ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
To plan effective interventions, the nurse should understand that the underlying reason a patient with paranoid personality disorder is so critical of others probably lies in the patient's:
Correct Answer: D
Rationale: The correct answer is D because paranoid personality disorder is characterized by distrust and suspicion of others, leading individuals to project their own negative traits onto others (projection). This defense mechanism helps them avoid accepting their own shortcomings. Option A is incorrect because the focus is on control, not blame. Option B is incorrect as intellectualization is a defense mechanism that involves avoiding emotions by focusing on rational aspects. Option C is incorrect as it refers to rigidity and not projection of blame. In summary, projection of blame onto others is the underlying reason for the critical behavior in paranoid personality disorder.
Question 2 of 5
Which of the following is the most effective strategy to prevent relapse in anorexia nervosa?
Correct Answer: B
Rationale: The correct answer is B because providing a structured meal plan and ongoing emotional support addresses both the physical and psychological aspects of anorexia nervosa. Structured meal plans help establish healthy eating habits, while emotional support addresses underlying triggers and promotes mental well-being. Focusing solely on weight gain (A) neglects the emotional component of the disorder. Encouraging weight loss (C) reinforces harmful behaviors. Limiting food-related discussions (D) does not address the root causes of anorexia nervosa. In summary, B is the most effective strategy as it tackles both the physical and emotional aspects of the disorder.
Question 3 of 5
A nurse is caring for a patient with bulimia nervosa. What should the nurse do to promote a healthy eating pattern?
Correct Answer: C
Rationale: The correct answer is C because encouraging regular meals and snacks with a focus on nutrition helps stabilize blood sugar levels, reduce binge eating episodes, and promote overall health. This approach also supports the patient in developing a balanced relationship with food. A: Providing a strict, rigid eating schedule may increase anxiety and reinforce unhealthy behaviors. B: Allowing the patient to choose meals without guidelines may lead to erratic eating patterns and poor nutrition. D: Promoting food restriction can exacerbate feelings of guilt and perpetuate the cycle of binge eating.
Question 4 of 5
A nurse is providing care for a patient with anorexia nervosa who has refused to eat. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Provide a structured meal plan and encourage the patient to eat. This is the priority intervention because patients with anorexia nervosa often have a distorted perception of their body and food intake. By providing a structured meal plan, the nurse can help the patient establish a healthy eating routine. Encouraging the patient to eat is crucial to prevent further malnutrition and complications. Choice B is incorrect because allowing the patient to skip meals can worsen their condition and reinforce unhealthy behaviors. Choice C is incorrect because addressing body image concerns should be done in conjunction with addressing the patient's nutritional needs. Choice D is incorrect because monitoring weight without intervening to address the underlying issue of refusal to eat is not sufficient in managing anorexia nervosa.
Question 5 of 5
A client with borderline personality disorder is having difficulty with memories of sexual abuse. She has a history of suicidal gestures, self-mutilation, sexual addiction, and substance addiction. She complains of vague pains, menstrual problems, and headaches. She entered the partial hospital program to prevent another suicide gesture or self-mutilation. The nurse recognizes that collaborative therapy may be helpful for this client and knows that the most useful collaboration in this case would be the client, the nurse, and the:
Correct Answer: A
Rationale: The correct answer is A: Occupational therapist exploring ways to reduce stress. In the case of a client with borderline personality disorder experiencing trauma-related symptoms, such as memories of sexual abuse, the focus is on addressing underlying emotional issues and coping strategies. Collaborative therapy involving the client, nurse, and occupational therapist can be beneficial. The occupational therapist can help the client develop coping skills, manage stress, and improve daily functioning. This approach targets the root of the client's difficulties and provides holistic support. Summary: - Choice B (Physical therapist exploring ways to reduce back pain): This option does not directly address the client's primary concerns related to trauma and emotional distress. - Choice C (Acupuncturist exploring ways to reduce pain): While pain management is important, it does not address the client's complex psychological needs and trauma history. - Choice D (Sexologist exploring healthy sexuality and safe sex): While important in some cases, focusing solely on sexuality does not address the broader range of issues the client