ATI RN
Population Based Care Questions
Question 1 of 5
Which of the following is a priority intervention for a patient with bulimia nervosa who has been purging?
Correct Answer: B
Rationale: The correct answer is B: Assess and monitor the patient's electrolyte levels. This is the priority intervention because purging in bulimia nervosa can lead to electrolyte imbalances, which can be life-threatening. Monitoring electrolyte levels is crucial to prevent complications such as cardiac arrhythmias or organ damage. A: Ensuring access to therapy and counseling is important but not the priority in this case where immediate medical attention is needed for potential electrolyte imbalances. C: Encouraging a balanced diet is essential in the long term but not the immediate priority when dealing with the potential medical complications of purging. D: Providing education about dangers is important, but it is not the most critical intervention at this moment compared to monitoring electrolyte levels.
Question 2 of 5
Priority nursing interventions for a client with borderline personality disorder who has a history of self-mutilation and is currently angry, irritable, and impulsive would be:
Correct Answer: A
Rationale: The correct answer is A: Establishing a contract for safety with the client. This is the priority intervention as it focuses on ensuring the client's immediate safety. By setting up a contract for safety, the nurse can collaborate with the client on identifying warning signs and developing a plan to prevent self-harm. Choice B (Teaching the client ways to manage anger) and Choice C (Helping the client tolerate feelings) are important interventions but may not be as urgent as ensuring the client's safety in this scenario. Choice D (Implementing behavioral modification) is not the priority because the client's safety needs to be addressed first before focusing on behavioral changes.
Question 3 of 5
Which statement by a patient with bulimia nervosa suggests the need for further education?
Correct Answer: C
Rationale: The correct answer is C because it indicates a lack of awareness about the harmful consequences of purging. The statement suggests a rationalization of continuing the harmful behavior, showing a need for further education on the risks associated with purging. Choice A demonstrates understanding of the harm, B shows progress in controlling binge eating, and D acknowledges the potential benefits of therapy. Educating the patient about the dangers of purging is crucial in addressing their condition effectively.
Question 4 of 5
What is an appropriate goal for a nurse working with a patient who has bulimia nervosa?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Eliminating purging behaviors addresses the primary symptom of bulimia nervosa. 2. Establishing healthy eating habits promotes long-term recovery and overall well-being. 3. Focusing on behavior change rather than weight control aligns with evidence-based treatment. 4. This goal is client-centered, prioritizing the patient's mental and physical health. Summary: A: Focusing solely on exercise does not address the root cause of bulimia. C: Emphasizing weight maintenance may reinforce unhealthy body image and behaviors. D: Adopting a restrictive diet can exacerbate disordered eating patterns and harm health.
Question 5 of 5
Which behaviors would indicate the need for further assessment to consider avoidant personality disorder?
Correct Answer: A
Rationale: Step 1: Withholding of feelings is a key feature of avoidant personality disorder, indicating difficulty in expressing emotions. Step 2: Low self-esteem is also characteristic, as individuals with this disorder often feel inadequate and inferior. Step 3: Insistence on others conforming to own methods (B) is more indicative of narcissistic personality disorder. Step 4: Engaging in impulsive acts like unsafe sex (C) is more aligned with borderline personality disorder. Step 5: Initial charm dissolving into coldness and blaming others (D) is a trait of antisocial personality disorder.