ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
When a victim of sexual assault is discharged from the emergency department, the nurse should:
Correct Answer: D
Rationale: The correct answer is D because providing referral information verbally and in writing ensures that the victim has access to appropriate resources for follow-up care and support. This step is crucial in helping the victim navigate the emotional and physical aftermath of the assault. A: Notifying the patient's family without the patient's consent could violate the patient's privacy and autonomy. B: While offering to stay with the patient shows support, it may not always be feasible and may not address the victim's long-term needs. C: Advising the patient to try not to think about the assault is dismissive of their trauma and does not provide constructive support.
Question 2 of 5
A new nurse asks the experienced nurse who is caring for a battered woman client, 'Why did you ask about culture when it was obvious you needed to focus on the battering?' The experienced nurse should respond:
Correct Answer: C
Rationale: Rationale: - Choice C is correct because culture influences how individuals perceive and respond to violence, impacting their help-seeking behaviors and coping mechanisms. - Understanding the client's cultural background is crucial for providing appropriate care and support. - Choices A, B, and D are incorrect as they do not address the importance of considering culture in understanding and addressing domestic violence in this context.
Question 3 of 5
A client has been diagnosed with a dementia secondary to cerebral disease. The family members note the client 'has not been as sharp as he once was' and that he has developed urinary incontinence and a gait disturbance. They attributed the first symptom to normal aging but were alarmed by the latter two symptoms. Based on this history, which of the following should come to mind?
Correct Answer: A
Rationale: Step 1: The client presents with urinary incontinence and a gait disturbance, suggestive of normal pressure hydrocephalus (NPH) due to cerebral disease. Step 2: NPH is characterized by the triad of cognitive decline, gait disturbances, and urinary incontinence. Step 3: Symptoms of NPH can mimic normal aging but are distinct from other conditions. Step 4: Vitamin B12 deficiency (B) primarily presents with anemia and neurological symptoms, not the triad seen in NPH. Step 5: Hepatic disease (C) typically presents with symptoms related to liver dysfunction, not the triad of NPH. Step 6: Tuberculosis (D) manifests with respiratory symptoms and constitutional symptoms, not the cognitive decline and gait issues seen in NPH.
Question 4 of 5
The intervention of highest priority for a client with stage 3 Alzheimer's disease is to:
Correct Answer: B
Rationale: The correct answer is B because maintaining hydration and nutrition is crucial for the client's overall well-being and health in stage 3 Alzheimer's. Dehydration and malnutrition can lead to serious complications. Providing a stimulating environment (choice A) may be beneficial but not the highest priority. Setting limits on behavioral disinhibition (choice C) may be challenging due to the progression of the disease. Promoting self-care activities (choice D) may not be feasible as the client's cognitive abilities decline. Maintaining hydration and nutrition is essential for the client's survival and quality of life.
Question 5 of 5
The affective losses of Alzheimer's disease refer to losses noticed in the individual's:
Correct Answer: A
Rationale: The affective losses of Alzheimer's disease refer to changes in emotions and mood, impacting personality traits. This is because the disease affects areas of the brain responsible for regulating emotions. Personality changes are commonly observed in individuals with Alzheimer's. Thought processes (choice B) are more related to cognitive decline, while ability to make and carry out plans (choice C) and self-care (choice D) are more associated with functional decline. Therefore, choice A is correct as it specifically addresses the affective aspect of the disease.