Age Specific Care Quiz

Age Specific Care Quiz Related

Review Age Specific Care Quiz related questions and content

A nurse is caring for a patient with bulimia nervosa. What is a priority assessment for this patient?

  • A. Electrolyte imbalances and cardiac function.
  • B. Body image issues and mental health status.
  • C. Nutritional status and hydration levels.
  • D. Weight changes and exercise patterns.
Correct Answer: A

Rationale: The correct answer is A: Electrolyte imbalances and cardiac function. This is because patients with bulimia nervosa often engage in purging behaviors which can lead to electrolyte imbalances and cardiac complications. Assessing electrolyte levels and cardiac function is crucial to prevent life-threatening complications.

Choice B is incorrect because while body image and mental health are important considerations, they are not the priority assessment in this case. Choice C is also incorrect as nutritional status and hydration levels can be affected, but not as immediately life-threatening as electrolyte imbalances and cardiac issues. Choice D is incorrect as weight changes and exercise patterns may be important, but they are not the priority assessment for a patient with bulimia nervosa.

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The antisocial personality

  • A. avoids other people as much as possible
  • B. is relatively easy to treat effectively by psychotherapy
  • C. tends to be selfish and lacking remorse
  • D. usually gives a bad first impression
Correct Answer: C

Rationale: Antisocial personality involves selfishness and lack of remorse, often masked by initial charm.

Which of the following is not a common characteristic of oppositional behaviour?

  • A. Saying no to requests
  • B. Accepting responsibility for mistakes
  • C. Unwilling to accept changes to routines or environments
  • D. Refusing to follow instructions
Correct Answer: B

Rationale: Accepting responsibility for mistakes is not typical of oppositional behavior, which often involves defiance and blame-shifting.

The mother of a teen with an eating disorder tells the nurse, 'Our family is pretty well-adjusted. It's hard for me to imagine what we could have done to have this happen.' The nurse can promote more complete understanding of the etiology of eating disorders by mentioning that young women are also influenced by:

  • A. The abundance of nutritious foods available.
  • B. The fashion industry's idealization of thinness.
  • C. Competition in the workplace.
  • D. None of the above.
Correct Answer: B

Rationale: The correct answer is B: The fashion industry's idealization of thinness. This is correct because the portrayal of ultra-thin models in the fashion industry can contribute to societal pressure on young women to achieve an unrealistic body image, leading to body dissatisfaction and potentially eating disorders. The other choices are incorrect because option A does not address the societal influences on body image ideals, option C is not directly related to the etiology of eating disorders in young women, and option D is incorrect as the fashion industry can indeed play a significant role in shaping perceptions of beauty and body image.

A victim of physical abuse by her domestic partner is being treated for a broken humerus. Which indicator for the outcome of Abuse protection is most important to achieve before the patient leaves the emergency department?

  • A. The patient has completed and reviewed a workable safety plan.
  • B. She agrees to seek a restraining order limiting contact by the perpetrator.
  • C. The patient demonstrates insight into the abusive nature of the relationship.
  • D. She has been referred to counseling and battered-person support groups.
Correct Answer: A

Rationale: The correct answer is A because a safety plan is crucial for the victim's immediate safety and future protection. It helps the victim know what to do in case of danger, ensuring a proactive approach to safety. Choice B may not always be feasible or effective in preventing further abuse. Choice C, while important, does not guarantee safety outside the emergency department. Choice D is beneficial but does not address the immediate safety concerns as effectively as having a safety plan in place. Thus, completing and reviewing a workable safety plan is the most important indicator for the outcome of abuse protection in this scenario.

A 67-year-old woman recently noticed a non-painful lump in the right breast (see image). Which one of the following is the most likely diagnosis?

  • A. Subacute mastitis with early abscess formation.
  • B. Advanced adenocarcinoma of the breast.
  • C. Early intraduct carcinoma with obstruction of ductal ampullae.
  • D. Severe fibrocystic disease of the breast (fibroadenosis with multiple cysts).
Correct Answer: B

Rationale: A non-painful breast lump in a 67-year-old is most likely advanced adenocarcinoma (B), a common malignancy in this age group. Mastitis (A) is painful, early carcinoma (C) less likely advanced, and fibrocystic disease (D) or fat necrosis (E) are less typical without specific trauma or cysts.

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