Age Specific Care · NurseQuizzes

ATI RN · Age Specific Care

Question 1 of 83

If a person suffering from schizophrenia has an identical twin, that twin

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ATI RN · Age Specific Care

Question 2 of 83

Which statements most clearly indicate the speaker views mental illness with stigma? Select one tha does not apply.

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ATI RN · Age Specific Care

Question 3 of 83

Which statement would indicate the use and abuse of power in a violent family situation?

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ATI RN · Age Specific Care

Question 4 of 83

A patient has not come out of her room for breakfast. The nurse finds the patient moving restlessly about her room in a disorganized manner. The patient is talking to herself, and her verbal responses to the nurse are nonsensical and suggest disorientation. The nurse notices that the patient's skin is hot and dry, and her pupils are somewhat dilated. All these symptoms are significant departures from the patient's recent presentation. The patient is likely experiencing _____, and the nurse should _____.

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ATI RN · Age Specific Care

Question 5 of 83

Which service would be expected to provide resources 24 hours a day, 7 days a week if needed for persons with serious mental illness?

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ATI RN · Age Specific Care

Question 6 of 83

A nurse is working with a patient diagnosed with bulimia nervosa. Which of the following would indicate the need for further education?

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ATI RN · Age Specific Care

Question 7 of 83

In some countries, it is normal to defecate or urinate in public. This makes it clear that judgments of the normality of behavior are

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ATI RN · Age Specific Care

Question 8 of 83

In Singapore, children and youth with disability in school age:

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ATI RN · Age Specific Care

Question 9 of 83

What is the most effective strategy for preventing relapse in patients with anorexia nervosa?

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ATI RN · Age Specific Care

Question 10 of 83

Which of the following is the first-line treatment for Anorexia Nervosa?

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ATI RN · Age Specific Care

Question 11 of 83

A physically frail elderly patient with mild cognitive impairments needs services of a facility that can provide supervision and safety as well as recreation and social interaction. The family cares for this patient during the evening and night. Which type of facility should the nurse suggest to meet this patient's needs?

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ATI RN · Age Specific Care

Question 12 of 83

A client seen by the rape crisis nurse 1 month after the incident states, 'I'm confused and just not myself. I have mood swings during the day, and I have nightmares at night. Sometimes I think I'm going crazy.' Other times, she is just plain afraid to be alone. The nurse should assess the client for:

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ATI RN · Age Specific Care

Question 13 of 83

What is the most effective strategy for preventing relapse in a patient with anorexia nervosa?

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ATI RN · Age Specific Care

Question 14 of 83

What is the correct assessment for a patient with bulimia nervosa who frequently engages in purging behaviors?

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ATI RN · Age Specific Care

Question 15 of 83

The mother of a client newly diagnosed with schizophrenia is a nurse. She unhappily tells the nurse on the unit, 'I've tried to be a good mother, but my daughter still developed schizophrenia. When I was in school, we were taught that it was the mother's fault if a child became schizophrenic. I wish I knew what I did wrong.' The response that would help the mother evaluate models explaining schizophrenia would be:

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ATI RN · Age Specific Care

Question 16 of 83

Which of the following is a common complication of anorexia nervosa?

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ATI RN · Age Specific Care

Question 17 of 83

A man with hypospadias tells the nurse, 'Intercourse with my new bride is painful.' Which term applies to the patient's complaint?

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ATI RN · Age Specific Care

Question 18 of 83

Which instruction has priority when teaching a patient taking clozapine (Clozaril)?

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ATI RN · Age Specific Care

Question 19 of 83

A 28-year-old female client was admitted 3 days ago after she ran nude through the streets shouting that she was the 'Queen of Hearts.' Since admission, the client remains delusional, shouts obscenities, and demonstrates loosely associated thoughts. Based on these data, the nurse should develop a nursing diagnosis of:

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ATI RN · Age Specific Care

Question 20 of 83

Which information would be important to incorporate when teaching about medications for dementia in a caregiver's support group? Select all that apply.

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ATI RN · Age Specific Care

Question 21 of 83

Treatment of communication disorders is normally the domain of speech therapists and related disciplines, and a range of successful treatment programmes and equipment are available for disabilities such as phonological disorder and stuttering (Saltuklaroglu & Kalinowski, 2005; Law, Garrett & Nye, 2004). For example, hand-held equipment can provide which of the following?

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ATI RN · Age Specific Care

Question 22 of 83

Which activity best supports cognitive growth in infants?

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ATI RN · Age Specific Care

Question 23 of 83

Children should undergo further evaluation when their weight is % above their height.

