Age Specific Considerations in Patient Care

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A 35-year-old woman is being assessed related to suspected battering. In interviewing this patient, it is important for the nurse to keep in mind that: (Select all that apply.)

  • A. The nurse's demeanor should be one of concern and caring.
  • B. Professional terminology should be used and taught to the patient.
  • C. All noted injuries should be thoroughly and explicitly documented.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A because when assessing a patient related to suspected battering, the nurse should demonstrate concern and caring to establish trust and encourage the patient to open up. This approach helps build rapport and facilitates communication, leading to a more accurate assessment and better support for the patient. Choice B is incorrect because using professional terminology might intimidate the patient and hinder effective communication. Choice C is incorrect because documenting injuries without sensitivity and consideration for the patient's emotional well-being can further traumatize the individual. Choice D is incorrect as the nurse's demeanor and approach are crucial in addressing cases of suspected battering.

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Which statement by the nurse indicates a good understanding of postpartum blues?

  • A. You need to get involved with taking care of this baby.
  • B. You are lucky to have a healthy baby. The patient in the next room would give anything to be in your place.
  • C. You look tired. Why dont you rest for a bit and I will come back later to start some teaching.
  • D. I will call the social worker to check into alternate caregiving for the new baby.
Correct Answer: C

Rationale: This response (C) indicates understanding that postpartum blues is transient and that time and rest are major healers. The other responses (A, B, D) are judgmental or inappropriate.

A group of teenagers are discussing their individual problems associated with having an eating disorder. Which findings would the nurse attribute to purging?

  • A. Excessive facial hair
  • B. Elevated blood pressure
  • C. Polyuria
  • D. Dental enamel erosion
Correct Answer: C

Rationale: Rationale for Correct Answer (C - Polyuria):
1. Purging involves self-induced vomiting or misuse of laxatives/diuretics.
2. Vomiting can lead to electrolyte imbalances, causing increased urine production (polyuria).
3. Polyuria is a common sign of purging behaviors due to electrolyte disturbances.

Summary of Incorrect Choices:
A: Excessive facial hair - Not directly related to purging behavior.
B: Elevated blood pressure - Could be related to stress or other factors, not specific to purging.
D: Dental enamel erosion - More likely associated with frequent vomiting (purging) rather than polyuria.

Bacteria, such as E. Coli, in our water can come from

  • A. Factory run-off
  • B. Car exhaust
  • C. Human and animal feces
  • D. Littering
Correct Answer: C

Rationale: E. Coli primarily originates from fecal contamination by humans or animals, making it a common water pollutant.

The mother of a teenager diagnosed with an eating disorder asks, 'How long will my daughter have this problem?' The nurse answers with the knowledge that:

  • A. recovery is usual after one severe episode.
  • B. less than 30% show improvement after 5 years.
  • C. weight restoration is sufficient for recovery.
  • D. long-term therapy combined with medication results in the best outcomes.
Correct Answer: D

Rationale: The correct answer is D because long-term therapy combined with medication results in the best outcomes for individuals with eating disorders. Therapy helps address underlying psychological issues, while medication can help manage symptoms. Recovery is a complex process that often requires ongoing support. Choice A is incorrect as recovery is not always guaranteed after one severe episode. Choice B is incorrect as many individuals do show improvement over time. Choice C is incorrect as weight restoration alone may not address all aspects of the disorder.

A patient has disorganized thinking associated with schizophrenia. Neuroimaging would most likely show dysfunction in which part of the brain?

  • A. Hippocampus
  • B. Frontal lobe
  • C. Cerebellum
  • D. Brainstem
Correct Answer: B

Rationale: The correct answer is B: Frontal lobe. Disorganized thinking in schizophrenia is often associated with executive function deficits, which are primarily controlled by the frontal lobe. This area is responsible for decision-making, problem-solving, and reasoning. Dysfunction here can lead to disorganized thoughts and behaviors. The other choices, such as the hippocampus (A), involved in memory, the cerebellum (C), involved in motor coordination, and the brainstem (D), involved in basic life functions, are less likely to be directly related to disorganized thinking in schizophrenia.

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