes. A: Emotional is incorrect because emotional factors focus on feelings and affective responses, not necessarily on logical thought and social appropriateness. B: Self-protective is incorrect as it pertains to behaviors aimed at ensuring one's safety and security, which may not necessarily involve logical thought and social appropriateness. D: Psychobiological is incorrect as it encompasses the interaction between psychological and biological processes, which may not specifically relate to adaptive functioning in the given context.
Question 4 of 5
The onset of schizophrenia most commonly occurs during the decade of age in the:
Correct Answer: B
Rationale: The correct answer is B (20s) because research shows that the peak onset of schizophrenia is typically during late adolescence to early adulthood, which aligns with the age range of the 20s. During this period, the brain undergoes significant developmental changes, making individuals more vulnerable to developing schizophrenia. Choices A (Teens), C (30s), and D (40s) are incorrect because while schizophrenia can develop at any age, the majority of cases emerge during the 20s. Schizophrenia rarely starts in the teenage years (A), and onset in the 30s (C) or 40s (D) is less common compared to the 20s.
Question 5 of 5
A patient whose boyfriend raped her during an argument tells the nurse, 'It's no use reporting it. No one will ever believe me, because everyone knows I've been sexually intimate with him many times before.' Which response by the nurse would have the greatest therapeutic value initially?
Correct Answer: D
Rationale: Rationale for Correct Answer D: 1. Acknowledges the patient's agency and emphasizes consent. 2. Validates the patient's experience and emphasizes boundaries. 3. Encourages the patient to prioritize her safety and well-being. 4. Addresses the need for intervention and prevention of future harm. Summary: A: Does not address the issue of consent or the need for intervention. B: Shifts focus from perpetrator to victim, potentially placing blame. C: Focuses on legal action without addressing the patient's emotional needs. D: Empowers the patient, emphasizes consent, and prioritizes safety and prevention.