ATI RN
Age Specific Patient Care Quizlet Questions
Question 1 of 5
What is the most appropriate initial treatment goal for a patient with anorexia nervosa?
Correct Answer: B
Rationale: The correct initial treatment goal for a patient with anorexia nervosa is to restore the patient's nutritional balance through gradual weight gain. This approach is crucial as rapid weight gain can lead to refeeding syndrome, a potentially life-threatening complication. Gradual weight gain allows the body to adjust to increased caloric intake safely. Addressing body image issues is important but can be more effectively tackled after nutritional balance is restored. Group therapy can be beneficial but should not be the primary focus initially. Thus, choice B is the most appropriate initial treatment goal.
Question 2 of 5
A client with antisocial personality disorder yells, 'Shut up about that, or I'll punch you in the nose!' and shakes his fist at another client in a group meeting after the client speaks negatively of illicit drug use. The nurse quickly determines that the client is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best approach for the nurse to use?
Correct Answer: C
Rationale: The correct answer is C: Explore alternate ways to handle frustrating topics in the group. This approach is best because it focuses on addressing the underlying issue causing the client's aggression rather than just isolating or restraining the client. By exploring alternate ways to handle frustrating topics, the nurse can help the client develop healthier coping mechanisms and communication skills. This approach promotes therapeutic engagement and supports the client's growth and development. Secluding the client (choice A) may escalate the situation and reinforce the client's aggressive behavior. Putting the client in restraints (choice B) is a restrictive measure that should only be used as a last resort for imminent danger. Telling the client to leave the group (choice D) may not address the root cause of the aggression and could lead to avoidance of addressing the client's issues.
Question 3 of 5
Which nursing intervention would be most helpful for addressing this behavior?
Correct Answer: A
Rationale: The correct answer is A because holding a weekly staff meeting to discuss feelings and conflicts related to the behavior promotes open communication and teamwork. This intervention allows staff to address the behavior in a collaborative and supportive manner, leading to a better understanding of the underlying issues and potential solutions. Choice B is not the best option as confronting the patient may escalate the situation and create a power struggle, potentially worsening the behavior. Choice C of ignoring inappropriate behavior can lead to a lack of accountability and enable further misconduct. Choice D of evaluating the patient for a medication increase or transfer may not address the root cause of the behavior and could overlook the importance of addressing it through communication and teamwork.
Question 4 of 5
A widowed patient tells a nurse that the door should be left unlocked because her husband will be coming home soon. Which response by the nurse would be most therapeutic?
Correct Answer: C
Rationale: The correct answer is C because it validates the patient's feelings without directly confronting or contradicting her belief. By acknowledging the patient's emotions and creating a sense of empathy, the nurse establishes a therapeutic rapport. Choice A is incorrect as it may be perceived as confrontational and insensitive. Choice B dismisses the patient's feelings and can be invalidating. Choice D is direct and may cause distress or confusion to the patient. In summary, option C is the best choice as it shows empathy and understanding towards the patient's emotional state.
Question 5 of 5
A nurse would attempt to reduce nighttime agitation for a patient with either delirium or dementia by:
Correct Answer: B
Rationale: The correct answer is B: keeping a soft light on in the patient's room. This helps to reduce nighttime agitation by providing a soothing environment without complete darkness, which can cause confusion and disorientation in patients with delirium or dementia. Warm milk (A) may not address the underlying cause of agitation. A large-faced lighted alarm clock (C) may be distracting and increase confusion. Family pictures (D) may not directly impact nighttime agitation and could potentially overstimulate the patient.