ATI RN
Age Specific Populations Questions
Question 1 of 5
You are a nurse meeting for the first time with a stage 3 Alzheimer's patient who is newly referred to your home health agency. Which assessment data about the patient and caregiver(s) would be most important to acquire during your first visit to the family's home?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Ensuring patient safety is a top priority, especially for a stage 3 Alzheimer's patient. 2. Restricting access to exits and stairways can prevent wandering and potential accidents. 3. This assessment is crucial for creating a safe environment for the patient. 4. Understanding the house design is essential for implementing appropriate safety measures. Summary of other choices: B. Understanding the prognosis is important but not as immediately critical as ensuring patient safety. C. Knowing community resources is valuable but not as urgent as addressing safety concerns. D. This choice is incorrect as assessing the house design for safety is crucial in this scenario.
Question 2 of 5
The wife of a client who is being seen in the sleep clinic states that her husband snores terribly at night and that she has to shake him to get him to stop. The client complains of a headache upon wakening and often falls asleep during the day when he sits for long periods. This client is exhibiting signs and symptoms characteristic of:
Correct Answer: C
Rationale: The correct answer is C: Sleep apnea. This client is showing classic signs of obstructive sleep apnea, including loud snoring, waking up with headaches, and excessive daytime sleepiness. Snoring and the need for physical stimulation to stop snoring are common in sleep apnea. The headaches may be due to disrupted sleep patterns and oxygen deprivation. Excessive daytime sleepiness is a result of poor quality sleep. Choice A (Narcolepsy) is incorrect because narcolepsy is characterized by sudden, uncontrollable episodes of falling asleep during the day, often accompanied by cataplexy and sleep paralysis, which are not mentioned in the scenario. Choice B (Parasomnia) is incorrect because parasomnias involve abnormal behaviors during sleep, such as sleepwalking or night terrors, which are not described in the scenario. Choice D (None of the above) is incorrect because the symptoms described align with obstructive sleep apnea.
Question 3 of 5
What is the primary nursing intervention for a patient with anorexia nervosa who is refusing to eat?
Correct Answer: B
Rationale: The correct answer is B because providing firm encouragement and offering small, frequent meals is a supportive approach to help the patient with anorexia nervosa overcome their fear of eating. It helps in gradually reintroducing food, building trust, and establishing a healthier eating pattern. Offering rewards (A) may reinforce unhealthy eating behaviors. Enforcing strict diet control (C) can exacerbate control issues and worsen the patient's condition. Allowing the patient to skip meals (D) can perpetuate malnutrition and reinforce avoidance behaviors.
Question 4 of 5
The nurse is assessing a patient with anorexia nervosa. What is the most important physical examination finding to monitor?
Correct Answer: B
Rationale: The correct answer is B: Height and weight changes. In anorexia nervosa, monitoring height and weight changes is crucial as it reflects the patient's nutritional status and overall health. Weight loss and changes in height can indicate severe malnutrition and potential complications. Blood pressure and heart rate (choice A) can be affected by various factors in anorexia nervosa but may not directly reflect the patient's nutritional status. Skin turgor and hydration status (choice C) are important indicators of hydration levels but may not provide a comprehensive assessment of the patient's nutritional status. Respiratory rate and lung function (choice D) are important, but they may not be the most critical physical examination findings to monitor in anorexia nervosa.
Question 5 of 5
When planning nursing care for a client with a dependent personality disorder, the nurse recognizes which of the following as characteristic behavior for someone with this disorder? The client:
Correct Answer: B
Rationale: The correct answer is B because individuals with dependent personality disorder typically believe they cannot function without the help of others. This is a key characteristic of the disorder as they rely heavily on others for decision-making and day-to-day tasks. This behavior stems from an intense fear of separation and abandonment. Choice A (perceiving behavior as embarrassing) is incorrect as it is more aligned with social anxiety disorder rather than dependent personality disorder. Choice C (exaggerating dangers) is incorrect as it is more characteristic of individuals with anxiety disorders. Choice D (demanding excessive attention) is incorrect as it is more typical of individuals with histrionic personality disorder.