Age Specific Care Quiz

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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.' The client has remained delusional since admission. An initial expected outcome would be that the client will:

  • A. Allow the nurse to logically dispute the delusion
  • B. Distinguish external boundaries
  • C. Engage in reality-oriented conversation
  • D. Explain why she thinks she is the 'Queen of Hearts'
Correct Answer: C

Rationale: The correct answer is C: Engage in reality-oriented conversation. This is the most appropriate initial expected outcome because it focuses on helping the client ground herself in reality. Engaging in reality-oriented conversation can help the client understand and acknowledge her delusions, leading to potential insight and eventual treatment.

A: Allowing the nurse to logically dispute the delusion may not be effective initially as the client may not be receptive to this approach during the acute phase of her delusion.
B: Distinguishing external boundaries may not address the underlying delusional beliefs and may not be the most immediate concern.
D: Explaining why she thinks she is the 'Queen of Hearts' may reinforce the delusion rather than challenging it.

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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 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.

The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client's:

  • A. Level of consciousness
  • B. Ability to perform activities of daily living
  • C. Degree of reasoning, judgment, and thought processes
  • D. Level of functioning memory
Correct Answer: B

Rationale: The correct answer is B: Ability to perform activities of daily living. A functional assessment in home health services focuses on evaluating the client's ability to independently perform daily tasks such as bathing, dressing, and preparing meals. This assessment helps determine the client's level of independence and need for assistance. Choices A, C, and D are incorrect because they do not directly assess the client's ability to perform activities of daily living, which is the primary purpose of a functional assessment in this context.

A patient with schizophrenia has received typical (first-generation) antipsychotics for a year. His hallucinations are less intrusive, but he remains apathetic, has poverty of thought, cannot work, and is socially isolated. To address these symptoms, the nurse might consult the prescribing health care provider to suggest a change to:

  • A. haloperidol (Haldol).
  • B. olanzapine (Zyprexa).
  • C. diphenhydramine (Benadryl).
  • D. chlorpromazine (Thorazine).
Correct Answer: B

Rationale: The correct answer is B: olanzapine (Zyprexa). Olanzapine is an atypical (second-generation) antipsychotic that is known to be effective in treating negative symptoms of schizophrenia, such as apathy, poverty of thought, and social withdrawal. These symptoms are often resistant to typical antipsychotics like haloperidol (A) and chlorpromazine (D), which are more effective for positive symptoms like hallucinations. Diphenhydramine (C) is an antihistamine and not used to treat schizophrenia symptoms. In summary, olanzapine is the best choice to address the specific symptoms described in the scenario.

Persons who are excessively narcissistic, dependent, or antisocial are characterized as having

  • A. somatoform disorders
  • B. generalized anxiety
  • C. conversion reactions
  • D. personality disorders
Correct Answer: D

Rationale: Narcissistic, dependent, and antisocial traits define personality disorders, affecting interpersonal functioning.

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