Age Specific Patient Care

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A nurse assesses that which of the following individuals is most likely to engage in binge-eating behaviors characteristic of bulimia?

  • A. A person who weighs 225 pounds and is 5 feet 4 inches tall.
  • B. A person who is 5 pounds overweight and cannot stick to a diet.
  • C. A person who lost up 40 pounds but gained it back within 1 year.
  • D. A person who monitors caloric intake in order to fit into a small suit.
Correct Answer: B

Rationale: The correct answer is B because binge-eating behaviors are often associated with individuals who struggle to control their eating, leading to episodes of excessive food consumption. Being unable to stick to a diet indicates a lack of control, which is a key characteristic of binge-eating. Choice A focuses more on weight and height, which are not direct indicators of binge-eating. Choice C describes weight fluctuations, which may not necessarily be linked to binge-eating. Choice D emphasizes monitoring caloric intake for a specific goal, which does not necessarily indicate a loss of control over eating behavior.

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An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which indicator would suggest that nursing interventions are succeeding?

  • A. The child attends school regularly.
  • B. The child is observed playing calmly.
  • C. The father rarely speaks during nurse visits.
  • D. The mother corrects negative comments by the child.
Correct Answer: A

Rationale: The correct answer is A because regular school attendance indicates the child's improved well-being and ability to prioritize education over caregiving responsibilities.
B: Playing calmly does not necessarily indicate overall improvement in the child's situation.
C: The father's silence during nurse visits does not directly reflect the child's well-being or progress.
D: The mother correcting negative comments by the child is positive but does not directly address the child's caregiving responsibilities or self-perceptions.

What is the main issue for adolescents with anorexia?

  • A. Anxiety.
  • B. Control.
  • C. Body image.
  • D. Appropriate behavior.
Correct Answer: B

Rationale: The correct answer is B: Control. Adolescents with anorexia often have a strong desire for control over their lives, including their body and food intake. This need for control can manifest in restrictive eating behaviors. Anxiety (choice A) may be a symptom but is not the main issue. Body image (choice C) is a contributing factor, but not the primary issue. Appropriate behavior (choice D) is too broad and not specific to the core issue of control seen in anorexia.

A patient with antisocial personality disorder tells Nurse A, 'You're a much better nurse than Nurse B said you were.' The patient tells Nurse B, 'Nurse A's upset with you for some reason.' To Nurse C the patient states, 'You'd like to think you're perfect, but I've seen three of your mistakes this morning.' These comments can best be assessed as:

  • A. seductive.
  • B. detached.
  • C. guilt producing.
  • D. manipulative.
Correct Answer: D

Rationale: The correct answer is D: manipulative. The patient is using different strategies to manipulate each nurse's emotions and behavior for personal gain. In the first scenario, the patient is attempting to create a divide between Nurse A and Nurse B by praising Nurse A and implying Nurse B's incompetence. In the second scenario, the patient is trying to instigate conflict between Nurse A and Nurse B by falsely suggesting Nurse A's negative feelings towards Nurse B. In the third scenario, the patient is employing a manipulative tactic by undermining Nurse C's confidence and competence. These behaviors demonstrate a pattern of manipulation aimed at controlling and influencing the nurses' perceptions and actions. Choices A, B, and C do not accurately capture the manipulative intent behind the patient's actions.

Here in Boston our water comes from

  • A. Groundwater
  • B. The Charles River
  • C. Marlborough
  • D. The Quabbin Reservoir
Correct Answer: D

Rationale: Boston's primary water source is the Quabbin Reservoir, which supplies clean water to the metropolitan area.

People with Mania experience strange feelings of grandiosity

  • A. TRUE
  • B. FALSE
Correct Answer: A

Rationale: Mania often includes grandiosity, such as believing one has special powers or status.

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