ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
What is a key consideration when treating a patient with anorexia nervosa?
Correct Answer: C
Rationale: The correct answer is C because addressing the psychological and emotional factors is crucial in treating anorexia nervosa. This disorder is not solely about weight or food intake; it often involves deeper psychological issues such as body image distortion, low self-esteem, and control issues. By focusing on the underlying psychological and emotional factors, therapists can help patients understand and cope with these issues, leading to more effective and sustainable recovery. Choices A, B, and D are incorrect because they overlook the complexity of anorexia nervosa and may even exacerbate the patient's condition by neglecting the root causes of the disorder.
Question 2 of 5
A patient tells a nurse, 'The others won't give me my pain meds early, but you are more understanding, you know what it's like to be in pain, and you don't want to see your patients suffer. Could you find a way to get me my pill now? I won't tell anyone.' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Rationale: - Choice D is the correct response because it acknowledges the patient's pain, shows empathy, and educates on the importance of safe medication administration. - Step 1: Acknowledge the patient's pain to validate their feelings. - Step 2: Express understanding but emphasize safety concerns to educate the patient on responsible medication use. - Step 3: Maintain boundaries by emphasizing the importance of safe medication practices. - Other Choices: - A: Ignoring the patient's request can create distrust and may not address the underlying issue of pain management. - B: Delaying the response by involving the doctor may increase the patient's anxiety and does not address the safety concern. - C: Simply stating that it is unsafe without providing further explanation or addressing the patient's concerns lacks empathy and education.
Question 3 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 4 of 5
A patient with borderline personality disorder has been hospitalized several times after self-injurious behavior and suicide attempts. The patient has entered dialectical behavior therapy on an outpatient basis. During therapy, the advanced practice nurse has been counseling her regarding self-harm behavior management. Today the patient called the nurse and reported 'feeling empty and anxious' and wants to cut herself. Which response would best help in this situation?
Correct Answer: C
Rationale: The correct response is C: Assist the patient to identify and choose a coping strategy. This choice is the best because it involves helping the patient develop healthy coping mechanisms to manage her distress. This empowers the patient to take control of her emotions and actions in a positive way. Emergency admissions (choices A and B) may not address the underlying issues and could potentially reinforce maladaptive behaviors. Advising medication (choice D) without addressing the emotional distress directly may not provide long-term solutions. In summary, choice C focuses on empowering the patient and addressing the root of the problem, making it the most appropriate response in this scenario.
Question 5 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.