Age Specific Patient Care Quizlet

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A family discusses the impact of a seriously mental ill member. Insurance partially covered treatment expenses, but the family spent much of their savings for care. The patients sibling says, 'My parents have no time for me.' The parents are concerned that when they are older, there will be no one to care for the patient. Which response by the nurse would be most helpful?

  • A. Acknowledge their concerns and consult with the treatment team about ways to bring the patients symptoms under better control
  • B. Give them names of financial advisors that could help them save or borrow sufficient funds to leave a trust fund to care for their loved one
  • C. Refer them to crisis intervention services to learn ways to manage caregiver stress and provide titles of some helpful books for families
  • D. Discuss benefits of participating in National Alliance on Mental Illness (NAMI) programs and ways to help the patient become more independent
Correct Answer: D

Rationale: The family has raised a number of concerns, but the major issues appear to be the effects caregiving has had on the family and their concerns about the patients future. The National Alliance on Mental Illness (NAMI) offers support, education, resources, and access to other families who have experience with the issues now facing this family. NAMI can help address caregiver burden and planning for the future needs of SMI persons. Improving the patients symptom control and general functioning can help reduce caregiver burden but would likely be a slow process, whereas NAMI involvement could benefit them on a number of fronts, possibly in a shorter time period. The family will need more than financial planning; their issues go beyond financial. The family is distressed but not in crisis. Crisis intervention is not an appropriate resource for the longer-term issues and needs affecting this family.

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The nurse at the clinic is interviewing a patient who offers a number of vague somatic complaints that might not ordinarily prompt a visit to a caregiver: fatigue, back pain, and seems tense. After having spoken of the symptoms, the nurse can best serve the patient by:

  • A. Asking if the patient has ever had psychiatric counseling.
  • B. Completing a structured abuse assessment protocol.
  • C. Suggesting the patient take a break from work.
  • D. None of the above.
Correct Answer: B

Rationale: The correct answer is B: Completing a structured abuse assessment protocol. In this scenario, the patient presents with vague somatic complaints that could potentially be indicative of underlying abuse. By completing an abuse assessment protocol, the nurse can uncover any possible abuse the patient may be experiencing, which could be the root cause of their symptoms. This approach is crucial in ensuring the patient's safety and well-being.

Choice A is incorrect because assuming the symptoms are solely related to psychiatric issues without exploring other potential causes can lead to overlooking important factors. Choice C is incorrect as suggesting a break from work may not address the underlying issue and could potentially worsen the patient's situation. Choice D is incorrect as taking no action could result in the patient's condition worsening without proper intervention.

An appropriate intervention for a client with an identified nursing diagnosis of Situational low self-esteem would be:

  • A. Encouraging verbalization of feelings in a safe environment
  • B. Attempting to determine triggers to hallucinations
  • C. Engaging client in activities designed to permit success
  • D. Providing large muscle activities to relieve stress
Correct Answer: C

Rationale: The correct answer is C: Engaging client in activities designed to permit success. This intervention is appropriate for addressing situational low self-esteem as it focuses on building the client's self-confidence through successful experiences. Engaging in activities that the client can excel at helps boost self-esteem and self-worth. By providing opportunities for success, the client can gain a sense of accomplishment, leading to improved self-esteem.

A: Encouraging verbalization of feelings in a safe environment may be beneficial for emotional expression, but it does not directly address building self-esteem through success.
B: Attempting to determine triggers to hallucinations is unrelated to addressing situational low self-esteem.
D: Providing large muscle activities to relieve stress may be helpful for stress management but does not directly target improving self-esteem through success.

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.

Which situation is consensual sex rather than rape?

  • A. A husband forces vaginal sex when he comes home intoxicated from a party. The wife objects.
  • B. A woman's lover pleads with her to have oral sex. She gives in but then regrets the decision.
  • C. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.
  • D. A dentist gives anesthesia for a procedure and then has intercourse with the unconscious patient.
Correct Answer: B

Rationale: The correct answer is B because, although the woman initially gave in to her lover's plea for oral sex, she later regretted the decision. Consent must be freely given without coercion or manipulation. In this scenario, the woman's regret indicates that her initial agreement was not genuine consent. Choice A involves force and lack of consent. Choice C depicts a violent and non-consensual act. Choice D involves taking advantage of a vulnerable and unconscious individual, which is also non-consensual.

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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