ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
The intervention of highest priority for a client with stage 3 Alzheimer's disease is to:
Correct Answer: B
Rationale: The correct answer is B because maintaining hydration and nutrition is crucial for the client's overall well-being and health in stage 3 Alzheimer's. Dehydration and malnutrition can lead to serious complications. Providing a stimulating environment (choice A) may be beneficial but not the highest priority. Setting limits on behavioral disinhibition (choice C) may be challenging due to the progression of the disease. Promoting self-care activities (choice D) may not be feasible as the client's cognitive abilities decline. Maintaining hydration and nutrition is essential for the client's survival and quality of life.
Question 2 of 5
An elderly woman is brought to the clinic by her daughter. The client states that she has had a cold for several days. Her daughter states that her mother has been confused about when her routine medications are to be taken and that her mother has never experienced confusion about her medications before. Based on this information, it is important that the nurse ask the client whether:
Correct Answer: D
Rationale: The correct answer is D: She has taken any over-the-counter medications for her cold. It is important for the nurse to ask this question because over-the-counter medications can sometimes interact with prescription medications, leading to confusion or other cognitive issues in elderly patients. By identifying any OTC medications the client has taken, the nurse can assess potential drug interactions that may be contributing to the confusion. Choices A, B, and C are incorrect. History of mental illness in the family or a previous diagnosis of mental health disorder may not directly address the current issue of confusion related to medication management. Asking about the last visit to a physician is also less relevant compared to inquiring about current medication use for a potential cause of confusion.
Question 3 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 4 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 5 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.