ATI RN
Age Specific Considerations in Patient Care Questions
Question 1 of 5
The outcome that should be established for an elderly patient with delirium caused by fever and dehydration is that the patient will:
Correct Answer: A
Rationale: The correct answer is A because the goal in managing delirium in an elderly patient is to restore them to their premorbid level of functioning. This involves addressing the underlying causes like fever and dehydration. Option B is incorrect as it focuses on a neurological response rather than the overall outcome for the patient. Option C is also incorrect as it pertains to identifying stressors, which is not the primary goal in managing delirium. Option D is incorrect as it dismisses the importance of restoring the patient to their baseline level of functioning.
Question 2 of 5
Sleep terrors usually occur only once a night, during stages 3 and 4 of NREM sleep. They are often accompanied by which physical sign?
Correct Answer: D
Rationale: The correct answer is D: None of the above. Sleep terrors are not typically accompanied by intense stress, sexual arousal, or increased physical strength. Sleep terrors are characterized by sudden awakening from sleep with intense fear and a physical reaction, such as screaming or thrashing. These episodes occur during stages 3 and 4 of NREM sleep and are not associated with the physical signs mentioned in the other choices. Therefore, the correct answer is D, as sleep terrors do not necessarily involve any of the physical signs listed in the other options.
Question 3 of 5
A nurse is planning care for a patient with bulimia nervosa. Which goal should be included in the care plan?
Correct Answer: B
Rationale: Step-by-step rationale: 1. Maintaining a healthy, balanced diet without purging behaviors is crucial for managing bulimia nervosa. 2. This goal promotes physical health and addresses the underlying disordered eating habits. 3. It focuses on establishing sustainable eating patterns to support overall well-being. 4. It helps prevent complications associated with bulimia, such as electrolyte imbalances. Summary: - Option A is incorrect as excessive exercise can be a compensatory behavior in eating disorders. - Option C is incorrect as rapid weight gain is not recommended in the treatment of bulimia. - Option D is incorrect as complete elimination of binge eating and purging may be unrealistic initially.
Question 4 of 5
A patient with anorexia nervosa is at risk for refeeding syndrome. The nurse should be most concerned with:
Correct Answer: B
Rationale: The correct answer is B: Electrolyte imbalances, particularly hypophosphatemia. Refeeding syndrome occurs when a malnourished individual receives nutrition too quickly, leading to shifts in electrolytes like phosphate, potassium, and magnesium. Hypophosphatemia is a key concern due to its potential to cause cardiac and respiratory failure. Hyperglycemia (A) may occur but is not the primary concern. Increased hunger and overeating (C) are common symptoms of anorexia nervosa but not directly related to refeeding syndrome. Rapid weight gain and hypertension (D) are potential consequences of refeeding but are not the immediate concern compared to electrolyte imbalances.
Question 5 of 5
A patient with an eating disorder states, 'Now that I've gained 4 pounds, I can't wear shorts until I lose it again.' The nurse documents that the patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?
Correct Answer: A
Rationale: The correct answer is A: Magnification. This cognitive distortion involves exaggerating the significance of a negative event, in this case, gaining 4 pounds. The patient's focus on this small weight gain as a major obstacle to wearing shorts reflects magnification. Superstitious thinking (B) involves believing in unrelated events causing outcomes, which is not evident here. Personalization (C) involves taking responsibility for events beyond one's control, which is not the case in this scenario. Dichotomous thinking (D) involves seeing things in black and white terms, which is not demonstrated in the patient's statement.