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ATI RN · Age Specific Care

Question 24 of 83

A victim of a sexual assault sits in the emergency department rocking back and forth. This behavior is characteristic of:

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ATI RN · Age Specific Care

Question 25 of 83

The physician and advanced practice nurse are considering which antipsychotic medication to prescribe for a patient with schizophrenia who demonstrates auditory hallucinations, apathy, anhedonia, and poor social functioning. The patient is overweight and has hypertension. Bearing these facts in mind, the drug the nurse should advocate would be:

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ATI RN · Age Specific Care

Question 26 of 83

A nursing intervention that will be planned to occur early in the nurse-patient relationship with a client with an eating disorder is:

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ATI RN · Age Specific Care

Question 27 of 83

Police bring a 63-year-old woman to the emergency room, reporting that her behavior is disorganized and disruptive, that her speech makes little sense, and that she does not seem able to take care of herself. The woman has had elective surgeries at the hospital previously and was seen in the ER last week after a fall; records show no history of similar symptoms or mental illness. The ER physician speaks with the patient but does not examine her medically, diagnoses her with schizophrenia, and orders admission to the inpatient psychiatric unit. Which response by the nurse would be most appropriate?

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ATI RN · Age Specific Care

Question 28 of 83

A patient experiencing delirium secondary to corticosteroid toxicity is manifesting paranoid thinking and noisy, assaultive behavior. The patient is currently pacing the hall and shouting. A nurse has placed a call to the physician and is anticipating the following order:

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ATI RN · Age Specific Care

Question 29 of 83

Which nursing diagnosis is likely to apply to an individual diagnosed with a serious mental illness who is homeless?

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ATI RN · Age Specific Care

Question 30 of 83

A client has been diagnosed with Alzheimer's disease, stage 1. The nurse would expect to help the family plan measures to assist the client with:

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ATI RN · Age Specific Care

Question 31 of 83

Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care?

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ATI RN · Age Specific Care

Question 32 of 83

Psychological dependence on mood- or behavior-altering drugs is known as

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ATI RN · Age Specific Care

Question 33 of 83

The nursing diagnosis Rape-trauma syndrome is established for a rape victim in the emergency department. Select the most important outcome to achieve before discharging the patient!

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ATI RN · Age Specific Care

Question 34 of 83

A patient remanded by the court after his wife had him jailed for battery told the judge how sorry he was and suggested he needed psychiatric help. His history reveals acting-out behaviors as an adolescent and several adult arrests. The nurse interviews him about his relationship with his wife. Which statement by the patient is most consistent with a diagnosis of antisocial personality disorder?

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ATI RN · Age Specific Care

Question 35 of 83

A woman tells the nurse that her husband abuses her most often when he is intoxicated, just as his father had beaten him and his mother. The woman is aware of the location of a safe house and has considered leaving home with her two children, but she cites being brought up to believe 'you keep quiet and stay together, no matter what happens.' She states the husband is always apologetic and remorseful after an incident. What evidence exists that the husband is at risk of becoming a perpetrator of physical abuse? He:

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ATI RN · Age Specific Care

Question 36 of 83

The elderly spouse of a female Alzheimer's client states that his wife seems to wander aimlessly from room to room looking for things in incorrect places, such as kitchen utensils in the bedroom and laundry detergent in the kitchen. He asks the nurse for suggestions of what he can do to help her. What is the nurse's best response?

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ATI RN · Age Specific Care

Question 37 of 83

A 19-year-old woman, prescribed a triphasic oral contraceptive for the first time one month ago, complains of frequent spotting. Which one of the following is the most appropriate management?

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ATI RN · Age Specific Care

Question 38 of 83

An acutely psychotic individual diagnosed with schizophreniaform disorder at admission is immediately placed on daily doses of risperidone. A hospitalization of 8 days' duration has been authorized by the HMO. By what hospital day would the nurse expect to note that client was demonstrating beginning trust in the nurse and reduction in hallucinations and delusions?

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ATI RN · Age Specific Care

Question 39 of 83

What is the key component of treatment for a patient with anorexia nervosa?

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ATI RN · Age Specific Care

Question 40 of 83

A nurse plans a staff education program for employees of a senior living community. Which topic has priority?

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ATI RN · Age Specific Care

Question 41 of 83

A client with an eating disorder that has resulted in weight loss to a point 15% below normal weight tells the nurse, 'I don't need to be hospitalized. I can control myself.' The nurse continues to prepare the client for hospitalization because the vicious cycle of eating disorder behavior is fueled by:

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ATI RN · Age Specific Care

Question 42 of 83

Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder? The nurse should

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ATI RN · Age Specific Care

Question 43 of 83

Which one of the following definitions is incorrect?

