ATI RN
Age Specific Patient Care Quizlet Questions
Question 1 of 5
Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
Correct Answer: A
Rationale: The correct answer is A because disturbed body image in an eating disorder patient involves a discrepancy between their perceived body image and reality. Monitoring weight, muscle, and fat congruence with height, frame, age, and sex helps assess if the patient's perception aligns with their actual physical state. Choice B focuses solely on calorie intake, which does not directly address body image perception. Choice C only considers weight, neglecting the importance of muscle and fat distribution in body image perception. Choice D is incorrect as option A is the most relevant outcome indicator for disturbed body image in this scenario.
Question 2 of 5
A patient with anorexia nervosa begins to refuse food. The nurse should first:
Correct Answer: D
Rationale: The correct answer is D because encouraging the patient to eat a small, manageable portion of food is the most immediate and vital intervention in addressing the patient's refusal to eat. This step is crucial in preventing further complications associated with anorexia nervosa, such as malnutrition and dehydration. By starting with a small portion, the patient can gradually reintroduce food and begin the process of recovery. A: Speaking with the family may be important but not the first step in addressing the patient's refusal to eat. B: Focusing on emotional distress is important but addressing the physical need for food should take priority. C: Redirecting the patient to a different activity may temporarily distract them but does not address the underlying issue of malnutrition.
Question 3 of 5
When a patient with anorexia nervosa expresses a fear of weight gain, the nurse should respond by:
Correct Answer: C
Rationale: The correct response is C: Explaining that weight gain is part of the treatment plan. This answer is correct because in treating anorexia nervosa, it is essential for patients to understand that weight gain is necessary for recovery and overall health improvement. By explaining this, the nurse can help the patient develop a more positive attitude towards weight gain and recognize it as a crucial aspect of the treatment process. Choices A, B, and D are incorrect: A: Minimizing the patient's concerns may invalidate their feelings and hinder therapeutic communication. B: Encouraging weight loss would be counterproductive and reinforce the patient's negative behaviors and beliefs. D: Simply agreeing with the patient's view on body image without addressing the need for weight gain would not promote positive change or support the patient's recovery.
Question 4 of 5
A nurse would assess for which feature in a patient diagnosed with anorexia nervosa without bingeing or purging?
Correct Answer: D
Rationale: The correct answer is D: Denial of hunger at all times. In anorexia nervosa without bingeing or purging, patients typically deny hunger despite severe weight loss. This is due to their distorted body image and fear of gaining weight. Assessing for denial of hunger helps in understanding their mindset and severity of the disorder. Explanation of why other choices are incorrect: A: Extroverted personality traits - Anorexia nervosa is often associated with introverted personality traits, not extroverted. B: Abuse of diuretics and laxatives - This behavior is more characteristic of bulimia nervosa, not anorexia nervosa without bingeing or purging. C: Claims of sexual activity - This choice is unrelated to the typical features of anorexia nervosa without bingeing or purging.
Question 5 of 5
Which information should the nurse include when teaching a client with a personality disorder?
Correct Answer: A
Rationale: The correct answer is A because journal writing can help individuals with personality disorders recognize and better understand their emotions, leading to improved self-awareness and emotional regulation. This can be a useful tool in therapy and self-management. Choice B is incorrect because individuals with personality disorders often struggle with interpersonal relationships and might benefit from seeking support or guidance rather than attempting to solve problems independently. Choice C is incorrect because avoidance does not address the underlying issues and can lead to isolation and maladaptive coping mechanisms. Choice D is incorrect because simply trying to alleviate problematic behaviors without addressing the underlying emotional issues may not lead to long-term improvement in relationships.