ATI RN
Population Based Health Care Questions
Question 1 of 5
What is the first intervention a nurse should take when assessing a patient with suspected anorexia nervosa?
Correct Answer: B
Rationale: The correct answer is B. The first intervention a nurse should take when assessing a patient with suspected anorexia nervosa is to measure vital signs to assess the extent of malnutrition. This is crucial to determine the patient's current physiological status and to identify any immediate risks such as dehydration, electrolyte imbalances, or cardiac complications. By measuring vital signs, the nurse can quickly assess the severity of malnutrition and determine the urgency of intervention. Refeeding (choice A) should not be initiated abruptly due to the risk of refeeding syndrome. Starting a counseling session (choice C) may be important but is not the initial priority. Involving the family (choice D) can be beneficial but is not the first step in assessing and managing a patient with anorexia nervosa.
Question 2 of 5
A 35-year-old woman who is being interviewed by the advanced practice nurse indicates that she has few friends, fears criticism from others, and withholds information about her thoughts and feelings because she anticipates a negative reaction. Based on these data, the nurse suspects that Sarah may later be diagnosed as having:
Correct Answer: C
Rationale: The correct answer is C: Avoidant personality disorder. This is because the woman's fear of criticism, reluctance to share thoughts and feelings, and limited social interactions are characteristic of avoidant personality disorder. Individuals with this disorder have intense feelings of inadequacy, fear of rejection, and avoid situations where they may be criticized or judged. Choice A: Borderline personality disorder is not the correct answer because individuals with borderline personality disorder typically have unstable relationships, impulsivity, and a fear of abandonment. Choice B: Histrionic personality disorder is not the correct answer as individuals with this disorder seek attention and exhibit dramatic and attention-seeking behavior, which is not indicated in the scenario. Choice D: Schizoid personality disorder is not the correct answer as individuals with this disorder tend to have a limited range of emotional expression and lack interest in forming social relationships, which does not align with the woman's fear of criticism and desire to avoid negative reactions.
Question 3 of 5
According to Freud, an individual who experiences problems during the phallic stage of development may have a poorly developed superego. This construct is most relevant to planning care for a client who has the DSM-IV-TR diagnosis of:
Correct Answer: D
Rationale: Step 1: Freud's phallic stage is when the superego develops. Step 2: Antisocial personality disorder is associated with a poorly developed superego. Step 3: Individuals with antisocial personality disorder often lack empathy and have a disregard for rules. Step 4: This behavior aligns with Freud's concept of a weak superego. Step 5: Therefore, the correct answer is D, Antisocial personality disorder. Summary: A: Obsessive-compulsive personality disorder is characterized by perfectionism, not related to a weak superego. B: Schizoid personality is marked by social detachment, not directly linked to superego development. C: Borderline personality disorder involves instability in relationships and self-image, not specifically tied to superego development.
Question 4 of 5
Which of the following behaviors is most consistent with bulimia nervosa?
Correct Answer: B
Rationale: The correct answer is B: Binge eating followed by vomiting or use of laxatives. This behavior is most consistent with bulimia nervosa as it involves recurrent episodes of binge eating followed by compensatory behaviors like self-induced vomiting or laxative use. This pattern of behavior is a key diagnostic criteria for bulimia nervosa. A: Severe food restriction and extreme weight loss is more indicative of anorexia nervosa, not bulimia nervosa. C: Excessive exercise and rigid dietary rules may be seen in various eating disorders, but it is not specific to bulimia nervosa. D: Overeating without attempts to control food intake is more characteristic of binge eating disorder, not bulimia nervosa.
Question 5 of 5
A psychiatric technician asks the nurse to explain the difference between schizotypal personality disorder and schizophrenia. The information that should serve as the basis for the nurse's response is the fact that with schizotypal personality disorder:
Correct Answer: B
Rationale: The correct answer is B: There may be misinterpretation of events but not psychosis. In schizotypal personality disorder, individuals may have odd beliefs, behaviors, and experiences, leading to misinterpretation of events, but they do not typically experience full-blown psychosis as seen in schizophrenia. This is a key distinction between the two disorders. Choice A is incorrect because schizophrenia is characterized by more severe disorganization of thoughts and behaviors. Choice C is incorrect as individuals with schizotypal personality disorder typically do not require long hospitalizations compared to those with schizophrenia. Choice D is incorrect as individuals with schizotypal personality disorder tend to be more socially isolated and have difficulty forming close relationships.