ATI RN
Age Specific Populations Questions
Question 1 of 5
Which of the following is an appropriate nursing intervention for a patient with anorexia nervosa?
Correct Answer: A
Rationale: The correct answer is A because promoting gradual weight gain through a structured meal plan is essential in treating anorexia nervosa. This intervention helps the patient restore their nutritional status and physical health. By providing a structured meal plan, the patient can slowly increase their caloric intake, leading to healthy weight gain. This approach also helps address the underlying psychological and emotional issues associated with the eating disorder. Encouraging the patient to restrict calorie intake (B) is harmful as it perpetuates the cycle of malnutrition. Offering emotional support without addressing food-related behaviors (C) neglects the crucial aspect of nutritional rehabilitation. Focusing on daily exercise (D) may exacerbate the patient's physical health and reinforce unhealthy behaviors.
Question 2 of 5
A nurse is caring for a patient with bulimia nervosa who is experiencing frequent purging. What is a priority assessment?
Correct Answer: A
Rationale: The correct answer is A, to monitor electrolyte levels and cardiac function. This is a priority assessment because frequent purging in bulimia nervosa can lead to electrolyte imbalances and cardiac complications, such as arrhythmias and heart failure. Monitoring these parameters is crucial for early detection and intervention to prevent serious health consequences. Observing for signs of dehydration and low blood pressure (Choice B) is important but not as critical as monitoring electrolyte levels and cardiac function. Assessing for compulsive exercise behaviors (Choice C) and monitoring changes in eating patterns and food preferences (Choice D) are also relevant but secondary to the immediate risk of electrolyte imbalances and cardiac issues.
Question 3 of 5
What is the primary concern when a patient with bulimia nervosa engages in frequent purging?
Correct Answer: A
Rationale: The correct answer is A: Electrolyte imbalances and dehydration. Purging behaviors in bulimia nervosa, such as self-induced vomiting or laxative abuse, can lead to electrolyte imbalances and dehydration due to loss of essential minerals and fluids. This can result in serious medical complications like cardiac arrhythmias and kidney damage. The other choices are incorrect because B is unrelated to purging behaviors, C is unlikely as purging does not improve body image or self-esteem, and D is incorrect as purging actually increases the risk of gastrointestinal complications.
Question 4 of 5
A client is admitted to a day hospital following an episode in which he purchased a gun to use while standing guard over his property to prevent a neighbor from erecting a boundary fence. His wife describes him as distrustful of the motives of others and often interpreting others' motives as threats. She mentions that one time he accused her of having an affair with a neighbor with whom she chatted occasionally. The care plan will list the priority outcome as 'Client will:
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Building trust is essential in therapeutic relationships. 2. The client's distrustful nature and misinterpretation of others' motives indicate a lack of trust. 3. By demonstrating trust in the nurse, the client can begin to address his issues with mistrust. 4. Trust in the nurse can lead to better communication and engagement in therapy. 5. Trust in the nurse is foundational for therapeutic progress and successful outcomes. Summary of why other choices are incorrect: - Choice A: Admitting his action was excessive is important but does not address the underlying issue of trust. - Choice B: Writing a letter of apology to the neighbor does not directly address the client's trust issues. - Choice D: Identifying positive role models may be helpful, but building trust with the nurse is more immediate and directly related to the client's current issues.
Question 5 of 5
You are a nurse meeting for the first time with a stage 3 Alzheimer's patient who is newly referred to your home health agency. Which assessment data about the patient and caregiver(s) would be most important to acquire during your first visit to the family's home?
Correct Answer: A
Rationale: Step 1: Ensuring patient safety is the top priority in caring for a stage 3 Alzheimer's patient in a home setting. Step 2: Restricting access to exits and stairways is crucial to prevent the patient from wandering or falling. Step 3: This assessment data is essential for implementing safety measures and preventing potential harm to the patient. Step 4: Choices B, C, and D, while important, do not directly address the immediate safety concerns of the patient.