Population Specific Care

Population Specific Care Related

Review Population Specific Care related questions and content

A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:

  • A. Coma
  • B. Seizures
  • C. Hypotonia
  • D. Respiratory depression
Correct Answer: D

Rationale: The correct answer is D: Respiratory depression. Flunitrazepam is a sedative-hypnotic drug that can cause central nervous system depression, leading to respiratory depression, which is life-threatening. Monitoring respiratory status is crucial to prevent respiratory failure.

A: Coma may occur but is a consequence of severe respiratory depression, hence monitoring respiratory status is more critical.
B: Seizures are not a common side effect of flunitrazepam and do not pose immediate life-threatening risks compared to respiratory depression.
C: Hypotonia (muscle weakness) is a potential side effect but does not require immediate intervention like respiratory depression.

In summary, monitoring for respiratory depression is the priority as it can lead to respiratory failure and death, while the other choices are not as immediately life-threatening.

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A nurse assesses that which of the following individuals is most likely to engage in 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 to 40 pounds but gained it back within 1 year.
  • D. None of the above.
Correct Answer: A

Rationale: Step 1: Individuals with bulimia often engage in episodes of binge eating followed by purging behaviors.
Step 2: Choice A, a person who is significantly overweight, is more likely to engage in binge eating behavior.
Step 3: Being overweight can be a risk factor for bulimia due to body image concerns.
Step 4: Choices B and C do not provide as strong indicators for bulimia as choice A.
Summary: Choice A is correct as being significantly overweight is a common characteristic of individuals with bulimia. Choices B and C lack the same level of risk factors for engaging in eating behaviors characteristic of bulimia.

What is a key indicator of mental development in preschool children?

  • A. Ability to count to 10
  • B. Following multi-step instructions
  • C. Recognizing colors
  • D. Walking independently
Correct Answer: B

Rationale: Following multi-step instructions (B) reflects cognitive processing and memory, key mental development indicators in preschoolers. Counting (A) and colors (C) are simpler skills, while walking (D) is physical, not mental.

Irrational and very specific fears that persist even when there is no real danger to a person are called

  • A. anxieties
  • B. dissociation's
  • C. phobias
  • D. obsessions
Correct Answer: C

Rationale: Phobias are specific, irrational fears persisting despite no real threat, distinct from general anxiety.

A 5-year-old presents with a history of urgency of micturition, occasional enuresis, and a slight, non-offensive vaginal discharge for 3 months. She has had no vaginal bleeding. Examination reveals some reddening of the labia majora. Which one of the following is the most likely diagnosis?

  • A. Trichomonal infection.
  • B. Gonorrhoea.
  • C. Cystitis.
  • D. Non-specific vulvo-vaginitis.
Correct Answer: D

Rationale: Non-specific vulvo-vaginitis (E) is common in young girls due to hygiene or irritation, causing these symptoms. Trichomonas (A) and gonorrhoea (B) are rare without sexual history, cystitis (C) lacks vaginal signs, and foreign body (D) typically causes bleeding or foul discharge.

The wife of a client newly diagnosed with paranoid schizophrenia asks the nurse, 'My husband was well adjusted until a month ago, and then, after a lot of work stress, he got sick. What can I expect? Will he be this sick for the rest of his life?' What information can the nurse provide about prognosis?

  • A. This disorder responds well to treatment and, with follow-up, may not recur.'
  • B. All types of schizophrenia are chronic relapsing disorders.'
  • C. Outcomes are poor related to client prehospital disorganization.'
  • D. The usual outcome is that only partial remission is achieved.'
Correct Answer: A

Rationale: Step 1: Paranoid schizophrenia is a subtype that tends to have a better prognosis compared to other types.
Step 2: The statement that the disorder responds well to treatment and may not recur aligns with the typical course of paranoid schizophrenia.
Step 3: With proper medication and therapy, individuals with paranoid schizophrenia can experience significant improvement and have periods of stability.
Step 4: Recurrence of symptoms is less likely compared to other types of schizophrenia.
Step 5: Therefore, choice A is correct as it provides accurate information about the prognosis of paranoid schizophrenia.
Summary: Choice B is incorrect because not all types of schizophrenia are chronic relapsing disorders. Choice C is incorrect as outcomes are not solely determined by prehospital disorganization. Choice D is incorrect as partial remission is not the usual outcome for paranoid schizophrenia.

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