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ATI RN · Age Specific Care

Question 44 of 83

The nurse is explaining to the family of a patient diagnosed with schizophrenia that the disorder is considered to have neurobiological origins. When the patient's mother asks, 'What part of the brain is dysfunctional?' the nurse should reply, 'Research has implicated the:

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ATI RN · Age Specific Care

Question 45 of 83

A patient diagnosed with schizophrenia approaches the nurse and says, 'Cats eat birds. East now. Job is new. You father.' This speech pattern can be assessed as:

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ATI RN · Age Specific Care

Question 46 of 83

A client with obsessive-compulsive personality disorder is described by other staff as being perfectionistic, inflexible, and a 'master at procrastination.' The nurse learns that the client is nearly immobilized during times that call for the client to make a decision. The nurse realizes that the most likely hypothesis is this behavior is related to:

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ATI RN · Age Specific Care

Question 47 of 83

A young, newly married adult says, 'My spouse never lets me out of sight. I'm not allowed to do anything on my own, and I'm constantly accused of cheating.' Which nursing communication is most therapeutic for this patient?

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ATI RN · Age Specific Care

Question 48 of 83

A patient with fluctuating levels of awareness, confusion, and disorientation shouts, 'The bugs, they are crawling on my legs! Get them off me!' The nurse's inspections show that no bugs are present. The nurse can best assess this presentation as:

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ATI RN · Age Specific Care

Question 49 of 83

A school-aged patient with attention-deficit hyperactivity disorder (ADHD) is displaying disruptive behaviors at home. The psychiatric-mental health nurse modifies the treatment plan for the social domain, by advising the patient's parents to:

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ATI RN · Age Specific Care

Question 50 of 83

The nursing diagnosis most likely to be used for a person who has a diagnosis of schizophrenia, paranoid type, is:

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ATI RN · Age Specific Care

Question 51 of 83

Which of the following statements by a patient with anorexia nervosa indicates a need for further education?

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ATI RN · Age Specific Care

Question 52 of 83

A child, age 9, is being evaluated in the Emergency Department at the hospital. Her mother reports that the child fell down the stairs in her home. Her mother is with her and describes her as a 'clumsy kid.' The nurse practitioner suspects child abuse. Which of these findings indicates that physical abuse may be a chronic problem for the child?

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ATI RN · Age Specific Care

Question 53 of 83

A person suffering from hypoactive sexual desire disorder has:

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ATI RN · Age Specific Care

Question 54 of 83

A worker is characterized by her co-workers as 'painfully shy' and lacking in self-confidence. Her co-workers say she stays in her cubicle all day, never coming out for breaks or lunch. One day after falling on the ice in the parking lot, she goes to the nurse's office, where she apologizes for falling and mentions that she hopes the company will not fire her for being so clumsy. With which diagnosis is this presentation most consistent?

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ATI RN · Age Specific Care

Question 55 of 83

The treatment team implements a behavior modification approach using a contract for a client with antisocial personality disorder. An expected outcome of this approach is that client will:

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ATI RN · Age Specific Care

Question 56 of 83

A nurse is caring for a patient with bulimia nervosa. The nurse should monitor for which of the following complications?

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ATI RN · Age Specific Care

Question 57 of 83

A patient with the diagnosis of schizophrenia, disorganized type, approaches the nurse and says, 'It's beat, it's eat. No room for doom.' The nurse can correctly assess this verbalization as:

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ATI RN · Age Specific Care

Question 58 of 83

When a patient with anorexia nervosa is admitted for treatment, the milieu should provide: (Select all that apply.)

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ATI RN · Age Specific Care

Question 59 of 83

Police bring a patient to the mental health unit. The patient was directing traffic and shouting rhymes on a busy city street. The patient's spouse reports that the patient has not slept or eaten for 3 days. Which assessment findings have priority concern for this patient's plan of care?

