Age Specific Care Quiz

Age Specific Care Quiz Related

Review Age Specific Care Quiz related questions and content

A client, age 42, has been battered by her husband since they were married 8 years ago. Until this hospitalization for major depression, she had avoided dealing with her situation, but she now expresses a desire to deal with the problem. The attacks are occurring more often. Which outcome is realistic for the client?

  • A. Citing possible ways she may have contributed to the abusive episodes
  • B. Verbalizing an awareness of her increasingly dangerous situation
  • C. Setting a goal date for divorcing her husband
  • D. Employing methods of retaliating in order to get even with her husband
Correct Answer: B

Rationale: The correct answer is B: Verbalizing an awareness of her increasingly dangerous situation. This choice is the most realistic outcome for the client as it shows an initial step towards acknowledging the severity of her situation. By verbalizing awareness, the client can begin to understand the potential dangers she faces, which is crucial for developing a safety plan and seeking appropriate help.

Choice A is incorrect as it may lead to victim-blaming and does not address the root cause of the abuse. Choice C is premature as setting a goal date for divorcing her husband requires careful planning and consideration of various factors. Choice D is inappropriate as retaliation can escalate the violence and put the client at further risk.

In summary, choice B is the best option as it focuses on increasing the client's awareness of her situation, which is a crucial first step towards addressing and eventually overcoming the abusive relationship.

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A victim of physical abuse by her domestic partner is being treated for a broken humerus. Which indicator for the outcome of Abuse protection is most important to achieve before the patient leaves the emergency department?

  • A. The patient has completed and reviewed a workable safety plan.
  • B. She agrees to seek a restraining order limiting contact by the perpetrator.
  • C. The patient demonstrates insight into the abusive nature of the relationship.
  • D. She has been referred to counseling and battered-person support groups.
Correct Answer: A

Rationale: The correct answer is A because a safety plan is crucial for the victim's immediate safety and future protection. It helps the victim know what to do in case of danger, ensuring a proactive approach to safety. Choice B may not always be feasible or effective in preventing further abuse. Choice C, while important, does not guarantee safety outside the emergency department. Choice D is beneficial but does not address the immediate safety concerns as effectively as having a safety plan in place. Thus, completing and reviewing a workable safety plan is the most important indicator for the outcome of abuse protection in this scenario.

A psychiatric technician mentions to the nurse, 'All these clients with Axis II problems! It makes me wonder how so many mothers could have been such poor parents and messed up their kids so badly!' The response by the nurse that helps put the development of personality disorders into perspective is:

  • A. Parenting is the responsibility of fathers, too, so don't blame only mothers.'
  • B. Personality disorder is often related to sexual abuse that occurs without parental knowledge.'
  • C. There is some evidence to suggest a biologic component to personality disorders.'
  • D. Peer interactions may be more important in child development than parental involvement.'
Correct Answer: C

Rationale: Step-by-step rationale for correct answer (C):
1. Personality disorders are complex and have multifactorial causes.
2. Research suggests a biological component to personality disorders, such as genetic predispositions.
3. This understanding helps to shift the blame away from solely poor parenting.
4. It aligns with the biopsychosocial model, which considers biological, psychological, and social factors.
5. This response promotes a holistic view of personality development.

Summary of why other choices are incorrect:
A: Shifts focus to gender roles, which is not directly relevant to the etiology of personality disorders.
B: Narrowly associates personality disorders with sexual abuse, ignoring other contributing factors.
D: Overemphasizes peer interactions over parental influence, which is not supported by extensive research on personality development.

The client interprets the proverb 'A rolling stone gathers no moss' as 'As long as the rock keeps moving, it won't turn green.' This is an example of:

  • A. Mutism
  • B. Flight of ideas
  • C. Concrete thinking
  • D. Loose association
Correct Answer: C

Rationale: Concrete thinking refers to interpreting things in a literal or factual way without grasping the underlying meaning. In this question, the client's interpretation of the proverb demonstrates a lack of understanding of the metaphorical meaning behind it. By focusing on the literal aspect of the stone not turning green, the client displays concrete thinking. Mutism, flight of ideas, and loose association are unrelated to the client's interpretation of the proverb, making them incorrect choices.

An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled Ativan and one labeled lorazepam, both of which are to be taken BID. There are also bottles labeled hydrochlorothiazide, Inderal, and rofecoxib, each to be taken once daily. Which conclusion is accurate?

  • A. Rofecoxib should not be taken with Ativan.
  • B. Lorazepam interferes with the action of Inderal.
  • C. The patient should not self-administer medication.
  • D. Lorazepam and Ativan are the same drug, so the dose is excessive.
Correct Answer: D

Rationale: Lorazepam and Ativan are generic and trade names for the same drug (D), creating an accidental misuse situation with an excessive dose. The patient needs medication education and help with proper labeling; there is no evidence they cannot self-administer (C). Options A and B are not factually supported.

A patient tells the nurse that his sexual functioning is normal when his wife wears short, red camisole-style nightgowns. He states, 'Without the red teddies, I am not interested in sex.' The nurse can assess this as consistent with

  • A. exhibitionism.
  • B. voyeurism.
  • C. frotteurism.
  • D. fetishism.
Correct Answer: D

Rationale: The correct answer is D: fetishism. Fetishism is a sexual disorder where a person is sexually aroused by an object or body part that is not typically considered sexual. In this scenario, the patient's arousal is dependent on his wife wearing a specific type of clothing (the red camisole-style nightgowns), indicating a fetishistic preference for that particular item. This is different from exhibitionism (A), which involves exposing one's genitals to unsuspecting strangers; voyeurism (B), which involves observing unsuspecting individuals undressing or engaging in sexual activity; and frotteurism (C), which involves touching or rubbing against a non-consenting person for sexual arousal.

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