Age Specific Care Quiz

Age Specific Care Quiz Related

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A child, age 5, was admitted to the children's unit, having been sexually abused by an acquaintance of her family. The child refuses to talk and participate in unit activities, choosing to stay in her room with her stuffed animals. Which therapeutic intervention will best help the child release pent-up feelings about the abuse?

  • A. Individual communication with the nurse
  • B. Play therapy
  • C. Family therapy
  • D. Role-play with other children on the unit
Correct Answer: B

Rationale: The correct answer is B: Play therapy. Play therapy is the most suitable therapeutic intervention for a child in this scenario because it allows the child to express their feelings and experiences through play, which is a natural form of communication for children. Through play therapy, the child can act out their experiences using toys and create a safe space to process their emotions without having to verbally communicate. It helps the child release pent-up feelings and trauma in a non-threatening environment.

Summary of other choices:
A: Individual communication with the nurse may not be as effective as play therapy in this case as the child is not yet comfortable verbalizing their feelings.
C: Family therapy may not be appropriate at this stage as the child is not ready to engage with family members about the abuse.
D: Role-play with other children on the unit may not be beneficial as it can potentially trigger more anxiety and discomfort for the abused child.

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The medical records of a patient diagnosed with schizophrenia state that the patient has cognitive dysfunction. From this statement, the nurse can expect to see evidence of:

  • A. anxiety, fear, and agitation.
  • B. aggression, anger, hostility, or violence.
  • C. blunted or flat affect or inappropriate affective responses.
  • D. impaired memory and attention as well as formal thought disorder.
Correct Answer: D

Rationale: The correct answer is D because cognitive dysfunction in schizophrenia typically involves impaired memory, attention, and formal thought disorder. This is due to the underlying neurobiological and neurocognitive deficits associated with the disorder. Choices A, B, and C are incorrect because they primarily align with emotional and affective symptoms commonly seen in schizophrenia, not specifically cognitive dysfunction. Symptoms such as anxiety, fear, agitation, aggression, anger, hostility, violence, blunted affect, or inappropriate affective responses are more related to the emotional and behavioral aspects of schizophrenia, rather than cognitive deficits.

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.

You are caring for a 13-year-old boy with a diagnosis of conduct disorder. Which of the following would you be most likely to expect given this diagnosis?

  • A. Severe separation anxiety from parents
  • B. Making up stories to make him appear more important
  • C. History of cruelty to schoolmates and pets
  • D. Insomnia and anorexia nervosa
Correct Answer: C

Rationale: Conduct disorder is associated with long-term problems with defiance, rule-breaking, and violating the basic rights of others, such as cruelty to peers and animals.

An elderly female client on the mental unit suddenly becomes upset because she can't remember where she is and she says, 'I can't think straight.' The staff has never witnessed this behavior in the client, and this type of complaint is not documented in the nursing history. What is the client most likely experiencing?

  • A. Hallucinations
  • B. Dementia
  • C. Delusions
  • D. Delirium
Correct Answer: D

Rationale: The correct answer is D: Delirium. Delirium is characterized by sudden onset confusion, disorientation, and impaired cognitive function. In this scenario, the elderly client's sudden confusion and inability to think straight suggest an acute change in mental status, which is indicative of delirium. Delirium is often triggered by underlying medical conditions or medications.

A: Hallucinations involve perceiving things that are not real, which is not described in the scenario.
B: Dementia is a chronic condition with gradual cognitive decline, not sudden onset confusion.
C: Delusions are fixed false beliefs, which are not mentioned in the scenario.

In summary, the client is most likely experiencing delirium due to the sudden onset of confusion and cognitive impairment, which is not consistent with hallucinations, dementia, or delusions.

A patient living independently had command hallucinations to shout warnings to neighbors. After a short hospitalization, the patient was prohibited from returning to the apartment. The landlord said, 'You cause too much trouble.' What problem is the patient experiencing?

  • A. Grief
  • B. Stigma
  • C. Homelessness
  • D. Nonadherence
Correct Answer: B

Rationale: The inability to obtain shelter because of negative attitudes about mental illness is an example of stigma. Stigma is defined as damage to reputation, shame, and ridicule society places on mental illness. Data are not present to identify grief as a patient problem. Data do not suggest that the patient is actually homeless.

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