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ATI RN · Age Specific Care

Question 60 of 83

A patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless driven by someone else, has relinquished their job, and has few social contacts. The patient's treatment plan includes:

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ATI RN · Age Specific Care

Question 61 of 83

An individual brought by ambulance to the emergency room is accompanied by a roommate. The patient fights against the restraints and shouts incoherently. The roommate reports that the patient was weak and confused on awakening this morning and about 3 hours ago began "rambling and talking crazy."Â A nurse notes that the patient's skin is flushed and dry. The priority nursing action is to:

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ATI RN · Age Specific Care

Question 62 of 83

A 75-year-old male client is brought to the clinic by his son. The son states, 'Ever since Mom died, Dad hasn't been the same. At first he just seemed sad, but now he seems to get mixed up about everything.' The nurse is aware that based on the client's history, the source of confusion is most likely:

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ATI RN · Age Specific Care

Question 63 of 83

A patient's nursing care plan includes assessment for auditory hallucinations. Indicators that suggest the patient may be hallucinating include:

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ATI RN · Age Specific Care

Question 64 of 83

Which of the following is a form of child abuse that is known to cause intellectual disability?

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ATI RN · Age Specific Care

Question 65 of 83

In planning aftercare for a client with schizophrenia and whose insurance benefits have been exhausted, the nurse who is concerned about overcoming negative symptoms will make provisions for the client to have stimulation, structure, socialization, and support. Which option would best incorporate these factors?

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ATI RN · Age Specific Care

Question 66 of 83

What is the primary nursing concern for a patient with anorexia nervosa during the early stages of treatment?

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ATI RN · Age Specific Care

Question 67 of 83

In activity 5, all of the following people got sick from the concession stand except

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ATI RN · Age Specific Care

Question 68 of 83

A psychiatric technician mentions to the nurse, 'All these clients with Axis II problems! It makes me wonder how so many mothers could have been such poor parents and messed up their kids so badly!' The response by the nurse that helps put the development of personality disorders into perspective is:

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ATI RN · Age Specific Care

Question 69 of 83

A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is 2.7 mg/dL. Which nursing diagnosis applies?

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ATI RN · Age Specific Care

Question 70 of 83

Which of the following assessments is most appropriate for a patient with anorexia nervosa?

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ATI RN · Age Specific Care

Question 71 of 83

The antisocial personality is one who

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ATI RN · Age Specific Care

Question 72 of 83

A much-feared outcome of Alzheimer's disease is

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ATI RN · Age Specific Care

Question 73 of 83

The nurse knows that stimulant medication for ADHD should be administered:

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ATI RN · Age Specific Care

Question 74 of 83

A client, age 34, has been physically abused by her husband five times during the past 2 years. During her last discussion with the nurse, the client stated, 'I probably should not keep going back to my husband, since he continues to abuse me.' The nurse is aware that the final decision to leave a batterer:

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ATI RN · Age Specific Care

Question 75 of 83

Which statement is most likely from a patient with anorexia nervosa?

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ATI RN · Age Specific Care

Question 76 of 83

In the elderly, administering medication is a great concern for the nurse since these patients are more prone to side effects. The primary cause of this is:

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ATI RN · Age Specific Care

Question 77 of 83

Discuss six (6) modalities of treatment used in mental illness

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ATI RN · Age Specific Care

Question 78 of 83

Several children a day are seen in the emergency department for treatment of illnesses and injuries. The situation that would create a high index of suspicion of child abuse is a child who:

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ATI RN · Age Specific Care

Question 79 of 83

An advance directive gives legally binding direction for health care interventions when a patient:

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ATI RN · Age Specific Care

Question 80 of 83

When should a child be assessed for a possible attention disorder as the primary condition?

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ATI RN · Age Specific Care

Question 81 of 83

Drugs that treat individuals with schizophrenia interrupt neurotransmitter pathways in the brain, producing an effect throughout the entire nervous system that is:

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ATI RN · Age Specific Care

Question 82 of 83

A nurse has completed the assessment for a patient who has a maladaptive response to eating regulation. Findings include the following: height, 5 feet 3 inches; current weight, 80 pounds with weight loss of 30% of body weight over the past 3 months; T, 96.6m F; BP, 68/40; P, 40; R, 20; poor skin turgor; lanugo; amenorrhea of 6 months' duration; admits to restricting intake to 350 calories daily; dissatisfied with eating pattern as evidenced by patient statement, 'I need to lose another 10 pounds to be at an ideal weight.' These assessment findings are most consistent with the medical diagnosis of:

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ATI RN · Age Specific Care

Question 83 of 83

A 63-year-old female has been admitted to the hospital for cholecystitis. She is accompanied by her sister, who provides all the assessment data while the client sits and stares somewhat vacantly. You determine that the client is single, lives alone, and lost her job as a secretary last year when she was unable to learn a new computer system. The sister states she has recently had to manage the client's shopping, meal preparation, and finances. Which of the following are appropriate nursing diagnoses?

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