Age Specific Patient Care

Age Specific Patient Care Related

Review Age Specific Patient Care related questions and content

A parent who is very concerned about a 3-year-old son says, 'He likes to play with girls' toys. Do you think he is homosexual or mentally ill?' Which response by the nurse most professionally describes the current understanding of gender identity?

  • A. A child's interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood.
  • B. It's difficult to say for sure because the research is incomplete so far, but chances are that he will grow up to be a normal adult.
  • C. The research is incomplete, but many boys play with girls' toys and turn out normal as adults.
  • D. I am sure that whatever happens, he will be a loving son, and you will be a proud parent.
Correct Answer: A

Rationale: The correct answer is A because it accurately reflects the current understanding of gender identity. Children's interests in activities typically associated with the opposite gender are not unusual and are not indicative of sexual orientation or mental illness. Most children who exhibit cross-gender interests do not carry these into adulthood. This response emphasizes the normalcy of such behavior and provides reassurance to the parent.

Choice B is incorrect because it implies uncertainty based on incomplete research, which goes against the established understanding that cross-gender interests in childhood are common and not predictive of future outcomes.

Choice C is incorrect because it focuses on incomplete research and uses the term "normal as adults," which can perpetuate stigmas surrounding gender expression.

Choice D is incorrect because it does not address the parent's concerns about the child's behavior and does not provide accurate information about gender identity development.

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An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, "I like the style." The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?

  • A. Eating disorder not otherwise specified
  • B. Anorexia nervosa
  • C. Bulimia nervosa
  • D. Binge eating
Correct Answer: B

Rationale: The correct diagnosis is B: Anorexia nervosa. This patient exhibits key symptoms such as restrictive eating leading to significant weight loss, wearing layers of clothing to hide body shape, and amenorrhea. These symptoms align with the diagnostic criteria for anorexia nervosa. The other choices are incorrect because they do not fully capture the combination of symptoms present in this case. Choice A (Eating disorder not otherwise specified) is too broad and does not specify the severity of the symptoms. Choice C (Bulimia nervosa) typically involves binge eating followed by compensatory behaviors, which is not indicated in this case. Choice D (Binge eating) focuses solely on overeating without the restrictive eating and weight loss seen in anorexia nervosa.

Disability is:

  • A. More common in low-income region of the world
  • B. Found in 16% or 1.3 billion people worldwide
  • C. More common in males
  • D. Not inclusive of mental health conditions
Correct Answer: B

Rationale: WHO estimates disability affects 16% of the global population (1.3 billion), including mental health conditions.

Many persons brought before a criminal court have mental illness, have committed minor offenses, and are off medications. The judge consults the nurse at the local community mental health center for guidance about how to respond when handling such cases. Which advice from the nurse would be most appropriate?

  • A. Sometimes a little time in jail makes a person rethink what theyve been doing and puts them back on the right track.'
  • B. Sentencing such persons to participate in treatment instead of incarcerating them has been shown to reduce repeat offenses.'
  • C. Arresting these people helps them in the long run. Sometimes we cannot hospitalize them, but in jail they will get their medication.'
  • D. Research suggests that special mental health courts do not make much difference so far, but outpatient commitment does seem to help.'
Correct Answer: B

Rationale: Research supports the use of special mental health courts that can sentence mentally ill persons to treatment instead of jail. Jail exposes vulnerable mentally ill persons to criminals, victimization, and high levels of stimulation and stress. Incarceration can also interrupt eligibility for benefits or lead to the loss of housing and often provides lower-quality mental health treatment in other settings. Recidivism rates for both mentally ill and non-mentally ill offenders are relatively high, so it does not appear that incarceration necessarily leads people to behave more appropriately. In addition, a criminal record can leave them more desperate and with fewer options after release. Research indicates that outpatient commitment is less effective at improving the mental health of mentally ill persons than was expected.

Sudden temporary amnesia or instances of multiple personality are disorders

  • A. dissociative
  • B. anxiety
  • C. psychotic
  • D. schizophrenic
Correct Answer: A

Rationale: Dissociative disorders include amnesia and multiple personalities, linked to identity disruption.

The nurse working with a client whose diagnosis is bulimia asks the client to recall a time in her life when eating was a positive experience and she enjoyed small amounts of food without purging. The purpose of this intervention is to:

  • A. gain additional information about the client's bulimic condition.
  • B. emphasize that the client is capable of engaging in eating without purging.
  • C. incorporate specific foods into the meal plan to reflect pleasant memories.
  • D. assist the client to become more compliant with the treatment plan.
Correct Answer: B

Rationale: The correct answer, B, emphasizes that the client is capable of engaging in eating without purging. By asking the client to recall a positive experience with food, the nurse is helping the client recognize that they can enjoy food without the need to purge. This intervention aims to challenge the client's negative beliefs about food and eating, promoting a healthier relationship with food.

Choice A is incorrect as the purpose is not solely to gain additional information about the client's condition but rather to shift the client's perspective on food. Choice C is incorrect as the intervention focuses on emotional aspects rather than specific foods. Choice D is incorrect as the goal is to address the psychological aspect of the client's behavior, not just compliance with the treatment plan.

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