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ATI RN · ATI Mental Health · Health Care Utilization by Age Group

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client has been diagnosed with a dementia secondary to cerebral disease. The family members note the client 'has not been as sharp as he once was' and that he has developed urinary incontinence and a gait disturbance. They attributed the first symptom to normal aging but were alarmed by the latter two symptoms. Based on this history, which of the following should come to mind?

A. Normal pressure hydrocephalus
B. Vitamin B12 deficiency
C. Hepatic disease
D. Tuberculosis

Expert Explanatory Rationale

Correct Answer: Normal pressure hydrocephalus

Question 2 of 5

The highest priority for assessment by nurses caring for older adults who self-administer medications is

A. use of multiple drugs with anticholinergic effects.
B. overuse of medications for erectile dysfunction.
C. missed doses of medications for arthritis.
D. trading medications with acquaintances.

Expert Explanatory Rationale

Correct Answer: use of multiple drugs with anticholinergic effects.

Question 3 of 5

A 10-year-old boy presents with a history of central abdominal pain of a few hours' duration. On examination he has minimal tenderness in the right iliac fossa and no abnormal findings on rectal examination. Which of the following alternatives should be carried out?

A. Arrange a barium meal follow through.
B. Arrange to see the patient later on in the day for review.
C. Send the patient away with instructions to return if the pain becomes worse.
D. Tell the patient to come back in a week.

Expert Explanatory Rationale

Correct Answer: Arrange to see the patient later on in the day for review.

Question 4 of 5

Which of the following signs indicates that a patient with an eating disorder may need immediate hospitalization?

A. Serum potassium level of 3.2 mEq/L
B. Body mass index (BMI) of 18.5
C. Noncompliance with meal plans
D. Low energy and fatigue

Expert Explanatory Rationale

Correct Answer: Serum potassium level of 3.2 mEq/L

Question 5 of 5

The caregiver for a client with moderate to severe dementia tells the nurse, 'I'm exhausted. He wanders at night instead of sleeping, so I get no rest. I'm afraid to leave him during the day, so I have to take him to the grocery store and to the laundromat. When I'm busy there, he often wanders off. Still, I have to do it all.' The nurse recognizes the need to provide teaching for this caregiver. An appropriate outcome is that the caregiver will:

A. Develop strategies to ensure the client's safety.
B. Seek respite care to get a break.
C. Join a support group for caregivers.
D. None of the above.

Expert Explanatory Rationale

Correct Answer: Develop strategies to ensure the client's safety.

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