Age Specific Patient Care

Age Specific Patient Care Related

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A patient who has been hospitalized for 2 days remains delusional and anxious and does not yet appear to be ready to give up the delusions. What intervention will best help the patient focus less on the delusion?

  • A. Schedule time for the patient to read and listen to music.
  • B. Plan activities that require physical skills and constructive use of time.
  • C. Begin planning for discharge by engaging the patient in psychoeducation.
  • D. Discuss personal goals related to improved socialization with the patient.
Correct Answer: B

Rationale: The correct answer is B because engaging in activities that require physical skills and constructive use of time can help the patient shift their focus away from the delusions. Physical activities can help reduce anxiety and provide a sense of accomplishment, which can help distract the patient from the delusions. It also promotes a sense of normalcy and routine, which can aid in grounding the patient in reality.

Choice A is incorrect because reading and listening to music may not actively engage the patient in a way that helps them shift their focus from the delusions. Choice C is incorrect because planning for discharge may be premature and may not address the immediate need to distract the patient from the delusions. Choice D is incorrect because discussing personal goals related to improved socialization may not be effective in helping the patient focus less on the delusions at this stage.

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In Anorexia Nervosa (AN), which of the following is a characteristic clinical feature?

  • A. Intense fear of gaining weight
  • B. Intense desire to binge eat
  • C. Intense desire to vomit
  • D. Intense desire to keep themselves busy
Correct Answer: A

Rationale: Per DSM-5, an intense fear of gaining weight is a hallmark of Anorexia Nervosa, distinguishing it from other eating disorders.

The nurse is considering making a child abuse or neglect report to protective services. To make the report, the nurse needs to:

  • A. Obtain the supervisor's permission to make the report
  • B. Have strong evidence that the abuse/neglect has occurred
  • C. Notify the parents of the intent to file the report
  • D. Have suspicions that the abuse has occurred
Correct Answer: D

Rationale: The correct answer is D because mandatory reporting laws typically require healthcare professionals to report suspected cases of child abuse or neglect. Having suspicions that abuse has occurred is sufficient to make a report, as it is the responsibility of the healthcare provider to protect the child's safety. Obtaining the supervisor's permission (choice A) may delay the report unnecessarily. Having strong evidence (choice B) is not necessary for making a report, as suspicions should be reported for further investigation. Notifying the parents (choice C) may jeopardize the safety of the child if the abuser is aware of the report.

A common form of mental disorder afflicting 10-20\% of the population is

  • A. schizophrenia
  • B. senile dementia
  • C. depression
  • D. delusional disorder
Correct Answer: C

Rationale: Depression affects 10-20\% of people at some point, making it far more common than schizophrenia or delusional disorders.

A patient is hospitalized for severe depression. Of the medications listed below, the nurse can expect to provide the patient with teaching about:

  • A. Chlordiazepoxide (Librium).
  • B. Clozapine (Clozaril).
  • C. Sertraline (Zoloft).
  • D. Tacrine (Cognex).
Correct Answer: C

Rationale: Rationale:
1. Severe depression is typically treated with antidepressants like Sertraline (Zoloft).
2. Sertraline is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression.
3. The nurse should provide teaching on how to take the medication, potential side effects, and monitoring for effectiveness.
4. Other choices (A, B, D) are not typically used as first-line treatment for severe depression and may not be appropriate for this patient.

At what age do the synaptic connections in human brain peak?

  • A. At birth
  • B. End of 3 years
  • C. 5 years
  • D. 8 years
Correct Answer: B

Rationale: Synaptic connections peak around the end of 3 years (B), a period of rapid synaptogenesis and neural plasticity, followed by pruning. At birth (A), development begins, while 5 (C) and 8 years (D) see continued growth but past the peak, per neurodevelopmental research.

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