ATI RN
Age Specific Populations Questions
Question 1 of 5
Which personality characteristic is most likely in a patient with anorexia nervosa?
Correct Answer: B
Rationale: Perfectionism is the most likely personality characteristic in a patient with anorexia nervosa because individuals with this disorder often exhibit an intense desire for control, rigid thinking patterns, and a relentless pursuit of thinness. This perfectionistic trait can manifest as strict adherence to self-imposed rules around food intake and excessive exercise. Open displays of emotion (choice A) are less common due to emotional suppression related to the disorder. Optimism (choice C) is unlikely as anorexia nervosa is associated with negative self-perceptions and low self-esteem. Flexibility (choice D) is also unlikely due to the rigid and inflexible behaviors typical of individuals with anorexia nervosa.
Question 2 of 5
A depressed patient is to have his first electroconvulsive therapy (ECT) session tomorrow morning. Which intervention would routinely be implemented in preparing the patient for treatment?
Correct Answer: B
Rationale: The correct answer is B: Advising the patient that memory loss is usually transient. This is because memory loss is a common side effect of ECT, but it is typically temporary and resolves after treatment. It is important to prepare the patient for potential memory issues to reduce anxiety and manage expectations. Choices A, C, and D are incorrect because explaining the number of treatments needed, preparing for restraint, or suggesting ECT will end depression are not standard interventions in preparing a patient for ECT.
Question 3 of 5
A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which nursing intervention should receive the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Conducting passive range-of-motion exercises. This intervention is the highest priority because it addresses the physical needs of the patient by preventing complications such as muscle stiffness and contractures due to prolonged immobility. Passive range-of-motion exercises also promote circulation and prevent pressure ulcers. Choice B is incorrect because excessive stimuli can overwhelm the patient. Choice C is incorrect as it assumes the patient is responding when they may not be. Choice D is incorrect as the patient may not be ready or able to participate in activities due to their catatonic state.
Question 4 of 5
A 34-year-old client with residual schizophrenia frequently displays ambivalence. The community mental health nurse suggests that a realistic short-term outcome for this client problem is that client will:
Correct Answer: D
Rationale: The correct answer is D: Choose between two outfits to wear each morning. This outcome is realistic because it focuses on a concrete and manageable task that the client can achieve, promoting independence and decision-making skills. It also addresses the issue of ambivalence by providing the client with limited choices, which can help reduce anxiety and facilitate decision-making. A: Decide his or her own daily schedule - This option may be too overwhelming for a client with residual schizophrenia and may not directly address the issue of ambivalence. B: Refuse to attend activities - This option is negative and does not promote progress or independence for the client. C: Choose which clinic staff member to work with - This option may not be directly related to the client's ambivalence or daily functioning, making it less relevant as a short-term goal.
Question 5 of 5
A client with paranoid schizophrenia has said she feels like throwing a chair. The nurse in the dayroom hears this and wishes to encourage verbalization as a desecalation technique. Which response by the nurse would fulfill this plan?
Correct Answer: A
Rationale: The correct answer is A because it encourages the client to express their feelings verbally, promoting communication and potentially preventing escalation of behavior. By saying "Tell me what's going on," the nurse acknowledges the client's emotions and creates a safe space for them to talk. Option B threatens restraint, likely increasing tension. Option C may come off as confrontational. Option D distracts from the immediate need for the client to process their feelings.