ATI RN
Population Based Health Care Questions
Question 1 of 5
Which intervention would be most appropriate for a patient with bulimia nervosa who is at risk for electrolyte imbalance?
Correct Answer: A
Rationale: The correct answer is A: Offering the patient water or an electrolyte replacement solution. This intervention is appropriate because patients with bulimia nervosa are at risk for electrolyte imbalances due to purging behaviors. Providing water or electrolyte replacement solution helps to replenish lost electrolytes and maintain proper balance. Option B is incorrect as excessive physical activity can further deplete electrolytes. Option C is inappropriate as administering a diuretic can worsen electrolyte imbalances. Option D is also incorrect as withholding food can exacerbate the patient's condition and increase the risk of electrolyte imbalances.
Question 2 of 5
According to Freud, an individual who experiences problems during the phallic stage of development may have a poorly developed superego. This construct is most relevant to planning care for a client who has the DSM-IV-TR diagnosis of:
Correct Answer: D
Rationale: Step 1: Freud's phallic stage is when the superego develops. Step 2: Antisocial personality disorder is associated with a poorly developed superego. Step 3: Individuals with antisocial personality disorder often lack empathy and have a disregard for rules. Step 4: This behavior aligns with Freud's concept of a weak superego. Step 5: Therefore, the correct answer is D, Antisocial personality disorder. Summary: A: Obsessive-compulsive personality disorder is characterized by perfectionism, not related to a weak superego. B: Schizoid personality is marked by social detachment, not directly linked to superego development. C: Borderline personality disorder involves instability in relationships and self-image, not specifically tied to superego development.
Question 3 of 5
Which of the following behaviors is most consistent with bulimia nervosa?
Correct Answer: B
Rationale: The correct answer is B: Binge eating followed by vomiting or use of laxatives. This behavior is most consistent with bulimia nervosa as it involves recurrent episodes of binge eating followed by compensatory behaviors like self-induced vomiting or laxative use. This pattern of behavior is a key diagnostic criteria for bulimia nervosa. A: Severe food restriction and extreme weight loss is more indicative of anorexia nervosa, not bulimia nervosa. C: Excessive exercise and rigid dietary rules may be seen in various eating disorders, but it is not specific to bulimia nervosa. D: Overeating without attempts to control food intake is more characteristic of binge eating disorder, not bulimia nervosa.
Question 4 of 5
A psychiatric technician asks the nurse to explain the difference between schizotypal personality disorder and schizophrenia. The information that should serve as the basis for the nurse's response is the fact that with schizotypal personality disorder:
Correct Answer: B
Rationale: The correct answer is B: There may be misinterpretation of events but not psychosis. In schizotypal personality disorder, individuals may have odd beliefs, behaviors, and experiences, leading to misinterpretation of events, but they do not typically experience full-blown psychosis as seen in schizophrenia. This is a key distinction between the two disorders. Choice A is incorrect because schizophrenia is characterized by more severe disorganization of thoughts and behaviors. Choice C is incorrect as individuals with schizotypal personality disorder typically do not require long hospitalizations compared to those with schizophrenia. Choice D is incorrect as individuals with schizotypal personality disorder tend to be more socially isolated and have difficulty forming close relationships.
Question 5 of 5
A patient with antisocial personality disorder tells Nurse A, 'You're a much better nurse than Nurse B said you were.' The patient tells Nurse B, 'Nurse A's upset with you for some reason.' To Nurse C the patient states, 'You'd like to think you're perfect, but I've seen three of your mistakes this morning.' Which nursing intervention would be most helpful for addressing this behavior?
Correct Answer: A
Rationale: The correct answer is A: Hold a weekly staff meeting to discuss feelings and conflicts related to such behavior. This intervention promotes open communication among staff members to address and understand the patient's behavior. It allows for collaboration in managing challenging situations and ensures consistency in approach. Confronting the patient (B) may escalate the behavior and damage the therapeutic relationship. Ignoring inappropriate behavior (C) does not address the underlying issues and may lead to staff frustration. Evaluating for medication increase or transfer (D) should be considered only after non-pharmacological interventions have been exhausted.