Age Specific Patient Care Quizlet

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A nurse plans an educational program for staff of a home health agency specializing in care of the elderly. Which topic is the highest priority to include?

  • A. Pain assessment techniques for older adults
  • B. Psychosocial stimulation for those who live alone
  • C. Preparation of psychiatric advance directives in the elderly
  • D. Ways to manage disinhibition in elderly persons with dementia
Correct Answer: A

Rationale: The correct answer is A: Pain assessment techniques for older adults. This is the highest priority as pain management is crucial in the care of the elderly to ensure their comfort and well-being. By assessing pain accurately, appropriate interventions can be implemented.

- Choice B (Psychosocial stimulation): While important, it is not as critical as addressing pain, which directly impacts the individual's physical comfort.
- Choice C (Psychiatric advance directives): Important for mental health planning but not as immediately essential as pain assessment in day-to-day care.
- Choice D (Managing disinhibition in dementia): Important but secondary to addressing pain, which has a more immediate impact on the individual's quality of life.

Prioritizing pain assessment ensures holistic care for elderly patients.

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During a counseling session, the mother of one of the clients with an eating disorder states to the nurse, 'I feel like such a failure. How can I be sure my daughter has no more problems like this?' Which response is the most therapeutic?

  • A. You are not responsible for your daughter's behavior.'
  • B. Avoid giving advice and engaging in power struggles with your daughter.'
  • C. It sounds like you are blaming yourself for your daughter's problems.'
  • D. Try to ignore any problems your daughter has related to her eating disorder.'
Correct Answer: C

Rationale: Rationale:
C is the correct answer because it demonstrates empathy and reflects active listening. It acknowledges the mother's feelings without judgment and helps her explore her emotions. A: Blames the mother. B: Avoids addressing the mother's emotions. D: Dismisses the daughter's issues.

Anorexia nervosa is very common in teenage girls

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

Rationale: Anorexia nervosa is prevalent among teenage girls due to societal pressures and developmental factors.

A client who received chlorpromazine (Thorazine) for 15 years to treat schizophrenia developed tardive dyskinesia as evidenced by tongue thrusting and chewing motions. The physician discontinued the chlorpromazine and prescribed Seroquel (quetiapine). As a result of this change, the nurse should carefully monitor for:

  • A. Development of pseudoparkinsonism
  • B. Development of dystonic reactions
  • C. Improvement in tardive dyskinesia
  • D. Worsening of anticholinergic symptoms
Correct Answer: C

Rationale: The correct answer is C: Improvement in tardive dyskinesia. Tardive dyskinesia is a side effect of long-term antipsychotic use, like chlorpromazine. Quetiapine (Seroquel) is an atypical antipsychotic with a lower risk of causing tardive dyskinesia. By discontinuing chlorpromazine and switching to quetiapine, there is a higher likelihood of improvement or resolution of tardive dyskinesia symptoms. Options A and B are incorrect as they are related to other movement disorders caused by antipsychotics. Option D is incorrect as anticholinergic symptoms are not directly related to tardive dyskinesia improvement with the medication switch.

A client with dementia is unable to name ordinary objects. Instead, he describes them (e.g., 'the thing you cut meat with'). The nurse should assess this as:

  • A. Aphasia.
  • B. Paraphasia.
  • C. Apraxia.
  • D. None of the above.
Correct Answer: B

Rationale: The correct answer is B: Paraphasia. Paraphasia is a language disturbance characterized by the substitution of one word for another, leading to incorrect or nonsensical speech. In the case of the client with dementia unable to name ordinary objects but describing them, such as 'the thing you cut meat with,' this behavior aligns with paraphasia. Aphasia (choice A) refers to a complete loss or impairment of language function, which is not the case here. Apraxia (choice C) involves the inability to perform purposeful movements, not language deficits. Therefore, the client's behavior is best assessed as paraphasia due to the characteristic word substitutions and descriptions given.

Which of the following is a priority for a nurse caring for a patient with anorexia nervosa during the refeeding phase?

  • A. Providing a high-calorie diet immediately to speed up weight gain.
  • B. Monitoring the patient closely for signs of refeeding syndrome.
  • C. Promoting the patient's independence in meal choices.
  • D. Encouraging exercise to improve physical health.
Correct Answer: B

Rationale: The correct answer is B: Monitoring the patient closely for signs of refeeding syndrome. Refeeding syndrome is a potentially life-threatening condition that can occur when a malnourished individual is fed too quickly. Monitoring for signs such as electrolyte imbalances, fluid shifts, and organ dysfunction is crucial to prevent complications. Providing a high-calorie diet immediately (A) can exacerbate refeeding syndrome. Promoting independence in meal choices (C) may not be appropriate if the patient needs close monitoring. Encouraging exercise (D) can be harmful during the refeeding phase as the body needs time to recover and regain strength.

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