ATI RN
Age Specific Care Quiz Questions
Question 1 of 5
Which finding is most indicative of refeeding syndrome in a patient with anorexia nervosa?
Correct Answer: B
Rationale: The correct answer is B because refeeding syndrome is characterized by electrolyte imbalances, especially hypophosphatemia, due to rapid reintroduction of nutrition. This can lead to serious complications like cardiac arrhythmias and respiratory failure. Increased energy and mental clarity (A) are not specific to refeeding syndrome. A sudden increase in appetite and food cravings (C) may occur but are not indicative of refeeding syndrome. Rapid weight gain and hypertension (D) are not typically seen in refeeding syndrome.
Question 2 of 5
A psychiatric technician mentions to the nurse, 'All these clients with Axis II problems! It makes me wonder how so many mothers could have been such poor parents and messed up their kids so badly!' The response by the nurse that helps put the development of personality disorders into perspective is:
Correct Answer: C
Rationale: Step-by-step rationale for correct answer (C): 1. Personality disorders are complex and have multifactorial causes. 2. Research suggests a biological component to personality disorders, such as genetic predispositions. 3. This understanding helps to shift the blame away from solely poor parenting. 4. It aligns with the biopsychosocial model, which considers biological, psychological, and social factors. 5. This response promotes a holistic view of personality development. Summary of why other choices are incorrect: A: Shifts focus to gender roles, which is not directly relevant to the etiology of personality disorders. B: Narrowly associates personality disorders with sexual abuse, ignoring other contributing factors. D: Overemphasizes peer interactions over parental influence, which is not supported by extensive research on personality development.
Question 3 of 5
When a patient with a personality disorder uses manipulation as a way of getting needs met, the staff agree to use limit setting as an intervention. How does limit setting work to reduce manipulation?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. External controls, like limit setting, provide structure and predictability for the patient. 2. This security allows the patient to gradually develop internal controls to manage their behavior. 3. By relying on external limits, the patient's need for manipulation decreases over time. 4. This approach fosters growth and autonomy in the patient, reducing the reliance on manipulative behaviors. Summary: A: Incorrect. Limit setting does not indulge attention-seeking behaviors; it establishes boundaries. B: Incorrect. Limit setting does not redirect anger; it focuses on promoting internal control. D: Incorrect. Limit setting does not solely address anxiety; it aims to foster self-regulation.
Question 4 of 5
A worker is characterized by her co-workers as 'painfully shy' and lacking in self-confidence. Her co-workers say she stays in her cubicle all day, never coming out for breaks or lunch. One day after falling on the ice in the parking lot, she goes to the nurse's office, where she apologizes for falling and mentions that she hopes the company will not fire her for being so clumsy. Which nursing approach or response would be most therapeutic?
Correct Answer: B
Rationale: The correct answer is B because it focuses on reassurance and empathy, which are important in therapeutic communication. By reassuring the worker that others have fallen without facing negative consequences, the nurse is validating her feelings and reducing her anxiety. This approach helps build trust and rapport, essential for effective communication and support. Choices A, C, and D are incorrect because they do not address the worker's emotional needs or provide the reassurance she requires. Option A suggests remaining detached, which may come across as uncaring. Option C focuses solely on providing first aid and does not acknowledge the worker's concerns. Option D introduces the fear of potential consequences without providing any reassurance or emotional support, which could increase the worker's anxiety.
Question 5 of 5
A nurse is caring for a patient with bulimia nervosa. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: The correct answer is A. Assisting the patient in identifying triggers for binge-purge cycles is crucial in the treatment of bulimia nervosa. By understanding the triggers, the patient can learn to recognize and manage them effectively, leading to a reduction in the frequency of binge-purge episodes. This intervention helps address the root cause of the disorder and promotes long-term recovery. Choice B is incorrect because solely focusing on achieving a normal weight overlooks the complex psychological factors involved in bulimia nervosa. Choice C is incorrect as providing daily exercise routines may exacerbate the patient's obsession with weight and body image. Choice D is incorrect as discouraging discussions about food can hinder the patient's ability to address their relationship with food and emotions.