ATI RN
Health Care Utilization by Age Group Questions
Question 1 of 5
Which of the following is the most effective strategy to prevent relapse in anorexia nervosa?
Correct Answer: B
Rationale: The correct answer is B because providing a structured meal plan and ongoing emotional support addresses both the physical and psychological aspects of anorexia nervosa. Structured meal plans help establish healthy eating habits, while emotional support addresses underlying triggers and promotes mental well-being. Focusing solely on weight gain (A) neglects the emotional component of the disorder. Encouraging weight loss (C) reinforces harmful behaviors. Limiting food-related discussions (D) does not address the root causes of anorexia nervosa. In summary, B is the most effective strategy as it tackles both the physical and emotional aspects of the disorder.
Question 2 of 5
A nurse is providing care for a patient with anorexia nervosa who has refused to eat. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Provide a structured meal plan and encourage the patient to eat. This is the priority intervention because patients with anorexia nervosa often have a distorted perception of their body and food intake. By providing a structured meal plan, the nurse can help the patient establish a healthy eating routine. Encouraging the patient to eat is crucial to prevent further malnutrition and complications. Choice B is incorrect because allowing the patient to skip meals can worsen their condition and reinforce unhealthy behaviors. Choice C is incorrect because addressing body image concerns should be done in conjunction with addressing the patient's nutritional needs. Choice D is incorrect because monitoring weight without intervening to address the underlying issue of refusal to eat is not sufficient in managing anorexia nervosa.
Question 3 of 5
A client with borderline personality disorder is having difficulty with memories of sexual abuse. She has a history of suicidal gestures, self-mutilation, sexual addiction, and substance addiction. She complains of vague pains, menstrual problems, and headaches. She entered the partial hospital program to prevent another suicide gesture or self-mutilation. The nurse recognizes that collaborative therapy may be helpful for this client and knows that the most useful collaboration in this case would be the client, the nurse, and the:
Correct Answer: A
Rationale: The correct answer is A: Occupational therapist exploring ways to reduce stress. In the case of a client with borderline personality disorder experiencing trauma-related symptoms, such as memories of sexual abuse, the focus is on addressing underlying emotional issues and coping strategies. Collaborative therapy involving the client, nurse, and occupational therapist can be beneficial. The occupational therapist can help the client develop coping skills, manage stress, and improve daily functioning. This approach targets the root of the client's difficulties and provides holistic support. Summary: - Choice B (Physical therapist exploring ways to reduce back pain): This option does not directly address the client's primary concerns related to trauma and emotional distress. - Choice C (Acupuncturist exploring ways to reduce pain): While pain management is important, it does not address the client's complex psychological needs and trauma history. - Choice D (Sexologist exploring healthy sexuality and safe sex): While important in some cases, focusing solely on sexuality does not address the broader range of issues the client
Question 4 of 5
The nurse reports to the interdisciplinary team that an antisocial patient lies to other patients, verbally abuses a patient with Alzheimer's disease, flatters his primary nurse, and is detached and superficial during counseling sessions. Which behavior should be the priority focus of limit setting?
Correct Answer: C
Rationale: The priority focus of limit setting should be on verbally abusing other patients (Choice C) because it directly harms others and creates a hostile environment. This behavior is not only detrimental to the well-being of other patients but also disrupts the therapeutic milieu. Limiting this behavior is crucial to ensure the safety and emotional health of all patients in the care setting. Lying to other patients (Choice A), flattering the nursing staff (Choice B), and being superficial during counseling sessions (Choice D) are concerning behaviors as well, but they do not pose an immediate risk to the safety and well-being of others in the same way that verbal abuse does. It is important to address all inappropriate behaviors, but the priority should be given to the behavior that has the most significant negative impact on the therapeutic environment.
Question 5 of 5
The physician's admission note mentions that a patient has sundown syndrome. The nurse can expect that the patient will:
Correct Answer: C
Rationale: The correct answer is C: manifest confusion and agitation at night. Sundown syndrome refers to a pattern of behavior where individuals with dementia experience increased confusion, agitation, or restlessness in the late afternoon or evening. This is due to disruptions in the person's internal body clock. It is important for the nurse to anticipate and manage these symptoms during the evening shift. Choice A: Chronic fatigue is not a typical symptom of sundowning. Choice B: Extreme lethargy at night is not a common feature of sundown syndrome. Choice D: Being more alert between 6 PM and 11 PM is not characteristic of sundowning, as individuals with this syndrome typically experience worsening symptoms during these hours.