Health Care Utilization by Age Group

Health Care Utilization by Age Group Related

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A client admitted with delusions, hallucinations, and thought disorder has the admitting diagnosis schizophreniform disorder R/O organic pathology. Based on this information, the nurse can expect that the client will:

  • A. Undergo an MRI test
  • B. Have psychological testing
  • C. Have an immunologic assay performed
  • D. Participate in a dexamethasone suppression test
Correct Answer: A

Rationale: Step 1: The client is admitted with symptoms suggestive of a psychotic disorder, specifically schizophreniform disorder.
Step 2: The admitting diagnosis includes ruling out organic pathology, indicating a need to investigate potential physical causes.
Step 3: An MRI test is a non-invasive imaging procedure that can help identify any structural abnormalities in the brain.
Step 4: This test is appropriate in ruling out organic causes of the symptoms presented by the client.
Step 5: Psychological testing (Choice B) is more focused on assessing cognitive and emotional functioning, not ruling out organic pathology.
Step 6: Immunologic assay (Choice C) is used to detect antibodies or antigens in the blood, not typically relevant in this context.
Step 7: Dexamethasone suppression test (Choice D) is used to assess for abnormalities related to cortisol levels in conditions like depression, not specific to ruling out organic pathology in psychotic disorders.

Summary: Choice A is correct because an MRI test is the most relevant

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A nurse would assess for which feature in a patient diagnosed with bulimia nervosa?

  • A. Introverted personality traits
  • B. Abuse of diuretics and laxatives
  • C. Disinterest in sexual activity
  • D. Denial of hunger at all times
Correct Answer: B

Rationale: The correct answer is B because abuse of diuretics and laxatives is a common behavior in individuals with bulimia nervosa to control weight. This behavior is known as purging. Choice A is incorrect as personality traits vary among individuals with bulimia nervosa. Choice C is incorrect as disinterest in sexual activity is not a typical feature of this disorder. Choice D is incorrect as individuals with bulimia nervosa often experience episodes of binge eating, indicating they do experience hunger at times.

An elderly woman is brought to the clinic by her daughter. The client states that she has had a cold for several days. Her daughter states that her mother has been confused about when her routine medications are to be taken and that her mother has never experienced confusion about her medications before. Based on this information, it is important that the nurse ask the client whether:

  • A. There is a history of mental illness in the family
  • B. She has been given a diagnosis of a mental health disorder in the past
  • C. She can recall her last visit to a physician
  • D. She has taken any over-the-counter medications for her cold
Correct Answer: D

Rationale: The correct answer is D: She has taken any over-the-counter medications for her cold. It is important for the nurse to ask this question because over-the-counter medications can sometimes interact with prescription medications, leading to confusion or other cognitive issues in elderly patients. By identifying any OTC medications the client has taken, the nurse can assess potential drug interactions that may be contributing to the confusion.

Choices A, B, and C are incorrect. History of mental illness in the family or a previous diagnosis of mental health disorder may not directly address the current issue of confusion related to medication management. Asking about the last visit to a physician is also less relevant compared to inquiring about current medication use for a potential cause of confusion.

Which of the following are behaviours that may be associated with adolescent depression?

  • A. School refusal
  • B. Social withdrawal
  • C. Reduced self-care
  • D. Maladaptive coping behaviours
Correct Answer: A

Rationale: School refusal is a well-documented behavior associated with adolescent depression; the question implies a single correct answer, though B-D are also relevant.

Which therapy is shown through evidence to be the most effective for a patient with an eating disorder?

  • A. Supportive therapy.
  • B. Behavioral therapy.
  • C. Cognitive behavioral therapy.
  • D. Psychoanalytical group therapy.
Correct Answer: C

Rationale: The correct answer is C: Cognitive behavioral therapy (CBT). CBT is the most effective therapy for eating disorders based on research evidence. It helps patients identify and change negative thoughts and behaviors related to food and body image. CBT also teaches coping skills and strategies to manage triggers. Supportive therapy (choice A) offers emotional support but may not target the underlying issues. Behavioral therapy (choice B) focuses on changing specific behaviors but may not address cognitive patterns. Psychoanalytical group therapy (choice D) delves into past experiences but is not as effective as CBT in treating eating disorders.

Obsessions are thoughts that are unwanted and known to be incorrect

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: Obsessions are intrusive, unwanted thoughts recognized by the individual as irrational or excessive.

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