ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
The affective losses of Alzheimer's disease refer to losses noticed in the individual's:
Correct Answer: A
Rationale: The affective losses of Alzheimer's disease refer to changes in emotions and mood, impacting personality traits. This is because the disease affects areas of the brain responsible for regulating emotions. Personality changes are commonly observed in individuals with Alzheimer's. Thought processes (choice B) are more related to cognitive decline, while ability to make and carry out plans (choice C) and self-care (choice D) are more associated with functional decline. Therefore, choice A is correct as it specifically addresses the affective aspect of the disease.
Question 2 of 5
An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which intervention(s) would be appropriate? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Crisis intervention. This is appropriate because the child is experiencing multiple stressors that require immediate support. Crisis intervention focuses on providing immediate assistance to individuals in distress and can help address the child's current emotional and psychological needs. Summary of other choices: B: Creating a safety plan may be relevant if there are safety concerns, but it does not address the child's emotional well-being. C: Referring to family therapy may be beneficial in addressing family dynamics, but it may not be the most urgent intervention in this case. D: Referring for case management is important for coordinating services, but it may not provide the immediate emotional support needed in this situation.
Question 3 of 5
Assist her in developing an emergency plan, since the pattern of violence is likely to continue.
Correct Answer: A
Rationale: Rationale for Choice A: 1. Developing an emergency plan is crucial as it ensures safety during potential violent situations. 2. It empowers the individual to have a plan of action in place to protect themselves. 3. By having an emergency plan, the individual can respond quickly and effectively to ensure their safety. Summary of Other Choices: B. The pattern of violence decreasing is uncertain and doesn't address the immediate need for safety. C. Labeling the pattern of violence as unpredictable doesn't provide a proactive solution for the individual's safety. D. "None of the above" is incorrect as developing an emergency plan is a proactive and necessary step in situations of potential violence.
Question 4 of 5
The caregiver for a client with moderate to severe dementia tells the nurse, 'I'm exhausted. He wanders at night instead of sleeping, so I get no rest. I'm afraid to leave him during the day, so I have to take him to the grocery store and to the laundromat. When I'm busy there, he often wanders off. Still, I have to do it all.' The nurse recognizes the need to provide teaching for this caregiver. An appropriate outcome is that the caregiver will:
Correct Answer: A
Rationale: The correct answer is A: Develop strategies to ensure the client's safety. This is the most appropriate outcome as it directly addresses the caregiver's concerns of the client wandering and ensures their safety. By developing strategies such as installing door alarms, creating a safe sleeping environment, and establishing a routine, the caregiver can mitigate the risks associated with wandering behavior. Summary: - B: Seek respite care to get a break: While respite care is important for caregiver well-being, it does not directly address the safety concerns of the client wandering. - C: Join a support group for caregivers: While support groups can be beneficial for emotional support, they may not provide immediate solutions to ensure the client's safety.
Question 5 of 5
During morning care, the nursing assistant asks a patient with dementia, 'How was your night?' The patient replies, 'It was lovely. My husband and I went out to dinner and to a movie.' The nurse who overhears this should make the assessment that the patient is:
Correct Answer: B
Rationale: The correct answer is B: Using confabulation. Confabulation is when a person with dementia unknowingly creates fictitious memories to fill in gaps in their memory. In this scenario, the patient's response of going out to dinner and a movie with their husband is not based in reality, indicating confabulation. A: Demonstrating a sense of humor is incorrect because the patient is not intentionally being humorous. C: Perseverating is incorrect as it refers to repeating the same words or phrases, which is not evident in the patient's response. D: None of the above is incorrect as the patient's response aligns with confabulation.