Age Specific Patient Care Quizlet

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A patient diagnosed with schizophrenia reveals to the nurse that voices have warned of danger and adds, 'They're so loud they frighten me. Do you hear them?' The nurse's best initial response would be:

  • A. I know these voices are very real to you, but I don't hear them.'
  • B. Don't worry. You're safe in the hospital. I won't let anything happen to you.'
  • C. Tell me more about the voices. Are they men or women? How many are there?'
  • D. What do you do in order to keep yourself occupied so you don't hear the voices?'
Correct Answer: A

Rationale: The correct answer is A because it acknowledges the patient's experience without dismissing or invalidating it. By stating, "I know these voices are very real to you, but I don't hear them," the nurse validates the patient's reality and expresses empathy. This response helps build trust and rapport, which is crucial in establishing a therapeutic relationship.

Choice B is incorrect because it dismisses the patient's concerns and offers false reassurance, which may not be effective in addressing the patient's distress.

Choice C is incorrect as it focuses on gathering more information about the voices without addressing the patient's immediate emotional distress.

Choice D is incorrect because it shifts the focus away from the patient's current experience and onto distractions, which may not be helpful in addressing the patient's distressing symptoms.

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What is a common consequence of long-term purging in patients with bulimia nervosa?

  • A. Improved digestive health and better nutrient absorption.
  • B. Increased risk of dehydration and electrolyte imbalances.
  • C. Improved self-esteem and body image.
  • D. Decreased risk of cardiovascular problems and hypertension.
Correct Answer: B

Rationale: The correct answer is B because long-term purging in patients with bulimia nervosa can lead to increased risk of dehydration and electrolyte imbalances. Purging behaviors such as vomiting or laxative abuse can disrupt the body's fluid and electrolyte balance, potentially causing dehydration and electrolyte imbalances. These imbalances can have serious health consequences, including cardiac arrhythmias, muscle weakness, and kidney damage.

Incorrect choices:
A: Improved digestive health and better nutrient absorption - Purging does not improve digestive health or nutrient absorption; rather, it can lead to nutrient deficiencies.
C: Improved self-esteem and body image - Purging behaviors are harmful and do not lead to improved self-esteem or body image.
D: Decreased risk of cardiovascular problems and hypertension - Purging behaviors can actually increase the risk of cardiovascular problems due to electrolyte imbalances and dehydration.

An appropriate intervention for a client with an identified nursing diagnosis of Situational low self-esteem would be:

  • A. Encouraging verbalization of feelings in a safe environment
  • B. Attempting to determine triggers to hallucinations
  • C. Engaging client in activities designed to permit success
  • D. Providing large muscle activities to relieve stress
Correct Answer: C

Rationale: The correct answer is C: Engaging client in activities designed to permit success. This intervention is appropriate for addressing situational low self-esteem as it focuses on building the client's self-confidence through successful experiences. Engaging in activities that the client can excel at helps boost self-esteem and self-worth. By providing opportunities for success, the client can gain a sense of accomplishment, leading to improved self-esteem.

A: Encouraging verbalization of feelings in a safe environment may be beneficial for emotional expression, but it does not directly address building self-esteem through success.
B: Attempting to determine triggers to hallucinations is unrelated to addressing situational low self-esteem.
D: Providing large muscle activities to relieve stress may be helpful for stress management but does not directly target improving self-esteem through success.

Persons who suffer from paraphilias are categorized as having

  • A. somatoform disorders
  • B. generalized anxiety
  • C. sexual disorders
  • D. personality disorders
Correct Answer: C

Rationale: Paraphilias are classified as sexual disorders, involving atypical sexual interests causing distress or harm.

Which situation is consensual sex rather than rape?

  • A. A husband forces vaginal sex when he comes home intoxicated from a party. The wife objects.
  • B. A woman's lover pleads with her to have oral sex. She gives in but then regrets the decision.
  • C. A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.
  • D. A dentist gives anesthesia for a procedure and then has intercourse with the unconscious patient.
Correct Answer: B

Rationale: The correct answer is B because, although the woman initially gave in to her lover's plea for oral sex, she later regretted the decision. Consent must be freely given without coercion or manipulation. In this scenario, the woman's regret indicates that her initial agreement was not genuine consent. Choice A involves force and lack of consent. Choice C depicts a violent and non-consensual act. Choice D involves taking advantage of a vulnerable and unconscious individual, which is also non-consensual.

In DSM-IV-TR intellectual disabilities are divided into a number of degrees of severity, depending primarily on the range of IQ score provided by the sufferer. One of these is Profound Mental Retardation, represented by an IQ score below:

  • A. 20-25
  • B. 25-30
  • C. 15-20
  • D. 15-Oct
Correct Answer: A

Rationale: Profound Mental Retardation: Defined by DSM-IV-TR as an IQ score below 20-25.

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