ATI RN
Population Based Care Questions
Question 1 of 5
While performing an assessment, the nurse says to a patient, 'While growing up, most of us heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?' The purpose of this question is to
Correct Answer: D
Rationale: The correct answer is D: identify sexual misinformation. The nurse's question aims to uncover any misconceptions or false information the patient may have received about sexual matters in the past. By identifying these misinformation, the nurse can address and correct them to promote the patient's sexual health and well-being. Explanation: 1. The nurse's question specifically targets the patient's recollection of "half-truths about sexual matters," indicating a focus on misinformation. 2. By asking the patient if any of these half-truths still puzzle them as adults, the nurse seeks to identify areas where the patient may have received incorrect information. 3. Addressing sexual misinformation is crucial for promoting accurate knowledge, healthy attitudes, and behaviors related to sexuality. Summary: A: Incorrect. The question does not directly aim to identify areas of sexual dysfunction for treatment. B: Incorrect. The question does not target determining possible homosexual urges but rather focuses on uncovering sexual misinformation. C: Incorrect. The question does not introduce the
Question 2 of 5
In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and close friend. The patient has no other family and only a few acquaintances in the community. The nurse's priority is to determine whether which nursing diagnosis applies to this patient?
Correct Answer: A
Rationale: The correct answer is A: Risk for suicide related to recent deaths of significant others. This is the priority because the patient's recent losses put them at high risk for suicide. The nurse must assess the patient's risk level and provide appropriate interventions to prevent harm. Choices B, C, and D are incorrect because anxiety and social isolation are secondary concerns compared to the immediate risk of suicide. Spiritual distress, while important, does not take precedence over the patient's safety.
Question 3 of 5
A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?
Correct Answer: D
Rationale: The correct answer is D because it reflects a key principle of cognitive therapy, which is challenging distorted thoughts and beliefs. In this statement, the nurse is helping the patient recognize that being thin has not resolved their underlying unhappiness. This challenges the patient's belief that thinness equals happiness, promoting insight and cognitive restructuring. A: This statement focuses on emotions related to food and preparation, not directly challenging distorted thoughts. B: This statement focuses on self-esteem related to eating, not directly challenging distorted thoughts. C: This statement addresses the difficulty of sharing personal information, not directly challenging distorted thoughts.
Question 4 of 5
Which theme is most likely during family therapy with parents, siblings, and a teen patient with anorexia nervosa who engages in provocative behavior?
Correct Answer: C
Rationale: The correct answer is C: Competition between the patient and father. In family therapy with a teen patient with anorexia nervosa, the theme of competition between the patient and a parental figure, often the father, can be prominent. The rationale is that the father's influence and expectations can contribute to the teen's feelings of inadequacy and drive for control through anorexic behaviors. This dynamic can be explored and addressed in therapy to improve family relationships and support the patient's recovery. A: Stable coalitions between family members - This is less likely as anorexia nervosa often disrupts family dynamics. B: Interpreting negative messages as positive - While this can be a relevant theme, it is not as central to the specific scenario described. D: Lack of trust in the patient by family members - While trust issues may exist, the theme of competition is more relevant in this context.
Question 5 of 5
A woman became severely depressed when the last of her six children moved out of the home 4 months ago. Since then she has neglected to care for herself, sleeps poorly, lost weight, and repeatedly states, "No one cares about me anymore. I'm worthless." After hospitalization, the nursing diagnosis of situational low self-esteem related to feelings of abandonment was identified. The nurse wishes to reinforce the patient's self-esteem by acknowledging the improvement in her personal appearance. She's wearing a new dress and has combed her hair. The most appropriate remark would be:
Correct Answer: A
Rationale: The correct answer is A because it directly compliments Mrs. J's personal appearance, reinforcing her self-esteem. By stating "You look very nice this morning, Mrs. J," the nurse acknowledges and validates Mrs. J's efforts to improve her appearance, which can help boost her self-esteem. Choice B focuses solely on the dress, not directly addressing Mrs. J's overall appearance. Choice C may come across as insincere or too focused on the transformation rather than Mrs. J herself. Choice D, while acknowledging the hair and dress, lacks the personal and direct compliment needed to reinforce self-esteem effectively. In summary, choice A is the best option as it provides a genuine and direct compliment that can positively impact Mrs. J's self-esteem.