Age Specific Populations

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A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?

  • A. Sexual dysfunction may result from use of prescription medications for management of hypertension.
  • B. Such questions are an indirect way of learning about the patient's medication adherence.
  • C. These questions ease the transition to questions about sexual practices in general.
  • D. Sexual dysfunction can cause stress and contribute to increased blood pressure.
Correct Answer: A

Rationale: 1. **Step 1**: Hypertension is a common condition managed with prescription medications.
2. **Step 2**: Many antihypertensive medications can cause sexual dysfunction as a side effect.
3. **Step 3**: Therefore, asking about prescribed medications and their effects on sexual function is important.
4. **Step 4**: This helps assess if the patient is experiencing any sexual side effects due to his hypertension medications.
5. **Step 5**: Identifying and addressing such side effects can improve patient outcomes and quality of life.
6. **Summary**: Option A is correct as it directly links the potential sexual dysfunction side effects of hypertension medications to the assessment, unlike the other choices which do not address this important aspect of medication management.

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Which of the following medical conditions can produce a mild neurocognitive disorder and mild impairments in social/occupational functioning?

  • A. Parkinson's disease
  • B. Huntington's disease
  • C. Creutzfeldt-Jakob disease
  • D. HIV
Correct Answer: D

Rationale: HIV can cause mild neurocognitive disorder via brain inflammation, affecting daily functioning.

Which of the following is an example of a peri-natal cause of intellectual disability when there is a significant period without oxygen occurring during or immediately after delivery?

  • A. Anoxia
  • B. Pronoxia
  • C. Anaphylaxia
  • D. Dysnoxia
Correct Answer: A

Rationale: Anoxia: A peri-natal cause of intellectual disability due to a significant period without oxygen during or after delivery.

Diet, exercise and establishing a regular sleep cycle are all effective treatments for many mental disorders in teenagers

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

Rationale: Lifestyle interventions like diet, exercise, and sleep hygiene are evidence-based adjuncts for managing many mental disorders.

The nurse is assessing a patient with anorexia nervosa. What is the most important physical examination finding to monitor?

  • A. Blood pressure and heart rate.
  • B. Height and weight changes.
  • C. Skin turgor and hydration status.
  • D. Respiratory rate and lung function.
Correct Answer: B

Rationale: The correct answer is B: Height and weight changes. In anorexia nervosa, monitoring height and weight changes is crucial as it reflects the patient's nutritional status and overall health. Weight loss and changes in height can indicate severe malnutrition and potential complications. Blood pressure and heart rate (choice A) can be affected by various factors in anorexia nervosa but may not directly reflect the patient's nutritional status. Skin turgor and hydration status (choice C) are important indicators of hydration levels but may not provide a comprehensive assessment of the patient's nutritional status. Respiratory rate and lung function (choice D) are important, but they may not be the most critical physical examination findings to monitor in anorexia nervosa.

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.

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