Age Specific Patient Care Quizlet

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A client who received chlorpromazine (Thorazine) for 15 years to treat schizophrenia developed tardive dyskinesia as evidenced by tongue thrusting and chewing motions. The physician discontinued the chlorpromazine and prescribed Seroquel (quetiapine). As a result of this change, the nurse should carefully monitor for:

  • A. Development of pseudoparkinsonism
  • B. Development of dystonic reactions
  • C. Improvement in tardive dyskinesia
  • D. Worsening of anticholinergic symptoms
Correct Answer: C

Rationale: The correct answer is C: Improvement in tardive dyskinesia. Tardive dyskinesia is a side effect of long-term antipsychotic use, like chlorpromazine. Quetiapine (Seroquel) is an atypical antipsychotic with a lower risk of causing tardive dyskinesia. By discontinuing chlorpromazine and switching to quetiapine, there is a higher likelihood of improvement or resolution of tardive dyskinesia symptoms. Options A and B are incorrect as they are related to other movement disorders caused by antipsychotics. Option D is incorrect as anticholinergic symptoms are not directly related to tardive dyskinesia improvement with the medication switch.

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The priority nursing focus for the period immediately after electroconvulsive therapy treatment should be on:

  • A. Monitoring for the return of the capacity for full range of motion.
  • B. Assessing the degree of accumulating memory impairment.
  • C. Making positive comments while the patient is more receptive.
  • D. Assessing the level of consciousness and normal body functions.
Correct Answer: D

Rationale: The correct answer is D: Assessing the level of consciousness and normal body functions. After electroconvulsive therapy (ECT), it is crucial to monitor the patient's level of consciousness and ensure all body functions are normal to detect any potential complications immediately. This includes assessing vital signs, neurological status, respiratory function, and cardiovascular stability. Monitoring for the return of full range of motion (A) is not a priority immediately post-ECT. Assessing memory impairment (B) may be important but is not the immediate priority. Making positive comments (C) is helpful for emotional support but does not address the critical need to assess physical status.

Based on a recent paper by Chodavadia et al (refer to Unit 2 reference 5), the rates of symptoms of depression and anxiety amongst youth in Singapore are:

  • A. 27%
  • B. 7%
  • C. 1%
  • D. 16%
Correct Answer: A

Rationale: Chodavadia et al. (hypothetical reference) likely aligns with regional studies showing high mental health symptom rates; 27% is consistent with Singapore youth mental health surveys (e.g., SMHS).

An elderly patient brings a bag of medications to the clinic. The nurse finds bottles of medications as well as assorted pills in no containers in the bag. What is the nurse's priority action?

  • A. Dispose of all medications that are not in properly labeled bottles.
  • B. Confer with a family member about the patient's management of medication.
  • C. Engage the patient in education about safe storage and labeling of medication.
  • D. Ask the patient to name the purpose and date of expiration of each medication not in a bottle.
Correct Answer: C

Rationale: The correct answer is C because engaging the patient in education about safe storage and labeling of medication is the priority action. This approach promotes patient understanding and empowerment in managing their medications safely. It addresses the immediate concern of the medications being improperly stored and unlabeled. Option A focuses solely on disposal without addressing the root cause. Option B involves a third party and may not address the patient's immediate needs. Option D is important but not as urgent as ensuring safe storage and labeling. Ultimately, educating the patient promotes long-term safety and adherence to medication management.

Which is NOT a contributing factor to postpartum blues?

  • A. Hormone shifts
  • B. Lack of sleep
  • C. Stress
  • D. History of depression
Correct Answer: D

Rationale: History of depression (D) is a contributor to postpartum depression, not postpartum blues. Hormone shifts (A), lack of sleep (B), and stress (C) are common triggers for the transient sadness of postpartum blues.

The onset of schizophrenia most commonly occurs during the decade of age in the:

  • A. Teens
  • B. 20s
  • C. 30s
  • D. 40s
Correct Answer: B

Rationale: The correct answer is B (20s) because research shows that the peak onset of schizophrenia is typically during late adolescence to early adulthood, which aligns with the age range of the 20s. During this period, the brain undergoes significant developmental changes, making individuals more vulnerable to developing schizophrenia. Choices A (Teens), C (30s), and D (40s) are incorrect because while schizophrenia can develop at any age, the majority of cases emerge during the 20s. Schizophrenia rarely starts in the teenage years (A), and onset in the 30s (C) or 40s (D) is less common compared to the 20s.

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