ATI RN
Age Specific Populations Questions
Question 1 of 5
What is the primary concern when a patient with bulimia nervosa engages in frequent purging?
Correct Answer: A
Rationale: The correct answer is A: Electrolyte imbalances and dehydration. Purging behaviors in bulimia nervosa, such as self-induced vomiting or laxative abuse, can lead to electrolyte imbalances and dehydration due to loss of essential minerals and fluids. This can result in serious medical complications like cardiac arrhythmias and kidney damage. The other choices are incorrect because B is unrelated to purging behaviors, C is unlikely as purging does not improve body image or self-esteem, and D is incorrect as purging actually increases the risk of gastrointestinal complications.
Question 2 of 5
You are a nurse meeting for the first time with a stage 3 Alzheimer's patient who is newly referred to your home health agency. Which assessment data about the patient and caregiver(s) would be most important to acquire during your first visit to the family's home?
Correct Answer: A
Rationale: Step 1: Ensuring patient safety is the top priority in caring for a stage 3 Alzheimer's patient in a home setting. Step 2: Restricting access to exits and stairways is crucial to prevent the patient from wandering or falling. Step 3: This assessment data is essential for implementing safety measures and preventing potential harm to the patient. Step 4: Choices B, C, and D, while important, do not directly address the immediate safety concerns of the patient.
Question 3 of 5
A 72-year-old female patient has the medical diagnosis of delirium secondary to anticholinergic medication toxicity. A nurse planning discharge care must consider the need to teach the family to be alert for maladaptive cognitive symptoms because:
Correct Answer: D
Rationale: The correct answer is D because slower metabolism in the elderly can lead to medication toxicity, including anticholinergic toxicity causing delirium. As people age, their metabolism slows down, making them more susceptible to drug accumulation and toxicity. This can result in cognitive symptoms like delirium. A: Delirium is not a hypersensitivity reaction; it is an acute state of confusion. B: Denial of cognitive changes is not directly related to the risk of medication toxicity in the elderly. C: Gender is not a significant factor in medication toxicity leading to delirium; it is more related to individual metabolism and drug interactions.
Question 4 of 5
An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, "I like the style." The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?
Correct Answer: B
Rationale: The correct answer is B: Anorexia nervosa. This diagnosis fits the patient's symptoms of restrictive eating, significant weight loss, amenorrhea, and denial of the severity of the situation. The patient's behavior of cooking gourmet meals but eating tiny portions and wearing layers of clothes to hide weight loss are classic signs of anorexia nervosa. The other choices are incorrect because: A: Eating disorder not otherwise specified does not fully capture the severity and specific symptoms exhibited by the patient. C: Bulimia nervosa involves binge-eating followed by compensatory behaviors, which are not described in the scenario. D: Binge eating disorder involves recurrent episodes of binge eating without compensatory behaviors, which is not indicated.
Question 5 of 5
A 16-year-old client has anorexia nervosa. She has lost 50 pounds during the past 3 months and is about 20 pounds under the weight that is normal for her height. She has dry skin with poor turgor, hair breakage, and brittle nails. The nurse can anticipate that when giving information about her menstrual history, the client is likely to report:
Correct Answer: B
Rationale: The correct answer is B: amenorrhea. In anorexia nervosa, severe weight loss can disrupt the hormonal balance, leading to the cessation of menstruation, known as amenorrhea. This is due to the body conserving energy and prioritizing essential functions over reproductive processes. The client's significant weight loss and physical symptoms indicate a state of malnutrition, further supporting the likelihood of amenorrhea. The other choices (heavy menstrual flow, premenstrual syndrome, dysmenorrhea) are less likely because they are not typically associated with anorexia nervosa and severe weight loss. Amenorrhea is a common manifestation of anorexia nervosa and reflects the impact of malnutrition on reproductive health.