ATI RN
Age Specific Care Competency Questions
Question 1 of 5
Which remarks by a 72-year-old patient should prompt the nurse to assess for depression? Select one tha does not apply.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse manager of a mental health center wants to improve medication adherence among the seriously mentally ill persons treated there. Which interventions are likely to help achieve this goal? Select one tha does not apply
Correct Answer: A
Rationale: Trust in ones providers is a key factor in treatment adherence, and mentally ill persons can sometimes take a very long time to develop such trust; therefore, interventions which stabilize staffing allow patients to have more time with staff to develop these bonds. Ready access to prescribers allows medicine-related concerns to be addressed quickly, reducing obstacles to adherence such as side effects or ineffective dosages. Medication costs can be obstacles to adherence as well. Many SMI patients have anosognosia and do not adhere to treatment because they believe they are not ill, so telling them nonadherence will worsen an illness they do not believe they have is unlikely to be helpful. Increasing medication education is helpful only when the cause of nonadherence is a knowledge deficit. Other issues that reduce adherence, particularly anosognosia and side effects, are seldom helped by longer medication education. Requiring medication adherence to participate in other programs is coercive and unethical. Smaller, more frequent doses do not reduce side effects and make the regimen more difficult for the patient to remember.
Question 3 of 5
A nurse is anxious about assessing the sexual history of a patient who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the patient's sexual practices?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the diversity of sexual practices and respects the patient's autonomy in sharing their sexual history. It also allows the patient to openly discuss their pattern without feeling pressured. Choice B is incorrect because it focuses on potential medical problems rather than directly asking about the patient's sexual practices. Choice C is incorrect as it may come across as too intrusive and lacks a non-judgmental approach. Choice D is incorrect as it implies the patient's information will be shared without their consent, which violates patient confidentiality.
Question 4 of 5
A nurse assesses an elderly patient. The nurse should complete the Geriatric Depression Scale if the patient answers which question affirmatively.
Correct Answer: A
Rationale: The correct answer is A because assessing the patient's mood is crucial in detecting depression in the elderly. Depression is common in older adults and can often go undiagnosed. By asking about their mood, the nurse can identify potential signs of depression early on. Choices B, C, and D are incorrect as they do not directly relate to assessing depression. Memory issues (B) may indicate cognitive decline, increased alcohol use (C) could suggest substance abuse, and pain (D) may signal physical health concerns, but they are not specific indicators of depression in the elderly.
Question 5 of 5
A nurse and social worker co-lead a reminiscence group for eight young-old adults. Which activity is most appropriate to include in the group?
Correct Answer: C
Rationale: The correct answer is C. Discussing national leadership during the Vietnam War is most appropriate as it aligns with the reminiscence therapy goal of recalling past experiences to promote social interaction and cognitive stimulation. It is relevant to the age group of young-old adults who may have lived through that era, sparking meaningful discussions. Choice A does not directly relate to reminiscence therapy. Choice B may not resonate with all group members. Choice D focuses on negative news, which is not conducive to the therapeutic purpose.