ATI RN
Age Specific Care Quiz Questions
Question 1 of 5
What is the most important aspect of refeeding for a patient with anorexia nervosa?
Correct Answer: A
Rationale: The correct answer is A because refeeding should start slowly to prevent refeeding syndrome, a potentially life-threatening condition caused by rapid electrolyte shifts. Gradually increasing caloric intake allows the body to adjust and reduces the risk of complications. Rapid weight gain (B) is not recommended as it can lead to medical complications. Encouraging independent food choices (C) may not be suitable initially as structured meal plans are often necessary. Restricting fluid intake (D) is not advisable as adequate hydration is crucial during refeeding.
Question 2 of 5
A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, 'Sure I overbilled. Why not? Everybody takes advantage of the government. They have too many rules. No one can abide by all of them.' These statements can be assessed as showing:
Correct Answer: C
Rationale: The correct answer is C: lack of guilt feelings. The physical therapist's statements indicate a lack of remorse or guilt about committing Medicare fraud. He minimizes his actions and justifies them by blaming the government's rules. This demonstrates a lack of ethical responsibility and empathy for the consequences of his fraudulent behavior. A: Glibness and charm typically involve being smooth-talking and charismatic, which is not evident in the therapist's statements. B: Superficial remorse would imply some level of acknowledgment of wrongdoing, which is not present in the therapist's justifications. D: Excessive suspiciousness refers to unfounded mistrust or paranoia, which is not demonstrated in the therapist's statements.
Question 3 of 5
An individual is brought by ambulance to the emergency room. The patient's roommate reports that the patient was weak and confused on awakening and began "rambling and talking crazy" about 3 hours ago. A nurse notes that the patient's skin is flushed and dry. When transferred to a bed, the patient strikes out at the staff and shouts, "You're not going to kill me!" The most likely analysis of this behavior is:
Correct Answer: B
Rationale: The correct answer is B: disturbed sensory perception related to altered brain function. The patient's presenting symptoms of confusion, rambling speech, physical aggression, and paranoia suggest an altered mental state. The flushed and dry skin may indicate dehydration, which can affect brain function. The behavior is likely a result of the patient's distorted sensory perceptions due to an underlying physiological or neurological issue. Incorrect choices: A: disturbed self-esteem related to catastrophic reaction - This choice does not address the patient's specific symptoms and is not supported by the scenario. C: other-directed violence related to fear associated with hospitalization - While fear of hospitalization may contribute to violence, it does not explain the patient's overall presentation of altered mental status. D: impaired environmental interpretational syndrome related to metabolic disturbance - This choice does not directly address the patient's symptoms and does not explain the confusion and paranoia displayed.
Question 4 of 5
A patient diagnosed with dementia associated with excessive alcohol use is shown a pencil, a nickel, and a safety pin and asked to repeat the names of each. Later when asked to identify the same three items the patient is unable to do so. The nurse assesses this as:
Correct Answer: B
Rationale: The correct answer is B: agnosia. Agnosia is the inability to recognize or identify objects despite intact sensory abilities. In this case, the patient's inability to identify the pencil, nickel, and safety pin suggests a deficit in object recognition, which aligns with agnosia. A: Apraxia is the inability to perform purposeful movements despite intact motor function, not related to object recognition. C: Concreteness refers to difficulty understanding abstract concepts, not object recognition. D: Catastrophizing is an irrational belief that something is far worse than it actually is, not related to the patient's inability to identify objects.
Question 5 of 5
A student transfers from a hometown college to a university 200 miles away after breaking up with her boyfriend of 2 years. She was slow to make friends at the university. The history shows a close relationship with her mother and sister. She began eating large quantities when she felt sad, and then she induced vomiting. When the student's schoolwork declined, she sought help from the university health clinic. During the initial interview, what priority issue should the nurse address?
Correct Answer: A
Rationale: The correct answer is A: Losses. The priority issue the nurse should address is the student's recent breakup and difficulty making friends, which are significant losses impacting her emotional well-being. By addressing these losses, the nurse can help the student process her emotions and develop coping strategies. B: Sleep patterns may be affected by the student's emotional distress, but it is a secondary concern compared to addressing the underlying losses. C: School activities are important, but the root cause of the student's decline in schoolwork is likely related to her emotional state following the breakup. D: Menstrual flow is not the priority issue at this time as it is not directly related to the student's emotional struggles and academic decline.