ATI RN
Population Based Health Care Questions
Question 1 of 5
Which intervention is appropriate for a patient who has anorexia nervosa and is resisting weight gain?
Correct Answer: A
Rationale: The correct answer is A because assisting the patient to identify triggers to binge eating is crucial in addressing the resistance to weight gain in anorexia nervosa. By understanding the triggers, the patient can work on overcoming them and develop healthier eating habits. Option B is incorrect as providing remedial consequences for weight loss may exacerbate the issue. Option C is incorrect as impulsive eating is not the main concern in anorexia nervosa. Option D is incorrect as exploring needs for health teaching does not directly address the resistance to weight gain in anorexia nervosa.
Question 2 of 5
A client in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been feeling anxious. For what other condition should the nurse assess this client?
Correct Answer: A
Rationale: Step 1: The client disclosed feeling anxious. Step 2: Anxiety is a common comorbidity with irritable bowel syndrome. Step 3: Assessing for anxiety allows for holistic treatment. Step 4: Anxiety can impact the client's physical health. Step 5: Therefore, assessing for anxiety is crucial. Summary: B: Depression - While depression is important, the client disclosed anxiety. C: Eating disorder - Not directly related to the client's disclosure. D: None of the above - Incorrect, as assessing for anxiety is necessary.
Question 3 of 5
The nurse performs a functional assessment of a client upon admission to a home health agency. The purpose of this assessment is to determine the client's:
Correct Answer: B
Rationale: Rationale: 1. Functional assessment evaluates client's ability to perform ADLs. 2. Assessing ADLs helps determine client's independence level. 3. Independence in ADLs impacts care planning and interventions. 4. Level of consciousness (A) is related to neurological status, not functional ability. 5. Reasoning, judgment (C) are cognitive functions, not directly related to ADLs. 6. "None of the above" (D) excludes the correct purpose of functional assessment.
Question 4 of 5
An 83-year-old man becomes lost while driving. He pulls into a driveway to turn around and cannot figure out how to put his car in reverse, so he drives into the yard, makes a circle, and drives back out of the driveway. He is stopped by police, who take him to the emergency department. The physician diagnoses him with Alzheimer's disease and refers him to the neurology clinic for follow-up. Given this diagnosis, which behaviors should the clinic nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: Does not know today's date. This behavior is commonly associated with Alzheimer's disease due to memory impairment. The inability to recall the current date is a key symptom of cognitive decline. In this case, the man's difficulty with reversing his car and getting lost are indicative of cognitive impairment. Choice B, Unable to shower without help, is a functional impairment and not specific to Alzheimer's disease. Choice C, Denial of mental impairment, may occur in some individuals with Alzheimer's but is not a consistent behavior. Choice D, None of the above, is incorrect as memory deficits, such as not knowing the date, are commonly seen in Alzheimer's disease.
Question 5 of 5
One bed is available on the eating disorders unit. Which patient should be admitted? The patient whose assessment findings show the weight dropped from:
Correct Answer: A
Rationale: The correct answer is A because the patient has experienced a significant weight drop from 150 to 102 pounds over a 4-month period. This represents a loss of 48 pounds over a relatively longer period, indicating a more severe and prolonged issue with weight loss. The other choices show weight drops of 30 pounds over 3 months (B) and 30 pounds over 2 months (C), which are also concerning but not as severe or long-lasting as the situation described in choice A. Choice D is incorrect as at least one patient should be admitted based on the information provided.