ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
Which is a common physical finding in patients with bulimia nervosa?
Correct Answer: C
Rationale: The correct answer is C, dental enamel erosion and swollen parotid glands, in patients with bulimia nervosa. This is due to frequent self-induced vomiting. Enamel erosion is caused by stomach acid exposure during vomiting. Swollen parotid glands result from repeated purging. Choices A, B, and D are incorrect because low blood pressure and bradycardia are more common in anorexia nervosa, hyperactivity and increased energy are not typical in bulimia nervosa, and constipation and abdominal bloating are not specific to this disorder.
Question 2 of 5
A client with antisocial personality disorder yells, 'Shut up about that, or I'll punch you in the nose!' and shakes his fist at another client in a group meeting after the client speaks negatively of illicit drug use. The nurse quickly determines that the client is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best approach for the nurse to use?
Correct Answer: C
Rationale: The correct answer is C: Explore alternate ways to handle frustrating topics in the group. This approach focuses on addressing the underlying issue of the client's aggressive behavior by finding healthier ways to manage emotions and conflicts. It promotes therapeutic communication and helps the client develop coping strategies. Secluding the client (choice A) may escalate the situation and reinforce negative behavior. Putting the client in restraints (choice B) is a physical intervention that should only be used as a last resort for safety reasons. Telling the client to leave the group (choice D) may not address the root cause of the behavior and could lead to further isolation and resentment. Ultimately, exploring alternate ways to handle frustrating topics is the most therapeutic and effective approach in this scenario.
Question 3 of 5
What is a key consideration when treating a patient with anorexia nervosa?
Correct Answer: C
Rationale: The correct answer is C because addressing the psychological and emotional factors is crucial in treating anorexia nervosa. This disorder is not solely about weight or food intake; it often involves deeper psychological issues such as body image distortion, low self-esteem, and control issues. By focusing on the underlying psychological and emotional factors, therapists can help patients understand and cope with these issues, leading to more effective and sustainable recovery. Choices A, B, and D are incorrect because they overlook the complexity of anorexia nervosa and may even exacerbate the patient's condition by neglecting the root causes of the disorder.
Question 4 of 5
The client tells the nurse, 'I thought my psychiatrist was the best doctor in the world. I thought he understood me completely. Now, I hate him! He doesn't understand me at all. He's just dumping me to go on a 2-week vacation.' The nurse assesses the client's description of feelings about the physician as evidence of the use of:
Correct Answer: A
Rationale: The correct answer is A: Splitting. Splitting is a defense mechanism where a person sees things as all good or all bad, leading to extreme shifts in perception. In this case, the client initially viewed the psychiatrist as the best doctor but now hates him completely due to feeling abandoned. This sudden shift from idealization to devaluation is characteristic of splitting. Choice B: Projective identification involves attributing one's own unacceptable feelings or traits onto another. This is not evident in the client's description. Choice C: Isolation of affect refers to separating emotions from their source. The client is expressing strong emotions towards the psychiatrist, not isolating them. Choice D: Dissociation involves a disruption in consciousness, memory, identity, or perception. The client is not displaying symptoms of dissociation in this scenario.
Question 5 of 5
A patient tells a nurse, 'The others won't give me my pain meds early, but you are more understanding, you know what it's like to be in pain, and you don't want to see your patients suffer. Could you find a way to get me my pill now? I won't tell anyone.' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Rationale: - Choice D is the correct response because it acknowledges the patient's pain, shows empathy, and educates on the importance of safe medication administration. - Step 1: Acknowledge the patient's pain to validate their feelings. - Step 2: Express understanding but emphasize safety concerns to educate the patient on responsible medication use. - Step 3: Maintain boundaries by emphasizing the importance of safe medication practices. - Other Choices: - A: Ignoring the patient's request can create distrust and may not address the underlying issue of pain management. - B: Delaying the response by involving the doctor may increase the patient's anxiety and does not address the safety concern. - C: Simply stating that it is unsafe without providing further explanation or addressing the patient's concerns lacks empathy and education.