ATI RN
Age Specific Populations Questions
Question 1 of 5
Which of these nursing interventions would be most effective when using an empowerment model of intervention with an individual who has been abused?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the individual's evolving perspective and empowers them to recognize positive changes post-separation. This approach helps the individual build confidence in their decision-making process and fosters self-awareness. Choice A focuses on past actions without addressing the current situation, Choice C uses a confrontational tone that may cause the individual to feel judged or defensive, and Choice D suggests a passive acceptance of returning to an abusive situation without promoting autonomy or self-efficacy.
Question 2 of 5
A 45-year-old married woman who works full time in a factory has recently been absent for 3-day periods on several occasions. Each time, she returned to work wearing dark glasses. Facial and body bruises were apparent. Her supervisor became suspicious that she was a victim of battering and referred her to the occupational health nurse. Which initial inquiry would be most important for the nurse to make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me what has happened to you." This open-ended question allows the woman to share her experience without judgment or assumptions. It shows empathy and respect for her autonomy. It is crucial for the nurse to gather information directly from the patient to understand the situation fully and provide appropriate support. Choice B is incorrect because it assumes the woman's husband is the perpetrator without giving her a chance to disclose the information herself. This can be intimidating and may not lead to a truthful response. Choice C is incorrect because it implies blame on the victim for the abuse, which is not appropriate. It does not focus on providing support or understanding the situation. Choice D is incorrect as it puts the responsibility on the victim to prevent the abuse, which is not a helpful approach. The focus should be on providing support and understanding the victim's situation.
Question 3 of 5
During a treatment team meeting, the point is made that a client with schizophrenia has recovered from the acute psychosis but continues to demonstrate apathy, avolition, and blunted affect. The nurse who relates these symptoms to serotonin (SHT2) excess will suggest that the client receive:
Correct Answer: C
Rationale: Rationale: Olanzapine (Zyprexa) is an atypical antipsychotic that targets multiple neurotransmitter systems, including serotonin. Serotonin excess is associated with symptoms like apathy, avolition, and blunted affect. Olanzapine, by blocking serotonin receptors, can help alleviate these symptoms in schizophrenia. Summary of Incorrect Choices: A: Haloperidol and B: Chlorpromazine are typical antipsychotics that primarily target dopamine receptors, not serotonin. They are more effective for positive symptoms of schizophrenia, not apathy and avolition. D: Phenelzine is a monoamine oxidase inhibitor (MAOI) used for depression and anxiety disorders, not for schizophrenia symptoms related to serotonin excess.
Question 4 of 5
When a patient with paranoid schizophrenia has a recurrence of positive symptoms after stopping his antipsychotic medication because of its postural hypotension (orthostasis) side effect, he is readmitted to the mental health unit. What measure should the nurse suggest to help the patient address this side effect?
Correct Answer: D
Rationale: The correct answer is D because orthostatic hypotension is a common side effect of antipsychotic medications. Elastic support hose can help improve venous return, adequate fluids can prevent dehydration which worsens hypotension, and changing position slowly can prevent sudden drops in blood pressure. This measure directly addresses the side effect. A: Anticholinergic drugs can worsen orthostatic hypotension. B: Chewing gum or using candy does not address the physiological issue of orthostatic hypotension. C: Increasing sleep and rest breaks may help overall well-being but does not directly address orthostatic hypotension.
Question 5 of 5
The physician and advanced practice nurse are considering which antipsychotic medication to prescribe for a patient with schizophrenia who demonstrates auditory hallucinations, apathy, anhedonia, and poor social functioning. The patient is overweight and has hypertension. Bearing these facts in mind, the drug the nurse should advocate would be:
Correct Answer: D
Rationale: The correct answer is D: aripiprazole (Ability). Aripiprazole is a second-generation antipsychotic that is less likely to cause weight gain and metabolic side effects compared to other antipsychotics like clozapine (A), olanzapine (C), and haloperidol (B). Given that the patient is overweight and has hypertension, aripiprazole would be a better choice to minimize the risk of exacerbating these conditions. Additionally, aripiprazole has a lower risk of sedation, which can be beneficial for a patient with apathy and anhedonia, allowing for improved social functioning. Aripiprazole's unique mechanism of action as a partial dopamine agonist can also be advantageous for managing auditory hallucinations in schizophrenia. Therefore, aripiprazole is the most suitable choice for this patient based on their clinical presentation and comorbidities.