Population Based Care

Population Based Care Related

Review Population Based Care related questions and content

A man who reports frequently experiencing premature ejaculation tells the nurse, 'I feel like such a failure. It's so awful for both me and my partner. Can you help me?' Select the nurse's best response.

  • A. Have you discussed this problem with your partner?
  • B. I can refer you to a practitioner who can help you with this problem.
  • C. Have you asked your health care provider for prescription medication?
  • D. There are several techniques described in this pamphlet that might be helpful.
Correct Answer: B

Rationale: The correct answer is B because the nurse should refer the patient to a practitioner who specializes in treating premature ejaculation. This is the best response as it ensures the patient receives specialized care and treatment tailored to his needs. Referring to a specialist increases the likelihood of successful intervention and addresses the patient's concerns effectively.

Choices A, C, and D are incorrect. Choice A focuses on communication with the partner, which is important but not the primary intervention for premature ejaculation. Choice C suggests prescription medication without exploring other treatment options or assessing the patient's individual situation. Choice D provides general information without addressing the patient's emotional distress or offering specific help from a professional.

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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 patient describes loss of significant others, economic security, and health. He describes mood alteration and voices the thought that he has little to live for. Combined with his age, sex, and single status, each is a risk factor for suicide. Elderly white males have the highest risk for completed suicide.

A person diagnosed with a serious mental illness enters a shelter for the homeless. Which intervention should be the nurses initial priority?

  • A. Find supported employment
  • B. Develop a trusting relationship
  • C. Administer prescribed medication
  • D. Teach appropriate health care practices
Correct Answer: B

Rationale: Basic psychosocial needs do not change because a person is homeless. The first step in caring for health care needs is establishing rapport. Once a trusting relationship is established, the nurse pursues other interventions.

Which symptom is most closely associated with the onset of anorexia nervosa?

  • A. Excessive eating followed by purging.
  • B. Obsession with calorie intake and extreme weight loss.
  • C. Compulsive exercising to burn calories.
  • D. Binge eating episodes with a lack of control.
Correct Answer: B

Rationale: The correct answer is B because an obsession with calorie intake and extreme weight loss is a hallmark symptom of anorexia nervosa. Individuals with anorexia nervosa typically have a distorted body image and an intense fear of gaining weight. This leads them to restrict their food intake severely, leading to extreme weight loss.

Choice A is incorrect because excessive eating followed by purging is more characteristic of bulimia nervosa, not anorexia nervosa. Choice C is incorrect as compulsive exercising is more commonly associated with another eating disorder called orthorexia nervosa. Choice D is incorrect as binge eating episodes with a lack of control are symptoms of binge eating disorder, not anorexia nervosa.

A patient tells a nurse, 'The others won't give me my pain meds early, but you are more understanding, you know what it's like to be in pain, and you don't want to see your patients suffer. Could you find a way to get me my pill now? I won't tell anyone.' Which response by the nurse would be most therapeutic?

  • A. I'm not comfortable doing that,' then ignore subsequent requests for early meds.
  • B. I'll have to check with your doctor about that; I will get back to you after I do.'
  • C. It would be unsafe to give the medicine early; none of us will do that.'
  • D. I understand that you have pain, but giving medicine too soon would not be safe.'
Correct Answer: D

Rationale: Step 1: Acknowledge the patient's pain and show understanding.
Step 2: Emphasize the importance of safety in medication administration.
Step 3: Set clear boundaries by explaining why giving medicine too soon is unsafe.
Step 4: Reiterate empathy for the patient's pain while prioritizing safety.
Summary: Answer D is correct as it acknowledges the patient's pain, emphasizes safety, sets clear boundaries, and maintains empathy. Other choices either ignore the patient's request, defer responsibility, or solely focus on safety without empathy.

Older adults have reached Erikson's developmental stage of ego integrity when they:

  • A. acknowledge that one cannot get everything one wants in life
  • B. assess their lives and identify actions that had value and purpose
  • C. express a wish that life could be relived differently
  • D. feel that they are being punished for things they did not do
Correct Answer: B

Rationale: Ego integrity involves reflecting on life with acceptance and finding meaning, per Erikson's theory.

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