ATI RN
Age Specific Care Competency Questions
Question 1 of 5
What is a common consequence of repeated purging behaviors in bulimia nervosa?
Correct Answer: A
Rationale: The correct answer is A: Cardiovascular instability due to electrolyte imbalances. Repeated purging in bulimia nervosa leads to electrolyte imbalances, particularly hypokalemia, which can result in cardiovascular instability like arrhythmias and cardiac arrest. Other choices are incorrect. B is false as purging behaviors do not improve body image or self-esteem. C is incorrect as purging does not lead to increased appetite and healthy weight gain, rather it disrupts normal metabolism. D is also incorrect as purging behaviors actually increase the risk of gastrointestinal complications.
Question 2 of 5
An appropriate outcome for a patient with a personality disorder and a nursing diagnosis of Ineffective coping as evidenced by use of manipulation would be that the patient will:
Correct Answer: C
Rationale: Rationale: Choice C is correct as it focuses on the patient acknowledging manipulative behavior when pointed out. This is important for growth and self-awareness in handling emotions and behaviors effectively. Choices A and B are extreme and unrealistic expectations, as complete cessation or selective use of manipulation may not be achievable. Choice D is irrelevant to the nursing diagnosis and does not address the core issue of ineffective coping through manipulation.
Question 3 of 5
A patient with borderline personality disorder cut her wrists while out on a pass. For future planning, staff should consider that the reason for the self-mutilation is probably related to:
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Borderline personality disorder is characterized by fear of abandonment. 2. Self-mutilation can be a maladaptive coping mechanism to alleviate this fear. 3. The behavior is often triggered by perceived threats to relationships or autonomy. 4. Therefore, considering fear of abandonment in future planning is crucial. Summary of other choices: A: Inherited disorder is not the primary reason for self-mutilation in borderline personality disorder. C: Projective identification and splitting are defense mechanisms, not primary reasons for self-mutilation. D: Constitutional inability to regulate affect may contribute, but fear of abandonment is more central in borderline personality disorder.
Question 4 of 5
A nurse is caring for a patient diagnosed with anorexia nervosa. What is the most important intervention during the refeeding phase?
Correct Answer: A
Rationale: The correct answer is A because during the refeeding phase of anorexia nervosa, monitoring weight gain and providing a structured meal plan are crucial to prevent refeeding syndrome and ensure a safe and gradual increase in caloric intake. This approach helps prevent complications such as electrolyte imbalances and organ dysfunction. Encouraging the patient to eat independently without supervision (B) can be harmful as they may not consume adequate or balanced nutrition. Psychological therapy (C) is important but not the most crucial during the refeeding phase. Offering high-calorie, high-fat foods (D) can lead to rapid weight gain and further complications.
Question 5 of 5
What is the most appropriate goal for a nurse caring for a patient with anorexia nervosa?
Correct Answer: B
Rationale: The most appropriate goal for a nurse caring for a patient with anorexia nervosa is for the patient to stabilize their weight and maintain adequate nutrition (Choice B). This goal is crucial because rapid weight gain can have negative physical and psychological consequences for the patient. Stabilizing weight helps prevent complications like refeeding syndrome and supports the patient's overall health. It also addresses the immediate nutritional needs of the patient. Choices A, C, and D are incorrect because rapid weight gain can be harmful, full recovery often requires ongoing support, and body image acceptance may not be the most pressing concern for someone with anorexia nervosa.