Age Specific Considerations in Patient Care

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A nurse would conclude that a patient with an eating disorder is exhibiting a cognitive distortion after hearing the patient make which statement?

  • A. I see now that I need to establish my own preferences and routines.'
  • B. Bingeing makes my feelings of both isolation and loneliness go away.'
  • C. Controlling what I eat has been a way for me to exert control over my life.'
  • D. I need to watch for hunger and fatigue as triggers for my eating disorder.'
Correct Answer: B

Rationale: The correct answer is B because the statement reflects emotional reasoning, a common cognitive distortion in eating disorders. The patient believes that bingeing is an effective way to cope with feelings of isolation and loneliness, which is not a healthy or rational belief. This cognitive distortion can perpetuate the cycle of disordered eating behavior.

A: This choice shows a healthy realization and decision-making process, indicating a positive step towards recovery.
C: While controlling food intake may be a coping mechanism, it doesn't necessarily indicate a cognitive distortion.
D: This choice demonstrates awareness of triggers, which is important for managing the disorder, but it doesn't necessarily indicate a cognitive distortion.

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Which statement by the nurse indicates a good understanding of postpartum blues?

  • A. You need to get involved with taking care of this baby.
  • B. You are lucky to have a healthy baby. The patient in the next room would give anything to be in your place.
  • C. You look tired. Why dont you rest for a bit and I will come back later to start some teaching.
  • D. I will call the social worker to check into alternate caregiving for the new baby.
Correct Answer: C

Rationale: This response (C) indicates understanding that postpartum blues is transient and that time and rest are major healers. The other responses (A, B, D) are judgmental or inappropriate.

In learning disabilities, the name for mathematical disorder is:

  • A. Dyspraxia
  • B. Dyslexia
  • C. Dyscalculia
  • D. Dysphasia
Correct Answer: C

Rationale: Mathematics Disorder (Dyscalculia): A specific learning disability characterised by mathematical ability being substantially below norm for chronological age, intelligence, and educational level.

Which of the following is NOT a suitable place for a family doctor outside the polyclinic to refer an adolescent patient for psychotherapy/counselling?

  • A. Local Social Service Office
  • B. Nearby polyclinic
  • C. Patients school
  • D. A reputable restructured hospital
Correct Answer: B

Rationale: A nearby polyclinic is less suitable for psychotherapy referral as it focuses on primary care, unlike the other options with counseling services.

In planning aftercare for a client with schizophrenia and whose insurance benefits have been exhausted, the nurse who is concerned about overcoming negative symptoms will make provisions for the client to have stimulation, structure, socialization, and support. Which option would best incorporate these factors?

  • A. Day hospitalization
  • B. Attending a psychosocial club
  • C. Living with his elderly mother
  • D. Spending free time in the mall
Correct Answer: B

Rationale: The correct answer is B: Attending a psychosocial club. This option best incorporates the necessary factors of stimulation, structure, socialization, and support for the client with schizophrenia.
- Stimulation: Psychosocial clubs offer various activities to engage the client's mind and keep them occupied.
- Structure: These clubs usually have regular schedules and routines, providing the client with a sense of order and predictability.
- Socialization: Interacting with others in the club can help the client improve social skills and combat feelings of isolation.
- Support: Being part of a community in the club can provide emotional support and encouragement for the client.

Incorrect Choices:
- A: Day hospitalization may offer structure and support but may lack the socialization and stimulation provided by a psychosocial club.
- C: Living with his elderly mother may provide support but may not offer the necessary stimulation, structure, and socialization outside of the home environment.
- D: Spending free time in the mall may offer

Adolescents often cite barriers for discussing psychosocial issues with their physician. If confidentiality is addressed, which of the following do adolescents NOT cite as a barrier:

  • A. Non-judgemental approach of physician
  • B. Personal embarrassment towards discussing sensitive topics
  • C. Physician seems rushed
  • D. Physician did not ask about sensitive topics
Correct Answer: A

Rationale: A non-judgmental approach facilitates discussion and is not a barrier, unlike embarrassment, time constraints, or perceived lack of understanding.

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