ATI RN
Population Based Health Care Questions
Question 1 of 5
The nurse is answering questions from a client and his family regarding a recent diagnosis of Alzheimer's disease. The client asks how effective medication is in treating the disease. What is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C because medications for Alzheimer's disease, such as cholinesterase inhibitors and memantine, have been found to improve thinking abilities, behavior, and daily functioning in some clients. These medications can help manage symptoms and slow down the progression of the disease. Option A is incorrect because while there is no cure for Alzheimer's disease, there are treatments available. Option B is incorrect as medications have shown some efficacy in managing symptoms. Option D is incorrect as there is limited scientific evidence to support the effectiveness of alternative therapies compared to prescription medications for Alzheimer's disease.
Question 2 of 5
After a person was abducted and raped at gunpoint by an unknown assailant, which trauma syndrome is most likely to occur?
Correct Answer: B
Rationale: The correct answer is B: Confusion and disbelief. After experiencing a traumatic event like abduction and rape at gunpoint, it is common for individuals to feel confused and in disbelief due to the overwhelming nature of the experience. This reaction is part of the acute stress response and is a normal psychological defense mechanism. Decreased motor activity (choice A) is less likely to be the immediate response to such a traumatic event. Flashbacks and dreams (choice C) are more characteristic of post-traumatic stress disorder (PTSD), which may develop later on but are not the initial trauma syndrome. Choice D is incorrect as trauma responses are expected in this situation.
Question 3 of 5
A client in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been feeling anxious. For what other condition should the nurse assess this client?
Correct Answer: A
Rationale: Step 1: The client disclosed feeling anxious. Step 2: Anxiety is a common comorbidity with irritable bowel syndrome. Step 3: Assessing for anxiety allows for holistic treatment. Step 4: Anxiety can impact the client's physical health. Step 5: Therefore, assessing for anxiety is crucial. Summary: B: Depression - While depression is important, the client disclosed anxiety. C: Eating disorder - Not directly related to the client's disclosure. D: None of the above - Incorrect, as assessing for anxiety is necessary.
Question 4 of 5
The nurse performs a functional assessment of a client upon admission to a home health agency. The purpose of this assessment is to determine the client's:
Correct Answer: B
Rationale: Rationale: 1. Functional assessment evaluates client's ability to perform ADLs. 2. Assessing ADLs helps determine client's independence level. 3. Independence in ADLs impacts care planning and interventions. 4. Level of consciousness (A) is related to neurological status, not functional ability. 5. Reasoning, judgment (C) are cognitive functions, not directly related to ADLs. 6. "None of the above" (D) excludes the correct purpose of functional assessment.
Question 5 of 5
An 83-year-old man becomes lost while driving. He pulls into a driveway to turn around and cannot figure out how to put his car in reverse, so he drives into the yard, makes a circle, and drives back out of the driveway. He is stopped by police, who take him to the emergency department. The physician diagnoses him with Alzheimer's disease and refers him to the neurology clinic for follow-up. Given this diagnosis, which behaviors should the clinic nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: Does not know today's date. This behavior is commonly associated with Alzheimer's disease due to memory impairment. The inability to recall the current date is a key symptom of cognitive decline. In this case, the man's difficulty with reversing his car and getting lost are indicative of cognitive impairment. Choice B, Unable to shower without help, is a functional impairment and not specific to Alzheimer's disease. Choice C, Denial of mental impairment, may occur in some individuals with Alzheimer's but is not a consistent behavior. Choice D, None of the above, is incorrect as memory deficits, such as not knowing the date, are commonly seen in Alzheimer's disease.