Age Specific Care Quiz

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A male patient diagnosed with paranoid schizophrenia typically relates effectively with female staff but angrily tells the male nurse, 'You act like a homosexual. None of the men trust you or want to be around you.' The nurse, who is heterosexual, is perplexed by the patient's statements and discusses the event with his mentor. Which explanation most likely underlies the patient's behavior?

  • A. The patient was unleashing unconscious, hostile feelings toward the nurse.
  • B. The patient feared the nurse would reject him, so he coped by rejecting the nurse first.
  • C. It was the patient's way of distancing himself from potential emotional intimacy.
  • D. The patient was coping with homosexual urges by projecting them onto the nurse.
Correct Answer: D

Rationale: The correct answer is D because the patient's accusation of the nurse being homosexual and implying that other men do not trust him or want to be around him suggests projection of the patient's own homosexual urges onto the nurse. This defense mechanism of projection helps the patient avoid acknowledging and dealing with his own uncomfortable feelings by attributing them to someone else.

Option A is incorrect because the patient's behavior is more about projecting feelings onto the nurse rather than unconscious hostility. Option B is incorrect as it focuses on the patient's fear of rejection rather than projecting his own feelings onto the nurse. Option C is incorrect as it does not address the specific dynamic of projecting homosexual urges onto the nurse.

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The mother of a teen with an eating disorder tells the nurse, 'Our family is pretty well-adjusted. It's hard for me to imagine what we could have done to have this happen.' The nurse can promote more complete understanding of the etiology of eating disorders by mentioning that young women are also influenced by:

  • A. The abundance of nutritious foods available.
  • B. The fashion industry's idealization of thinness.
  • C. Competition in the workplace.
  • D. None of the above.
Correct Answer: B

Rationale: The correct answer is B: The fashion industry's idealization of thinness. This is correct because the portrayal of ultra-thin models in the fashion industry can contribute to societal pressure on young women to achieve an unrealistic body image, leading to body dissatisfaction and potentially eating disorders. The other choices are incorrect because option A does not address the societal influences on body image ideals, option C is not directly related to the etiology of eating disorders in young women, and option D is incorrect as the fashion industry can indeed play a significant role in shaping perceptions of beauty and body image.

Major concerns of the elderly living alone in their home are: (Name 1)

  • A. Safety
  • B. Quality of life
  • C. Support system
  • D. Access to medical care
Correct Answer: A

Rationale: Safety (A) is a major concern for the elderly living alone, as it impacts their ability to remain independent and healthy. Other concerns like quality of life (B), support system (C), and medical access (D) are also relevant but asked as a single choice here.

The antisocial personality

  • A. avoids other people as much as possible
  • B. is relatively easy to treat effectively by psychotherapy
  • C. tends to be selfish and lacking remorse
  • D. usually gives a bad first impression
Correct Answer: C

Rationale: Antisocial personality involves selfishness and lack of remorse, often masked by initial charm.

A 79-year-old white male tells a nurse, 'I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing.' The nurse should analyze this comment as

  • A. normal pessimism of the elderly.
  • B. evidence of risks for suicide.
  • C. a call for sympathy.
  • D. normal grieving.
Correct Answer: B

Rationale: The correct answer is B: evidence of risks for suicide. The elderly man's statement indicates feelings of hopelessness, loneliness, and lack of purpose, which are common risk factors for suicide in older adults. The nurse should assess further for suicidal ideation and intervene accordingly.

Choice A is incorrect because the statement goes beyond normal pessimism by expressing thoughts of not having much to live for. Choice C is incorrect as the statement is more indicative of distress rather than a mere call for sympathy. Choice D is incorrect as normal grieving typically involves processing emotions related to a specific loss, whereas the man's statement reflects a broader sense of despair.

A mother discusses her concerns about genetic transmission of schizophrenia with the nurse saying, 'My son is a fraternal twin. He has been diagnosed with schizophrenia. Will my other son develop schizophrenia, too?' The response that is both sensitive and shows understanding of the genetic component is:

  • A. You poor woman! I wish I could tell you he will be free of the disorder.'
  • B. Studies show that 50% of twins develop schizophrenia when it is present in the other twin.'
  • C. No one can say what will happen, so we will hope for the best for you and your sons.'
  • D. In fraternal twins, the chance of the other twin developing the disorder is quite small.'
Correct Answer: D

Rationale: The correct answer is D because it provides an accurate and sensitive response. Fraternal twins do not share the exact genetic makeup, so the chance of the other twin developing schizophrenia is lower compared to identical twins. This response acknowledges the genetic component of schizophrenia while also offering reassurance based on the understanding of genetic transmission.

Choices A and C are incorrect because they do not provide accurate information about the genetic risk of schizophrenia in fraternal twins and may not offer the mother a clear understanding of the situation. Choice B is incorrect as it provides a generalized statistic for identical twins, not fraternal twins, which could lead to unnecessary anxiety for the mother.

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