Age Specific Populations

Age Specific Populations Related

Review Age Specific Populations related questions and content

A new nurse asks, 'My elderly patient's CT scan of the head shows many Lewy bodies are present. What should I do about assessing for pain?' Select the best response from the nurse manager.

  • A. Ask the patient's family if they think the patient is experiencing pain.
  • B. Use a visual analog scale to help the patient determine the presence and severity of pain.
  • C. There are special scales for assessing patients with dementia. Let's review how to use them.
  • D. The perception of pain is diminished by this type of dementia. Focus your assessment on the patient's mental status.
Correct Answer: C

Rationale: The correct answer is C because patients with Lewy body dementia may have difficulty expressing pain. Special pain assessment scales designed for patients with dementia can help in accurately assessing pain levels. These scales take into account nonverbal cues and behavioral changes that may indicate pain. By using these specialized tools, the nurse can ensure a more comprehensive assessment of the patient's pain experience.

Choice A is incorrect because relying solely on family members' perceptions may not accurately reflect the patient's actual pain experience.

Choice B is not the best option because a visual analog scale may not be suitable for patients with dementia who may have cognitive impairments affecting their ability to use such tools effectively.

Choice D is incorrect as it assumes that pain perception is diminished in Lewy body dementia without considering that patients may still experience pain but have difficulty communicating it. Focusing solely on mental status may overlook important pain indicators.

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What is the primary concern when a patient with bulimia nervosa engages in frequent purging?

  • A. Electrolyte imbalances and dehydration.
  • B. Increased risk of obesity and metabolic syndrome.
  • C. Improvement in body image and self-esteem.
  • D. Decreased risk of gastrointestinal complications.
Correct Answer: A

Rationale: The correct answer is A: Electrolyte imbalances and dehydration. Purging behaviors in bulimia nervosa, such as self-induced vomiting or laxative abuse, can lead to electrolyte imbalances and dehydration due to loss of essential minerals and fluids. This can result in serious medical complications like cardiac arrhythmias and kidney damage. The other choices are incorrect because B is unrelated to purging behaviors, C is unlikely as purging does not improve body image or self-esteem, and D is incorrect as purging actually increases the risk of gastrointestinal complications.

An elderly client who lives with her daughter and son-in-law and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things. The daughter is a mid-level business executive who is under considerable stress at work. The children are often left in the care of the elderly client. The husband is often out of town on business trips. The daughter states, 'I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work.' The nurse caring for the mother could appropriately suggest:

  • A. Family therapy.
  • B. Individual counseling for the daughter.
  • C. Respite care for the elderly client.
  • D. None of the above.
Correct Answer: A

Rationale: The correct answer is A: Family therapy. Family therapy is the most appropriate suggestion because it addresses the dysfunctional dynamics within the family and provides an opportunity for all family members to work through their issues. In this scenario, the daughter's stress at work and lack of coping skills are contributing to the abuse of the elderly client. Family therapy can help the family communicate effectively, set boundaries, and address underlying issues causing the abuse.

Choice B (Individual counseling for the daughter) may help the daughter address her stress and coping mechanisms, but it does not address the family dynamics that are contributing to the abuse. Choice C (Respite care for the elderly client) provides temporary relief but does not address the root cause of the issue. Choice D (None of the above) is incorrect as family therapy is the most appropriate intervention in this case.

Bob has never met Madonna but he is convinced that she is deeply in love with him. Bob is suffering from

  • A. grandiose delusions
  • B. jealous delusions
  • C. obsessive-compulsive disorder
  • D. erotomanic delusions
Correct Answer: A

Rationale: This should be D (erotomanic delusions), where a person believes someone, often a celebrity, is in love with them; the answer key may be incorrect as grandiose delusions involve exaggerated self-importance.

People with disabilities (PWD):

  • A. Have higher mortality rate due to their underlying bodily impairments
  • B. Have a thinner margin of health compared to general population
  • C. In the UK had lower infection and mortality rate during the Covid pandemic
  • D. Have lesser secondary functional loss when they fall sick
Correct Answer: B

Rationale: PWD have a thinner margin of health, meaning they are more vulnerable to health declines, per global health data.

A nurses neighbor says, 'My sister has been diagnosed with bipolar disorder but will not take her medication. I have tried to help her for over 20 years, but it seems like everything I do fails. Do you have any suggestions?' Select the nurses best response.

  • A. The National Alliance on Mental Illness offers a family education series that you might find helpful.'
  • B. Since your sister is noncompliant, perhaps its time for ber to be changed to injectable medication.'
  • C. You have done all you can. Now its time to put yourself first and move on with your life.'
  • D. You cannot help her. Would it be better for you to discontinue your relationship?'
Correct Answer: A

Rationale: The National Alliance on Mental Illness (NAMI) offers a family education series that assists with the stress caregivers and other family members often experience. The nurse should not give advice about injectable medication or encourage the family member to give up on the patient.

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