Age Specific Patient Care Quizlet

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A client with undifferentiated schizophrenia is readmitted for an acute exacerbation of the disorder. The goal of hospitalization is symptom stabilization. The nurse has documented that, in addition to experiencing auditory hallucinations, the client seems uninterested in activities, has difficulty completing tasks, seems forgetful, and seems puzzled by information and directions given by staff. The nurse's plans for intervention will be effective if these behaviors are attributed to:

  • A. Social isolation
  • B. Deficient knowledge
  • C. Situational low self-esteem
  • D. Problems in cognitive functioning
Correct Answer: D

Rationale: The correct answer is D: Problems in cognitive functioning. In undifferentiated schizophrenia, cognitive deficits such as difficulty completing tasks, forgetfulness, and confusion are common symptoms. These behaviors are indicative of cognitive impairment rather than social isolation, deficient knowledge, or low self-esteem. Cognitive deficits in schizophrenia can affect memory, attention, and problem-solving abilities, leading to difficulties in daily functioning. Therefore, the nurse's interventions should focus on addressing these cognitive impairments to stabilize the client's symptoms.

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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 factor least influences whether a country will have a higher life expectancy?

  • A. The level of racial diversity
  • B. Quality sanitation and sewage treatment facilities
  • C. Access to food
  • D. Access to medicine
Correct Answer: A

Rationale: Racial diversity has little direct impact on life expectancy compared to sanitation, food, and medical access, which are critical determinants.

The nurse in the Emergency Department is taking a history from a family accompanying a child with suspicious traumatic injuries. The nurse should:

  • A. Obtain information as covertly as possible
  • B. Avoid responding to hints that abuse has occurred
  • C. Be open, concerned, and honest
  • D. Separate the family from the child during the interview
Correct Answer: C

Rationale: The correct answer is C because being open, concerned, and honest fosters trust, encourages disclosure, and promotes a supportive environment for the family. This approach allows the nurse to gather necessary information effectively and ensure the safety and well-being of the child. Choice A is incorrect as covert behavior may lead to suspicion and hinder communication. Choice B is incorrect because ignoring hints of abuse can be detrimental to the child's safety. Choice D is incorrect as separating the family may escalate tension and prevent crucial information sharing.

A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:

  • A. Appropriately express angry feelings.
  • B. Verbalize two positive things about self.
  • C. Verbalize the importance of eating a balanced diet.
  • D. Identify two alternative methods of coping with loneliness and isolation.
Correct Answer: D

Rationale: The correct answer is D: Identify two alternative methods of coping with loneliness and isolation.

Rationale:
1. The nursing diagnosis is Ineffective coping related to feelings of loneliness and isolation, indicating the patient struggles with coping mechanisms.
2. The desired outcome is for the patient to identify alternative coping methods, which directly addresses the ineffective coping issue.
3. By identifying two alternative methods, the patient demonstrates an understanding of healthier coping strategies.
4. This outcome focuses on addressing the root cause of the behavior (loneliness and isolation) rather than just surface-level expressions or behaviors.

Summary:
A: Appropriately expressing angry feelings does not directly address coping mechanisms related to loneliness and isolation.
B: Verbalizing positive things about oneself is beneficial but does not address the core issue of ineffective coping.
C: Verbalizing the importance of a balanced diet is important but does not directly address coping with loneliness and isolation.

The parent of a seriously mentally ill adult asks the nurse, 'Why are you making a referral to a vocational rehabilitation program? My child wont ever be able to hold a job.' Which is the nurses best reply?

  • A. We make this referral to continue eligibility for federal funding.'
  • B. Are you concerned that were trying to make your child too independent?'
  • C. If you think the program would be detrimental, we can postpone it for a time.'
  • D. Most patients are capable of employment at some level, competitive or supported.'
Correct Answer: D

Rationale: Studies have shown that most patients who complete vocational rehabilitation programs are capable of some level of employment. They also demonstrate significant improvement in assertiveness and work behaviors as well as decreased depression.

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