Age Specific Patient Care Quizlet

Age Specific Patient Care Quizlet Related

Review Age Specific Patient Care Quizlet related questions and content

Which intervention would be appropriate for a patient with a nursing diagnosis of Ineffective coping as evidenced by manipulation of others?

  • A. Refer patient requests and questions about care to the primary nurse.
  • B. Provide negative reinforcement for any acting-out behavior.
  • C. Ignore rather than confront inappropriate interpersonal behavior.
  • D. Encourage the patient to discuss feelings of fear and inferiority.
Correct Answer: A

Rationale: The correct answer is A because referring patient requests and questions about care to the primary nurse promotes patient independence and helps establish boundaries. This intervention empowers the patient to take responsibility for their care and reduces the reliance on manipulation of others.

Choice B is incorrect because negative reinforcement may exacerbate the behavior and lead to further manipulation.

Choice C is incorrect because ignoring inappropriate behavior does not address the underlying issue of ineffective coping and may reinforce the behavior.

Choice D is incorrect because encouraging the patient to discuss feelings of fear and inferiority may be helpful, but it does not directly address the manipulation of others, which is the main concern in this nursing diagnosis.

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A client with schizophrenia is medication compliant and has well-controlled symptoms. He has, however, never been successful in holding a job because of poor social skills and lack of understanding of basic job skills. The nurse case manager should consider referring the client:

  • A. To a day hospital program
  • B. For psychosocial rehabilitation
  • C. For cognitive therapy
  • D. To assertiveness training
Correct Answer: B

Rationale: The correct answer is B: For psychosocial rehabilitation. This option is the most appropriate because the client is struggling with social skills and job-related skills. Psychosocial rehabilitation programs focus on improving social and vocational skills, which are essential for the client to succeed in holding a job. These programs also provide support and training tailored to the individual's needs. Referring the client to a day hospital program (A) may not address his specific vocational needs. Cognitive therapy (C) primarily focuses on addressing cognitive distortions and may not directly target social and vocational skills. Assertiveness training (D) may be helpful but may not fully address the client's broader vocational challenges.

A nurse plans an educational program for staff of a home health agency specializing in care of the elderly. Which topic is the highest priority to include?

  • A. Pain assessment techniques for older adults
  • B. Psychosocial stimulation for those who live alone
  • C. Preparation of psychiatric advance directives in the elderly
  • D. Ways to manage disinhibition in elderly persons with dementia
Correct Answer: A

Rationale: The correct answer is A: Pain assessment techniques for older adults. This is the highest priority as pain management is crucial in the care of the elderly to ensure their comfort and well-being. By assessing pain accurately, appropriate interventions can be implemented.

- Choice B (Psychosocial stimulation): While important, it is not as critical as addressing pain, which directly impacts the individual's physical comfort.
- Choice C (Psychiatric advance directives): Important for mental health planning but not as immediately essential as pain assessment in day-to-day care.
- Choice D (Managing disinhibition in dementia): Important but secondary to addressing pain, which has a more immediate impact on the individual's quality of life.

Prioritizing pain assessment ensures holistic care for elderly patients.

According to the Diagnostic and Statistical Manual, 5th Edition (DSM-5), how many symptoms should be present for at least two weeks before a diagnosis of adolescent depression is made?

  • A. 2
  • B. 3
  • C. 4
  • D. 5
Correct Answer: D

Rationale: DSM-5 requires 5 symptoms (including depressed mood or loss of interest) for at least 2 weeks for a Major Depressive Disorder diagnosis.

An example of a Developmental Disorder is:

  • A. ADHD
  • B. Dyslexia
  • C. Mental Retardation
  • D. Autistic spectrum disorders
Correct Answer: D

Rationale: Autistic Spectrum Disorder (ASD): An umbrella term that refers to all disorders that display autistic style symptoms across a wide range of severity and disability.

The therapeutic approach in the care of an autistic child include the following EXCEPT:

  • A. Engage in diversionary activities when acting out
  • B. Provide an atmosphere of acceptance
  • C. Provide safety measures
  • D. Rearrange the environment to activate the child
Correct Answer: D

Rationale: Rearranging the environment to activate the child may overstimulate an autistic child, who typically benefits from consistency and calm settings.

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