ATI RN
Age Specific Considerations in Patient Care Questions
Question 1 of 5
Of the following interventions, which one would likely be most useful when attempting to prevent or lessen the symptoms associated with sundown syndrome?
Correct Answer: B
Rationale: The correct answer is B because interacting frequently with the patient during evening hours can help provide comfort and reassurance, reducing anxiety and agitation associated with sundown syndrome. Interacting can stimulate the patient's senses and distract from negative symptoms. Choice A is incorrect because a quiet and dimly lit room alone may not address the underlying emotional and psychological needs of the patient during sundown syndrome. Choice C is incorrect because a large protein-based bedtime snack may not directly impact the behavioral symptoms of sundown syndrome. Choice D is incorrect because while a soft stuffed animal can provide some comfort, it may not address the need for human interaction and engagement during the evening hours to prevent or lessen sundown syndrome symptoms.
Question 2 of 5
A group of teenagers are discussing their individual problems associated with having an eating disorder. Which findings would the nurse attribute to purging?
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Polyuria): 1. Purging involves self-induced vomiting or misuse of laxatives/diuretics. 2. Vomiting can lead to electrolyte imbalances, causing increased urine production (polyuria). 3. Polyuria is a common sign of purging behaviors due to electrolyte disturbances. Summary of Incorrect Choices: A: Excessive facial hair - Not directly related to purging behavior. B: Elevated blood pressure - Could be related to stress or other factors, not specific to purging. D: Dental enamel erosion - More likely associated with frequent vomiting (purging) rather than polyuria.
Question 3 of 5
In an art therapy session, a client with anorexia nervosa was asked to draw a picture of herself. Which drawing would likely depict the client's view of herself?
Correct Answer: C
Rationale: The correct answer is C because individuals with anorexia nervosa often have a distorted body image and see themselves as larger than they actually are. Drawing a grossly obese figure lacking feminine characteristics reflects the distorted self-perception common in anorexia nervosa. Choice A is incorrect as it portrays a positive body image. Choice B may be close, but it focuses more on malnourishment rather than distorted body image. Choice D is incorrect as it reflects admiration for a shapely figure, which may not align with the client's self-perception.
Question 4 of 5
The mother of a teenager diagnosed with an eating disorder asks, 'How long will my daughter have this problem?' The nurse answers with the knowledge that:
Correct Answer: D
Rationale: The correct answer is D because long-term therapy combined with medication results in the best outcomes for individuals with eating disorders. Therapy helps address underlying psychological issues, while medication can help manage symptoms. Recovery is a complex process that often requires ongoing support. Choice A is incorrect as recovery is not always guaranteed after one severe episode. Choice B is incorrect as many individuals do show improvement over time. Choice C is incorrect as weight restoration alone may not address all aspects of the disorder.
Question 5 of 5
A nurse has recently been assigned to a unit that specializes in the care of patients diagnosed with eating disorders. The nurse should consider which of the following actions as having priority when preparing for this new assignment?
Correct Answer: C
Rationale: The correct answer is C. Self-reflecting on personal feelings regarding body weight and size is crucial for the nurse to be aware of any biases or triggers that may affect patient care. Understanding personal attitudes towards body image can prevent unintentional harm or judgment towards patients. A: Becoming familiar with the unit's policies and procedures is important but not the top priority when dealing with patients with eating disorders. B: Arranging to mentor with a nurse who has experience on the unit can be helpful but does not address the nurse's personal biases. D: Attending an educational seminar is valuable but may not address the nurse's own attitudes towards body image.