ATI RN
Age Specific Care Competency Questions
Question 1 of 5
The nurse caring for a school-age child who has been sexually abused by a close family member realizes that the child may resist disclosing the experience of being sexually abused because the child:
Correct Answer: B
Rationale: The correct answer is B: Fears being blamed or disbelieved. This is because children who have been sexually abused often fear that they will not be believed or may be blamed for what happened. This fear can prevent them from disclosing the abuse. Choice A is incorrect because repeated questioning may not be the primary reason for the child's resistance. Choice C is incorrect because the child's fear of being pitied at school is not typically a main concern when disclosing sexual abuse. Choice D is incorrect because embarrassment about facing family members may be a factor, but the fear of blame or disbelief is usually a more significant barrier to disclosure in cases of sexual abuse.
Question 2 of 5
A client in the cardiac clinic tells the nurse that he is concerned about his mother, age 75, who lives alone and seems more forgetful. Which statement would be most indicative that the mother may have Alzheimer's disease?
Correct Answer: C
Rationale: The correct answer is C because forgetting to pay bills is a common early symptom of Alzheimer's disease due to cognitive decline affecting memory and executive functions. This behavior indicates difficulty with organizing and managing tasks, a hallmark of Alzheimer's. Choices A and B suggest independence and engagement, which are not necessarily indicative of Alzheimer's. Choice D hints at potential safety concerns but does not directly point to cognitive decline related to Alzheimer's.
Question 3 of 5
A client with moderate to severe dementia does not remember her son's name. The son repeatedly questions the mother when he visits the dementia facility, asking, 'Do you know my name?' The mother invariably becomes agitated. The nurse can most effectively intervene by explaining to the son:
Correct Answer: B
Rationale: Rationale: 1. Correct Answer (B): Explains the son's mother's inability to retain information due to severe dementia, causing agitation. Validates son's feelings and provides insight into the mother's behavior. 2. Incorrect Answer (A): Falsely suggests the mother is punishing the son by forgetting, potentially causing misunderstanding and blame. 3. Incorrect Answer (C): Implies the son should solely focus on reorienting the mother, overlooking the emotional impact and distress caused by repetitive questioning. 4. Incorrect Answer (D): Suggests limiting visits based on the son's distress, rather than addressing the root cause of agitation caused by the mother's dementia.
Question 4 of 5
The average time that a person with Alzheimer's disease lives after diagnosis is:
Correct Answer: B
Rationale: The correct answer is B: 8 years. Alzheimer's disease typically progresses slowly, with individuals living an average of 8 years after diagnosis. This is due to the degenerative nature of the disease, leading to gradual decline in cognitive function. Choice A (2 years) is too short for Alzheimer's progression. Choice C (10 years) is close but slightly overestimates the average. Choice D (20 years) is too long, as Alzheimer's typically does not allow for such a long survival time post-diagnosis. Therefore, B is the most accurate option based on the typical progression and outcomes of Alzheimer's disease.
Question 5 of 5
What is the rationale for establishing a contract with a patient with an eating disorder at the outset of treatment?
Correct Answer: C
Rationale: Correct Answer: C - Patient involvement in decision making increases the sense of control and promotes cooperation. Rationale: 1. Involving the patient in decision-making empowers them and enhances their autonomy. 2. Patients with eating disorders often feel a loss of control over their lives, so involving them in treatment decisions can help restore a sense of agency. 3. Increased sense of control can lead to improved cooperation and engagement in treatment. Summary: A: Incorrect. Establishing a contract with a patient is not about forming a coalition against the family but about empowering the patient. B: Incorrect. While a team approach is important, the primary rationale for establishing a contract is to involve the patient in decision-making. D: Incorrect. Refeeding is important in eating disorder treatment, but the rationale for establishing a contract is more about promoting patient cooperation through involvement in decision-making.