ATI RN
Age Specific Populations Questions
Question 1 of 5
When a patient with paranoid schizophrenia has a recurrence of positive symptoms after stopping his antipsychotic medication because of its postural hypotension (orthostasis) side effect, he is readmitted to the mental health unit. What measure should the nurse suggest to help the patient address this side effect?
Correct Answer: D
Rationale: The correct answer is D because orthostatic hypotension is a common side effect of antipsychotic medications. Elastic support hose can help improve venous return, adequate fluids can prevent dehydration which worsens hypotension, and changing position slowly can prevent sudden drops in blood pressure. This measure directly addresses the side effect. A: Anticholinergic drugs can worsen orthostatic hypotension. B: Chewing gum or using candy does not address the physiological issue of orthostatic hypotension. C: Increasing sleep and rest breaks may help overall well-being but does not directly address orthostatic hypotension.
Question 2 of 5
The plan of care for a patient who has demonstrated outbursts of physical violence against his family when frustrated, followed by periods of remorse after each outburst, would be considered successful when the patient:
Correct Answer: A
Rationale: The correct answer is A because expressing frustration verbally instead of physically shows progress in managing emotions constructively. This approach helps prevent harm and promotes effective communication. Choice B doesn't address immediate behavior change. Choice C focuses on explaining behavior rather than changing it. Choice D is more about self-awareness and coping strategies, which is important but doesn't directly address the violent behavior.
Question 3 of 5
A rape victim asks a nurse, "How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and understanding towards the victim by helping them differentiate between vulnerability and blame. By supporting the victim in separating these issues, the nurse can empower them to recognize that the assault was not their fault, thus promoting healing and recovery. Choice B is incorrect because making decisions for the victim undermines their autonomy and does not address the victim's emotional needs. Choice C is incorrect as it offers false reassurance and does not address the victim's feelings of guilt or self-blame. Choice D is incorrect as it may come off as interrogative and could potentially retraumatize the victim by making them feel responsible for the assault.
Question 4 of 5
A victim of a violent rape was treated in the emergency department. As discharge preparation begins, the victim says softly, "I will never be the same again. I can't face my friends. There is no reason to go on." Select the nurse's most appropriate response.
Correct Answer: A
Rationale: The correct answer is A: "Are you thinking of harming yourself?" This response is the most appropriate because the victim is expressing hopelessness and suicidal ideation, which indicates a need for immediate intervention and assessment for safety. By asking directly about self-harm, the nurse can assess the severity of the situation and take appropriate actions to ensure the victim's safety. Summary of other choices: B: This response minimizes the victim's feelings and does not address the seriousness of the situation. C: This response ignores the victim's emotional distress and does not address the potential for self-harm. D: This response dismisses the victim's current feelings and does not provide immediate support for the expressed hopelessness.
Question 5 of 5
To provide nursing care to abused children and their families, the nurse must first:
Correct Answer: D
Rationale: The correct answer is D because examining personal feelings regarding the trauma of child abuse and neglect is crucial for nurses to provide effective care without bias or judgment. Understanding one's emotions enables empathetic and non-judgmental care. Choice A is important but not the first step. Choice B should only be considered after a thorough assessment. Choice C is not the nurse's primary responsibility; they should actively participate in the care.