ATI RN
Age Specific Care Competency Questions
Question 1 of 5
What is the rationale for establishing a contract with a patient with an eating disorder at the outset of treatment?
Correct Answer: C
Rationale: Correct Answer: C - Patient involvement in decision making increases the sense of control and promotes cooperation. Rationale: 1. Involving the patient in decision-making empowers them and enhances their autonomy. 2. Patients with eating disorders often feel a loss of control over their lives, so involving them in treatment decisions can help restore a sense of agency. 3. Increased sense of control can lead to improved cooperation and engagement in treatment. Summary: A: Incorrect. Establishing a contract with a patient is not about forming a coalition against the family but about empowering the patient. B: Incorrect. While a team approach is important, the primary rationale for establishing a contract is to involve the patient in decision-making. D: Incorrect. Refeeding is important in eating disorder treatment, but the rationale for establishing a contract is more about promoting patient cooperation through involvement in decision-making.
Question 2 of 5
A client, age 34, has been physically abused by her husband five times during the past 2 years. During her last discussion with the nurse, the client stated, 'I probably should not keep going back to him.' The nurse is aware that the final decision to leave a batterer:
Correct Answer: A
Rationale: The correct answer is A: Is complex and may take time. The nurse understands that leaving an abusive relationship is a complex process that may take time. The client's statement of awareness indicates progress, but making the final decision to leave a batterer involves various factors such as safety planning, emotional readiness, and support systems. Choice B is incorrect as immediate decision-making can be dangerous without proper planning. Choice C is incorrect as the nurse's role is to support and empower the client but not make decisions for them. Choice D is incorrect as leaving an abuser is a personal decision that requires careful consideration.
Question 3 of 5
For those family members who desire to care at home for loved ones who have been given a diagnosis of Alzheimer's disease, it is important for the nurse to ensure that the family is aware of which caregiver skills and responsibilities will be necessary. What is one of the responsibilities of the caregiver during the middle stage of the disease?
Correct Answer: A
Rationale: Rationale: 1. During the middle stage of Alzheimer's disease, individuals often experience memory and communication problems. 2. Caregivers need to assist with memory tasks and facilitate effective communication. 3. Helping the loved one with memory and communication problems is crucial for their well-being and quality of life. 4. This responsibility helps maintain a sense of connection and understanding between the caregiver and the individual with Alzheimer's. Summary: - Option A is correct as it aligns with the specific needs of individuals in the middle stage of Alzheimer's. - Option B is incorrect as providing a stable, routine environment is more relevant in the early stages. - Option C is incorrect as complete assistance with physical care is more common in the later stages. - Option D is incorrect as caregiver responsibilities are essential in all stages of the disease.
Question 4 of 5
A patient with severe dementia can no longer recognize her only daughter and becomes anxious and agitated when the daughter attempts to reorient her. An alternative the nurse could suggest to the daughter is to:
Correct Answer: C
Rationale: The correct answer is C: Talk about experiences they've shared. This option is the most appropriate because reminiscing about past shared experiences can help trigger memories and emotions in the patient with dementia, potentially reducing anxiety and agitation. It can provide comfort and a sense of familiarity to the patient. Wearing a large name tag (option A) may not address the core issue of memory loss. Visiting less often (option B) could lead to further feelings of isolation and confusion for the patient. Option D, None of the above, is incorrect as option C provides a constructive and person-centered approach to improving the interaction between the patient and her daughter.
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. 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 losses, such as the breakup with her boyfriend and the difficulty in making friends at the new university. This is important because these losses may be contributing to her emotional distress and maladaptive coping mechanisms like binge-eating and induced vomiting. The nurse needs to explore these losses to understand the root cause of the student's behavior and provide appropriate support. Choice B: Sleep patterns, and Choice C: School activities are not the priority issues in this scenario. While sleep patterns and school activities are important aspects of the student's life, the primary concern here is addressing the emotional impact of the losses she has experienced. Choice D: None of the above is incorrect because losses are indeed the priority issue that needs to be addressed in this situation. Ignoring the emotional impact of the student's losses could hinder the effectiveness of any interventions or support provided.