ATI RN
Population Based Health Care Questions
Question 1 of 5
Which behavior is most characteristic of a patient with bulimia nervosa?
Correct Answer: B
Rationale: The correct answer is B because it describes the hallmark behavior of bulimia nervosa, which involves recurrent episodes of binge eating followed by compensatory behaviors such as purging or excessive exercise. This behavior pattern distinguishes bulimia from other eating disorders. Refusal to eat and excessive weight loss (A) is more indicative of anorexia nervosa. Severe caloric restriction and weight obsession (C) are more characteristic of anorexia as well. Compulsive overeating with no attempt to control intake (D) is more aligned with binge eating disorder, not bulimia nervosa.
Question 2 of 5
Which of the following is a common physical sign of anorexia nervosa?
Correct Answer: B
Rationale: The correct answer is B: Severe weight loss and dry skin. In anorexia nervosa, individuals typically experience significant weight loss due to severe restriction of food intake. This leads to a low body weight, which is a key physical sign of the disorder. Dry skin is also common in anorexia nervosa due to malnutrition. Rationale: A: Hypoglycemia and tachycardia are not specific physical signs of anorexia nervosa. While tachycardia (rapid heart rate) can occur due to the stress on the body, it is not as specific as severe weight loss. C: Increased appetite and excessive weight gain are not characteristic of anorexia nervosa, as individuals with this disorder typically have a distorted body image and fear gaining weight. D: High blood pressure and rapid heart rate are not typical physical signs of anorexia nervosa. Anorexia nervosa is more commonly associated with low blood pressure due to mal
Question 3 of 5
A client with a borderline personality disorder tells the nurse, 'My doctor tells me there's something wrong with the hard wiring of my brain, and that's why I'm so impulsive and get so many mood swings. He said he's going to prescribe some medication.' Being aware of current practice guidelines, the nurse will prepare a teaching plan for:
Correct Answer: B
Rationale: The correct answer is B: Fluoxetine. Borderline personality disorder (BPD) is primarily treated with psychotherapy, but in some cases, medication is used to manage symptoms like impulsivity and mood swings. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is commonly used to address mood instability and impulsivity in BPD. SSRIs help regulate serotonin levels in the brain, which can improve mood stability and decrease impulsive behaviors. Lithium (choice A) is used for bipolar disorder, not BPD. Lorazepam (choice C) is a benzodiazepine used for anxiety and not typically recommended for BPD. Haloperidol (choice D) is an antipsychotic used for conditions like schizophrenia and not typically indicated for BPD.
Question 4 of 5
A woman with Alzheimer's disease has significant apraxia and poor hygiene. Which intervention would be most appropriate for ensuring that the patient completes a shower?
Correct Answer: D
Rationale: The correct answer is D because it provides the most direct and hands-on assistance to ensure completion of the shower. By walking her to the shower, assisting with undressing, starting the water, and providing necessary supplies and instructions, the patient is guided through each step of the showering process. This approach is essential for someone with significant apraxia and poor hygiene due to Alzheimer's disease. Choice A is incorrect because simply reminding the patient every 30 minutes may not address the physical assistance needed for shower completion. Choice B is also incorrect as discussing the importance of showers may not be enough to overcome the challenges of apraxia and poor hygiene. Choice C is not as effective as choice D as occasional reminders may not provide the comprehensive assistance required for the patient to successfully complete the shower.
Question 5 of 5
A 72-year-old patient has the medical diagnosis of delirium secondary to anticholinergic medication toxicity. Family members are very anxious and express their concerns about placing the patient in a nursing home. What information should serve as a basis for the nurse's reply?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Delirium is an acute, reversible condition caused by underlying factors like medication toxicity. 2. By addressing the anticholinergic medication toxicity, the delirium can be resolved, leading to recovery. 3. The patient's age does not necessarily indicate a progression to dementia. 4. Placing the patient in a nursing home is not the immediate solution; resolving the toxicity should be the priority. Summary: Choice A is correct because delirium is reversible with appropriate treatment. Choices B, C, and D are incorrect because they do not address the underlying cause of delirium or provide accurate information about its progression or management.